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调解医学、护理与管理之间的文化界限——医院改革的核心挑战。

Mediating the cultural boundaries between medicine, nursing and management--the central challenge in hospital reform.

作者信息

Degeling P, Kennedy J, Hill M

机构信息

Centre for Hospital Management and Information Systems Research, Level 2, Samuels Building, University of New South Wales, Sydney 2052, NSW, Australia.

出版信息

Health Serv Manage Res. 2001 Feb;14(1):36-48. doi: 10.1177/095148480101400105.

Abstract

This paper documents the resilience of medical and nursing profession-based subcultures and the extent of the differences between them. Against this background, we assess the capacity and willingness of medical and nursing managers to promote changes that will extend the accountability of clinicians and engender more evidence-based, financially driven and output-oriented approaches to service delivery.

摘要

本文记录了以医学和护理专业为基础的亚文化的韧性及其之间的差异程度。在此背景下,我们评估了医学和护理管理人员推动变革的能力与意愿,这些变革将扩大临床医生的问责范围,并促使在服务提供方面采用更基于证据、受财务驱动且以产出为导向的方法。

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