Willing Steven J, Gunderman Richard B, Cochran Philip L, Saxton Todd
Department of Radiology, Indiana University, Indianapolis, Indiana 46202, USA.
J Am Coll Radiol. 2004 Dec;1(12):972-80. doi: 10.1016/j.jacr.2004.06.009.
How should academic radiology departments be governed? This question has rarely been directly addressed in the radiology literature. The dominant model of administration in present-day academic departments differs from that typically seen in private group practices. Whereas private group practices tend to follow a democratic model whereby key decisions must be supported by a majority of the partners, in academic institutions, medical school deans and department chairs generally possess great latitude in strategic and operational decision making. This article considers arguments for and against "top-down" governance in academia. The rationale supporting this form of governance is weak, and the best evidence from the fields of management and organizational behavior suggests it may in fact be detrimental.
学术放射科应如何管理？放射学文献中很少直接探讨这个问题。当今学术部门的主导管理模式与私人团体执业中常见的模式不同。私人团体执业倾向于遵循民主模式，即关键决策必须得到多数合伙人的支持，而在学术机构中，医学院院长和系主任在战略和运营决策方面通常拥有很大的自主权。本文探讨了支持和反对学术界“自上而下”管理的观点。支持这种管理形式的理由并不充分，管理和组织行为领域的最佳证据表明，它实际上可能是有害的。
