Cowton C J, Drake J E
Huddersfield University Business School, UK.
J Manag Med. 1999;13(4-5):218-33. doi: 10.1108/02689239910292936.
The prevalence of rather negative, or at best mixed, attitudes of doctors towards participation in management has been reported in several previous research studies. This paper adds to that growing empirical literature, but complements most of the previous studies by focusing on general medical practitioners in primary care rather than on doctors in secondary care settings. The focus for the study were doctors who had agreed to undertake the lead partner role in the now-defunct general practitioner fundholding initiative within the UK National Health Service. The findings indicate widespread reluctance but the presence of a minority of enthusiasts, which resonates with previous studies of secondary care settings. A finding of potential significance for future research and practice was that some doctors who were initially reluctant became more keen on undertaking a management role once they had experienced it.
此前的多项研究报告称，医生对参与管理持相当消极或至多是复杂的态度。本文在这一不断增长的实证文献基础上有所补充，但与大多数先前研究不同的是，本文聚焦于初级保健中的全科医生，而非二级保健机构中的医生。该研究的重点是那些曾同意在英国国家医疗服务体系已废止的全科医生基金持有计划中担任牵头合伙人角色的医生。研究结果表明，普遍存在抵触情绪，但也有少数积极参与者，这与先前对二级保健机构的研究结果一致。一个对未来研究和实践可能具有重要意义的发现是，一些最初不情愿的医生在体验过管理角色后，变得更热衷于承担管理职责。
