Valentine J A
Florida Atlantic University, USA.
J Health Hum Serv Adm. 2000 Winter;23(3):361-78.
Among the many consequences of health care restructuring is the impact such changes have on the training requirements for the health professions. Since workforce planning has been difficult and sometimes controversial in relatively stable times, it is likely to be even more problematic amid the turbulent changes ahead as the U.S. health care system restructures for the 21 century. Strategic management models emphasizing stakeholder involvement offer a middle ground between the extremes of government mandates and free markets by engaging a variety of participants with a stake in the planning outcome. The following report on the New Jersey effort to engage a variety of health care stakeholders in a participatory management process to shape the state physician workforce may provide useful insights for both managers and policy-makers.
医疗保健结构调整带来诸多后果，其中包括这些变革对卫生专业培训要求的影响。在相对稳定时期，劳动力规划就已困难重重，有时还颇具争议，而随着美国医疗保健系统为迎接21世纪进行重组，未来动荡变革之际，这一问题可能会变得更加棘手。强调利益相关者参与的战略管理模式，通过让各种对规划结果有利害关系的参与者参与进来，在政府指令和自由市场这两个极端之间提供了一个中间地带。以下这份关于新泽西州让各类医疗保健利益相关者参与参与式管理过程以塑造该州医师队伍的报告，可能会为管理人员和政策制定者提供有益的见解。
