Degeling Pieter, Zhang Kai, Coyle Barbara, Xu Lingzhong, Meng Qingyue, Qu Jiangbin, Hill Michael
Centre for Clinical Management Development, Wolfson Research Institute, University of Durham, Queens Campus, Thornaby, UK.
Soc Sci Med. 2006 Aug;63(3):757-75. doi: 10.1016/j.socscimed.2006.01.034. Epub 2006 Mar 31.
This paper explores similarities and differences in the value stances of clinicians and hospital managers in Australia, England, New Zealand and China, and provides some new insights into how we theorise about the health profession and its relations with management. The paper draws on data derived from a closed-ended questionnaire administered to 2637 hospital-based medical, nursing and managerial staff. We examine variations between the countries in the value orientations of doctors, nurses and managers by considering their assessments of issues that are the focus of reform. In particular, we examine the ways in which the Chinese findings differ from those of the other countries. Whereas the results from the Commonwealth hospitals showed a marked division between clinicians and managers about issues that can affect clinical autonomy, this was not the case in the Chinese hospitals. The concluding discussion traces these differences to a number of cultural, organisational and policy-based factors. The implications of our findings on how we conceive the relationship between professionals and organisations are then discussed, as are further lines of research.
本文探讨了澳大利亚、英国、新西兰和中国临床医生与医院管理人员价值立场的异同，并对我们如何构建关于卫生专业及其与管理关系的理论提供了一些新见解。本文借鉴了对2637名医院医护人员和管理人员进行的封闭式问卷调查所得数据。我们通过考虑他们对改革重点问题的评估，研究了不同国家医生、护士和管理人员价值取向的差异。特别是，我们研究了中国的调查结果与其他国家不同的方面。英联邦国家医院的结果显示，临床医生和管理人员在可能影响临床自主性的问题上存在明显分歧，但中国医院并非如此。结论性讨论将这些差异归因于一些文化、组织和政策因素。然后讨论了我们的研究结果对我们如何理解专业人员与组织之间关系的影响，以及进一步的研究方向。
