Newbronner E V, Pedler M J, Tim Scott J, Sheldon T A
Department of Health Studies, University of York, UK.
BMC Health Serv Res. 2001;1:12. doi: 10.1186/1472-6963-1-12. Epub 2001 Nov 28.
The study is designed to assess the organisational and human resource challenges faced by Primary Care Trusts (PCTs). Its objectives are to: specify the organisational and human resources challenges faced by PCTs in fulfilling the roles envisaged in government and local policy; examine how PCTs are addressing these challenges, in particular, to describe the organisational forms they have adopted, and the OD/HR strategies and initiatives they have planned or in place; assess how effective these structures, strategies and initiatives have been in enabling the PCTs to meet the organisational and human resources challenges they face; identify the factors, both internal to the PCT and in the wider health community, which have contributed to the success or failure of different structures, strategies and initiatives.
The study will be undertaken in three stages. In Stage 1 the key literature on public sector and NHS organisational development and human resources management will be reviewed, and discussions will be held with key researchers and policy makers working in this area. Stage 2 will focus on detailed case studies in six PCTs designed to examine the organisational and human resources challenges they face. Data will be collected using semi-structured interviews, group discussion, site visits, observation of key meetings and examination of local documentation. The findings from the case study PCTs will be cross checked with a Reference Group of up to 20 other PCG/Ts, and key officers working in organisational development or primary care at local, regional and national level. In Stage 3 analysis of findings from the preparatory work, the case studies and the feedback from the Reference Group will be used to identify practical lessons for PCTs, key messages for policy makers, and contributions to further theoretical development.
本研究旨在评估初级保健信托基金（PCTs）所面临的组织和人力资源挑战。其目标如下：明确PCTs在履行政府和地方政策所设想的职责时面临的组织和人力资源挑战；研究PCTs如何应对这些挑战，尤其是描述它们所采用的组织形式，以及它们已规划或正在实施的组织发展/人力资源战略和举措；评估这些结构、战略和举措在使PCTs应对其所面临的组织和人力资源挑战方面的成效如何；确定PCT内部以及更广泛的健康领域中导致不同结构、战略和举措成败的因素。
本研究将分三个阶段进行。在第一阶段，将回顾关于公共部门和国民保健服务（NHS）组织发展及人力资源管理的关键文献，并与该领域的主要研究人员和政策制定者进行讨论。第二阶段将聚焦于对六个PCTs的详细案例研究，以考察它们所面临的组织和人力资源挑战。将通过半结构化访谈、小组讨论、实地考察、关键会议观察以及当地文件审查来收集数据。案例研究PCTs的研究结果将与由多达20个其他初级保健小组/信托基金以及在地方、区域和国家层面从事组织发展或初级保健工作的关键官员组成的参考小组进行交叉核对。在第三阶段，将利用筹备工作、案例研究的结果以及参考小组的反馈来确定对PCTs的实用经验教训、给政策制定者的关键信息以及对进一步理论发展的贡献。
