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测试医院创新成功的一些主要决定因素。

Testing some major determinants for hospital innovation success.

作者信息

Caccia-Bava Maria do Carmo, Guimaraes Valerie C K, Guimaraes Tor

机构信息

University Medical Center, University of São Paulo Medical School, Ribeirao Preto, São Paulo, Brazil.

出版信息

Int J Health Care Qual Assur. 2009;22(5):454-70. doi: 10.1108/09526860910975571.

Abstract

PURPOSE

Hospitals have adopted new policies, methods and technologies to change their processes, improve services, and support other organizational changes necessary for better performance. The literature regarding the four major areas of strategic leadership, competitive intelligence, management of technology, and specific characteristics of the organization's change process propose their importance in successfully implementing organization innovation. While these factors may indeed be important to enhance hospital performance, the existing literature contains limited empirical evidence supporting their relationship to successfully implementing innovation in hospitals. This study aims to empirically test these relationships proposed in the literature by researchers in separate knowledge areas.

DESIGN/METHODOLOGY/APPROACH: A survey of 223 hospitals has been used to test an integrated model of these relationships. The response rate and the representativeness of the sample in terms of hospital size and geographical location were found satisfactory. The quality assurance/compliance managers for each hospital were the target respondents to questions, which require a corporate perspective while reducing the chance of bias for questions regarding top management leadership abilities.

FINDINGS

The results provide clear evidence about the importance of strategic leadership, competitive intelligence, management of technology, and specific characteristics of the hospital's change process to the hospitals success in implementing innovation.

PRACTICAL IMPLICATIONS

Given the importance of hospitals to change their processes, improve services, and support other organizational changes necessary for better performance, a great benefit is that the main factors for successful innovation have been brought together from scattered literature and tested among hospitals. Further, the items used for measuring the main constructs provide further insights into how hospital administrators should go about developing these areas within their organizations.

ORIGINALITY/VALUE: This study is a first attempt at empirically testing the importance of strategic leadership, competitive intelligence, management of technology, and specific characteristics of the hospital's change process for the success of innovation efforts.

摘要

目的

医院已采用新政策、方法和技术来改变其流程、改善服务,并支持实现更好绩效所需的其他组织变革。关于战略领导力、竞争情报、技术管理以及组织变革过程的具体特征这四个主要领域的文献表明了它们在成功实施组织创新中的重要性。虽然这些因素对于提高医院绩效可能确实很重要,但现有文献中支持它们与医院成功实施创新之间关系的实证证据有限。本研究旨在通过实证检验不同知识领域的研究人员在文献中提出的这些关系。

设计/方法/途径:对223家医院进行了一项调查,以检验这些关系的综合模型。发现样本在回复率以及医院规模和地理位置方面的代表性方面令人满意。每家医院的质量保证/合规经理是问题的目标受访者,这些问题需要从企业角度出发,同时减少有关高层管理领导能力问题的偏差可能性。

研究结果

结果提供了明确证据,表明战略领导力、竞争情报、技术管理以及医院变革过程的具体特征对于医院成功实施创新的重要性。

实际意义

鉴于医院改变其流程、改善服务以及支持实现更好绩效所需的其他组织变革的重要性,一个很大的好处是,成功创新的主要因素已从分散的文献中汇集起来,并在医院中进行了检验。此外,用于衡量主要构念的项目为医院管理人员应如何在其组织内发展这些领域提供了进一步的见解。

原创性/价值:本研究首次尝试通过实证检验战略领导力、竞争情报、技术管理以及医院变革过程的具体特征对于创新努力成功的重要性。

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