Macdonald Jackie, Bath Peter A, Booth Andrew
Department of Information Studies, University of Sheffield, Sheffield, UK.
Health Informatics J. 2008 Dec;14(4):247-58. doi: 10.1177/1460458208096554.
Managers who work in publicly funded healthcare organizations are an understudied group. Some of the influences on their decisions may be unique to healthcare. This study considers how to integrate research knowledge effectively into healthcare managers' decision making, and how to manage and integrate information that will include community data. This first phase in a two-phase mixed methods research study used a qualitative, multiple case studies design. Nineteen semi-structured interviews were undertaken using the critical incident technique. Interview transcripts were analysed using the NatCen Framework. One theme represented ;information and decisions'. Cases were determined to involve complex multi-level, multi-situational decisions with participants in practical rather than ceremonial work roles. Most considered organizational knowledge in the first two decision phases and external knowledge, including research, in the third phase. All participants engaged in satisficing to some degree.
在公共资助的医疗保健组织中工作的管理人员是一个研究不足的群体。对他们决策的一些影响可能是医疗保健领域所特有的。本研究考虑如何将研究知识有效地整合到医疗保健管理人员的决策中,以及如何管理和整合包括社区数据在内的信息。这个两阶段混合方法研究的第一阶段采用了定性的多案例研究设计。使用关键事件技术进行了19次半结构化访谈。访谈记录使用NatCen框架进行分析。一个主题是“信息与决策”。案例被确定涉及复杂的多层次、多情境决策,参与者担任实际而非形式上的工作角色。大多数人在前两个决策阶段考虑组织知识,在第三个阶段考虑外部知识,包括研究知识。所有参与者都在一定程度上进行了满意度选择。