O'Hare Dennis, Kudrle Venetia
Mercy & Unity Hospital, Coon Rapids, Minnesota, USA.
Physician Exec. 2007 May-Jun;33(3):38-45.
Comments on the 2004 survey identified that physicians thought it was too early to judge whether the new structure itself was successful. This year, the survey will be repeated to measure the effectiveness of the new structure and to help administrators set goals to further improve physician engagement levels. Meanwhile, Mercy & Unity is using the tenets of the physician compact, elements of physician culture, and elements of administrative culture to inform new process-improvement activities. More study is needed to identify whether Mercy & Unity's techniques of reorganization contributed to the higher rates of physician satisfaction and engagement, but it is our belief that incorporating physician cultural norms into the process helped prevent the change process from turning the horse into the proverbial camel.
对2004年调查的评论指出，医生们认为现在判断新结构本身是否成功还为时过早。今年，将重复进行该调查，以衡量新结构的有效性，并帮助管理人员设定目标，进一步提高医生的参与度。与此同时，Mercy & Unity正在利用医生契约的原则、医生文化的要素和行政文化的要素，为新的流程改进活动提供指导。需要更多的研究来确定Mercy & Unity的重组技术是否促成了更高的医生满意度和参与率，但我们相信，将医生文化规范纳入这一过程有助于防止变革过程把马变成众所周知的骆驼。
