Smith D P
Hosp Health Serv Adm. 1987 May;32(2):219-33.
Health care executives and planners struggling to improve their organizations' ability to cope with the pace of change in today's hospital environment are advised to consider the concepts and practices of strategic management. This approach has been prescribed in other industries as a remedy to the failure of the strategic planning of the 1970s to guide American businesses in the past decade's unstable business environment successfully. Strategic management expands the domain of strategic planning beyond the traditional focus on technical, externally oriented problem solving. Strategically managed companies have excelled at execution of strategy because they are adept at building new capabilities consistent with strategy, heed behavioral aspects of planning and change, and skillfully blend the roles of line managers and planning staff. While strategically managed hospitals or hospital systems are few and far between, the nature and pace of change in the environment are propelling more in the direction of strategic management.
建议那些努力提高其组织应对当今医院环境变化速度能力的医疗保健高管和规划者考虑战略管理的概念和实践。在其他行业，这种方法已被视为一种补救措施，以解决20世纪70年代战略规划未能在过去十年不稳定的商业环境中成功指导美国企业的问题。战略管理将战略规划的领域扩展到传统的专注于技术、外部导向问题解决之外。实施战略管理的公司在战略执行方面表现出色，因为它们善于建立与战略一致的新能力，关注规划和变革的行为方面，并巧妙地融合直线经理和规划人员的角色。虽然实施战略管理的医院或医院系统寥寥无几，但环境变化的性质和速度正推动更多医院朝着战略管理的方向发展。
