Goonan Kathleen Jennison, Stoltz Patricia K
Center for Health System Design and Evaluation, Institute for Health Policy, Massachusetts General Hospital, Boston, Massachusetts 02116, USA.
Med Care. 2004 Apr;42(4 Suppl):III31-8. doi: 10.1097/01.mlr.0000120782.03031.b4.
Outcomes and effectiveness research has provided a wealth of information about interventions that can improve patient experience and outcomes. The challenges facing healthcare leaders today highlight the need for new research on how leadership and management principles can enable healthcare providers and systems to deploy this knowledge swiftly and effectively. The Baldrige National Quality Program (BNQP) is an education and award program established by the U.S. Congress in 1987 that supports American businesses seeking to improve product and service quality, customer and workforce satisfaction, efficiency, financial results, and overall capacity to perform and respond to changing circumstances. Award recipients show a constellation of strengths that suggest that certain basic leadership and management practices are correlated with a fundamental ability to achieve desired results. This article describes characteristics of highly effective organizations based on a review of Baldrige Award recipients, focuses on the application of these characteristics to healthcare settings, illustrates their application with best practices from SSM Health Care, the first-ever healthcare recipient in 2002, and presents several priorities for outcomes and effectiveness research to inform healthcare leadership and administration.
结果与有效性研究提供了大量有关可改善患者体验和结果的干预措施的信息。当今医疗保健领导者面临的挑战凸显了开展新研究的必要性，即研究领导力和管理原则如何使医疗保健提供者和系统能够迅速且有效地运用这些知识。波多里奇国家质量奖计划（BNQP）是美国国会于1987年设立的一项教育与奖励计划，旨在支持寻求提高产品和服务质量、客户与员工满意度、效率、财务成果以及应对不断变化的环境的整体执行和响应能力的美国企业。获奖者展现出一系列优势，表明某些基本的领导力和管理实践与实现预期结果的基本能力相关。本文基于对波多里奇奖获得者的回顾，描述了高效组织的特征，着重探讨了这些特征在医疗保健环境中的应用，以2002年首个获得该奖项的医疗保健机构SSM医疗保健公司的最佳实践为例进行说明，并提出了结果与有效性研究的几个优先事项，以为医疗保健领导力和管理提供参考。
