Ong B N, Boaden M, Cropper S
Centre for Health Planning and Management, Keele University.
J Manag Med. 1997;11(2-3):88-95. doi: 10.1108/02689239710177710.
The impact of the NHS reforms, and the resulting purchaser-provider split, has refocused attention on the relationship between management and medicine in acute hospitals. It is timely to assess the explanatory power of various theoretical models regarding the management-medicine interface. Argues that this interface is currently rather fluid and that a dynamic and adaptive model is best suited to understanding the way in which doctors and managers develop their relationship within the changing policy context. Two examples illustrate these shifting boundaries.
国民医疗服务体系（NHS）改革的影响以及由此产生的购买方与提供方的分离，使人们重新将注意力集中在急症医院中管理与医学之间的关系上。现在是时候评估各种关于管理 - 医学界面的理论模型的解释力了。有人认为，这种界面目前相当灵活，动态和适应性模型最适合理解医生和管理人员在不断变化的政策背景下发展他们关系的方式。两个例子说明了这些不断变化的界限。
