Starkweather D
Health Serv Manage Res. 1988 Jul;1(2):74-86. doi: 10.1177/095148488800100202.
This paper is about governance of community not-for-profit hospitals. It begins by noting the marked inconsistencies between widely shared views of official hospital board functions and the actual performance of these boards. Several models of organisation power are then reviewed, with comment on their adequacy for hospitals. Then the notion of hospital board power as a convenient fiction is presented. The paper concludes with a discussion of the sufficiency of this arrangement for hospital performance.
本文探讨社区非营利性医院的治理问题。文章开篇指出,官方医院董事会职能的广泛共识与这些董事会的实际表现之间存在明显不一致。接着回顾了几种组织权力模式,并对其适用于医院的情况进行了评论。然后提出了医院董事会权力是一种便利虚构的观点。本文最后讨论了这种安排对医院绩效的充分性。