Liedtka J M, Whitten E
University of Virginia, USA.
J Healthc Manag. 1998 Mar-Apr;43(2):185-203; discussion 203-5.
This exploratory research investigates the factors contributing to and detracting from collaboration across professional groups that are working within an academic medical center. Examined within the context of three recently created service lines, the study uses both objective performance data and perceptual data obtained from the physicians, nurses, and administrators. A similar set of factors emerged across all three service lines and professional groups. These factors were highly correlated with the perceived success of the collaborative efforts in producing positive outcomes in both quality and efficiency of care, patient satisfaction, and improved work environment. Findings of the study highlight the importance of shared values, trust, and personal engagement--all empirically demonstrated to be linked with the participants' perceptions of successful collaboration. The study, however, failed to find improvement in the objective performance data analyzed. In addition, individual professional groups were found to have differing views of the collaborative environment, raising important issues for the management of collaborative efforts in the hospital setting.
这项探索性研究调查了在学术医疗中心工作的不同专业群体间协作的促进因素和阻碍因素。该研究以最近设立的三条服务线为背景，使用了从医生、护士和管理人员那里获得的客观绩效数据和感知数据。在所有三条服务线和专业群体中都出现了一组相似的因素。这些因素与协作努力在护理质量和效率、患者满意度以及工作环境改善方面产生积极成果的感知成功高度相关。研究结果强调了共享价值观、信任和个人参与的重要性——所有这些都通过实证证明与参与者对成功协作的看法相关。然而，该研究在所分析的客观绩效数据中未发现改善。此外，发现各个专业群体对协作环境有不同的看法，这为医院环境中协作努力的管理提出了重要问题。
