Walston S L, Kimberly J R
Wharton School, University of Pennsylvania, Philadelphia 19104, USA.
Hosp Health Serv Adm. 1997 Summer;42(2):143-63.
Current estimates suggest that over sixty percent of all U.S. hospitals are involved in reengineering initiatives. The level of investment is staggering; literally billions of dollars are being spent in the name of reengineering. Surprisingly little research has been reported, however, aimed at clarifying how this money is being spent (i.e., the content of reengineering) or identifying the management practices that facilitate or impede implementation. This paper summarizes extensive field research from fourteen hospitals across the country aimed at developing a clearer picture of reengineering. The research identifies seven components of hospital reengineering present in various configurations in the hospitals examined. Methods for facilitating reengineering are explored and eight major barriers recognized. Site specific examples are provided to illustrate how the facilitators and barriers work in practice.
目前的估计表明，超过60%的美国医院都参与了再造计划。投资规模惊人；实际上，数十亿美元正以再造之名被投入使用。然而，令人惊讶的是，针对阐明这些资金的使用方式（即再造的内容）或确定促进或阻碍实施的管理实践的研究报道极少。本文总结了来自全国14家医院的广泛实地研究，旨在更清晰地了解再造情况。该研究确定了在所考察的医院中以各种形式存在的医院再造的七个组成部分。探讨了促进再造的方法，并识别出八个主要障碍。提供了具体案例来说明促进因素和障碍在实际中是如何起作用的。
