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理论与实践中的医疗保健政策:对作为理性决策产物的过程的回顾。

Health care policy in theory and practice: a review of the process as a product of rational decision-making.

作者信息

Prosono M

机构信息

Southwest Missouri State University, Springfield 65804, USA.

出版信息

J Health Soc Policy. 1998;9(4):83-99. doi: 10.1300/J045v09n04_07.

DOI:10.1300/J045v09n04_07
PMID:10180602
Abstract

Decisions are not made in a vacuum. Both theories and practical circumstances influence how reason and decision-making are conceived. In this article, the focus is on organizations and their impact on shaping the decision-making process. Organizational theories, management philosophies, and structural considerations are reviewed, with emphasis placed on how they influence the search for information, the conceptualization of data, the possible uses of knowledge, and the formation of behavioral goals. Accordingly, decision-making is contextualized; organizational assumptions are linked to the reasonableness of a decision. As modern writers say, the "taken-for-grantedness" of an organization is illustrated to be tied inextricably to the nature of reason and assessments of rationality.

摘要

决策并非在真空中做出。理论和实际情况都会影响我们对理性与决策的理解。本文重点关注组织及其对决策过程形成的影响。我们将回顾组织理论、管理理念和结构因素,重点探讨它们如何影响信息搜索、数据概念化、知识的可能用途以及行为目标的形成。因此,决策是与情境相关的;组织假设与决策的合理性相关联。正如现代作家所说,组织的“理所当然”被证明与理性的本质和合理性评估紧密相连。

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