García-Goñi Manuel, Maroto Andrés, Rubalcaba Luis
Manuel García-Goñi, Universidad Complutense de Madrid, Departamento de Economía Aplicada II, Campus de Somosaguas, 28223 Pozuelo de Alarcón, Madrid, Spain.
Health Policy. 2007 Dec;84(2-3):344-58. doi: 10.1016/j.healthpol.2007.05.006. Epub 2007 Jul 6.
Innovations in public health services promote increases in the health status of the population. Therefore, it is a major concern for health policy makers to understand the drivers of innovation processes. This paper focuses on the differences in behaviour of managers and front-line employees in the pro-innovative provision of public health services.
We utilize a survey conducted on front-line employees and managers in public health institutions across six European countries. The survey covers topics related to satisfaction, or attitude towards innovation or their institution. We undertake principal components analysis and analysis of variance, and estimate a multinomial ordered probit model to analyse the existence of different behaviour in managers and front-line employees with respect to innovation.
Perception of innovation is different for managers and front-line employees in public health institutions. While front-line employees' attitude depends mostly on the overall performance of the institution, managers feel more involved and motivated, and their behaviour depends more on individual and organisational innovative profiles.
It becomes crucial to make both managers and front-line employees at public health institutions feel participative and motivated in order to maximise the benefits of technical or organisational innovative process in the health services provision.
公共卫生服务的创新推动了人口健康状况的提升。因此，了解创新过程的驱动因素是卫生政策制定者的主要关注点。本文聚焦于公共卫生服务创新提供过程中管理者和一线员工行为的差异。
我们利用了对六个欧洲国家公共卫生机构的一线员工和管理者进行的一项调查。该调查涵盖了与满意度、对创新或其机构的态度相关的主题。我们进行主成分分析和方差分析，并估计一个多项有序概率模型，以分析管理者和一线员工在创新方面不同行为的存在情况。
公共卫生机构中管理者和一线员工对创新的认知不同。一线员工的态度主要取决于机构的整体绩效，而管理者感觉参与度更高且积极性更强，他们的行为更多地取决于个人和组织的创新形象。
让公共卫生机构的管理者和一线员工都感到有参与感和积极性，对于在卫生服务提供中最大化技术或组织创新过程的益处至关重要。
