Zuckerman H S, Hilberman D W, Andersen R M, Burns L R, Alexander J A, Torrens P
Center for Health Management Research, University of Washington, USA.
Front Health Serv Manage. 1998 Spring;14(3):3-34.
Underscoring the importance of physician-organization alignment as a necessary condition for building and sustaining integrated healthcare systems, this article provides information regarding the nature of such alignment, the key influential factors, and the processes employed to make alignment a reality. Structural and strategic factors address the influence of environmental, market, and organizational characteristics on alignment. The strategic intent of organizations and physicians, and physician perspectives on the effects of integration, are explored. Key processes examined include building trust, placing physicians in management and governance, and developing physician leadership. Continuing issues and challenges are considered, and a set of principles to help guide the journey of physicians and organizations toward successful alignment is suggested.
强调医生与组织保持一致作为建立和维持综合医疗系统的必要条件的重要性，本文提供了有关这种一致性的性质、关键影响因素以及实现一致性的过程的信息。结构和战略因素探讨了环境、市场和组织特征对一致性的影响。研究了组织和医生的战略意图以及医生对整合效果的看法。所考察的关键过程包括建立信任、让医生参与管理和治理以及培养医生领导力。文中考虑了持续存在的问题和挑战，并提出了一套原则，以帮助指导医生和组织走向成功的一致性之旅。
