Smith A J, Preston D
Business School, Loughborough University, UK.
J Manag Med. 1996;10(2):31-9. doi: 10.1108/02689239610117807.
Discusses an audit of communications between doctors and other professional groups in a National Health Services trust hospital. The project was undertaken as a result of senior management's perception that there were problems regarding the interface between professionals and junior doctors particularly, and that these have a potentially detrimental impact on patient care. The aim of the study was to improve the work environment of medical practitioners and professional staff by researching the factors affecting communication and the sources of conflict which exist between the groups. Describes the methodology and provides an overview of the main findings grouped into themes. A large number of recommendations for change have been made to the hospital concerning systems, procedures, structures, training and inter-professional boundaries. Implementation of some of these recommendations has taken place already. Full evaluation of their impact is yet to be determined.
讨论了对一家国民医疗服务信托医院中医生与其他专业团体之间沟通情况的审计。该项目的开展是由于高级管理层认为专业人员与初级医生之间的接口存在问题,尤其是这些问题可能对患者护理产生不利影响。该研究的目的是通过研究影响沟通的因素以及各团体之间存在的冲突根源,来改善医生和专业人员的工作环境。描述了研究方法,并概述了按主题分类的主要研究结果。已就系统、程序、结构、培训和专业间界限等方面向医院提出了大量变革建议。其中一些建议已经得到实施。其影响的全面评估尚未确定。