Nylinder Pia
School of Economics and Management, Department of Business Administration, Lund University, Sweden.
J Health Serv Res Policy. 2009 Apr;14(2):70-6. doi: 10.1258/jhsrp.2008.008063.
The composition of clinical department managers in Swedish hospitals is changing; more non-doctors and women are entering managerial positions. In parallel, most hospitals face increased pressure to contain costs. This article presents a study of managers' perceptions of tightness of budgetary control and how their views vary systematically with personal characteristics and organizational conditions.
Data were collected through a postal survey in 2005 to 173 clinical department managers (response rate of 70%). Statistical analysis was performed by factor analysis and logistic regression.
The data suggest that clinical department managers' perceptions of tight budgetary control were related to how long they had been in their current position, their profession (whether they were doctors or non-doctors) and their sex. Further, their perceptions could be explained by how close the managers' departments were to their budget targets.
Perception of tight budgetary control by managers depends on both their personal characteristics and the financial situation of their departments. Differences between men and women, and doctors and non-doctors call for additional research about the possible impact of changes in the composition of clinical department managers on how budgetary responsibility is exercised.
瑞典医院临床科室管理人员的构成正在发生变化；越来越多的非医生人员和女性进入管理岗位。与此同时，大多数医院面临着日益增加的成本控制压力。本文呈现了一项关于管理人员对预算控制严格程度的认知以及他们的观点如何随个人特征和组织条件而系统变化的研究。
2005年通过邮寄调查收集了173名临床科室管理人员的数据（回复率为70%）。通过因子分析和逻辑回归进行统计分析。
数据表明，临床科室管理人员对严格预算控制的认知与他们在当前职位的任职时长、职业（是否为医生）以及性别有关。此外，他们的认知可以通过管理人员所在科室与预算目标的接近程度来解释。
管理人员对严格预算控制的认知既取决于他们的个人特征，也取决于所在科室的财务状况。男性与女性、医生与非医生之间的差异，需要对临床科室管理人员构成变化可能对预算责任履行方式产生的影响进行更多研究。
