Health Services Administration Program, James Madison University, Harrisonburg, Virginia 22807, USA.
J Public Health Manag Pract. 2010 Mar-Apr;16(2):167-73. doi: 10.1097/PHH.0b013e3181c8cb51.
Managing organizational change has become a significant responsibility of managers. Managing the change process within public health organizations is important because appropriately and systematically managing change is linked to improved organizational performance. However, change is difficult and the change process poses formidable challenges for managers. Managers themselves face increased pressure to respond to environmental influences and provide the necessary leadership to their organizations in the change process. In fact, managing organizational change has become a key competency for healthcare managers. This article addresses the important topic of organizational change in public health organizations. It provides a conceptual foundation for understanding organizational change and its relationship to healthcare organizational performance, and then discusses the types and nature of change, using some examples and evidence from those organizations that have successfully managed change. A framework for guiding public health managers in the change management process is provided. The article concludes with suggested management competencies to establish a change-oriented organization with the culture and capacity for change.
管理组织变革已成为管理者的重要职责。管理公共卫生组织内的变革过程很重要，因为恰当地、系统地管理变革与改善组织绩效相关。然而，变革是困难的，变革过程对管理者构成了巨大的挑战。管理者自身面临着更大的压力，需要应对环境影响，并在变革过程中为其组织提供必要的领导。事实上，管理组织变革已成为医疗保健管理者的一项关键能力。本文探讨了公共卫生组织中的组织变革这一重要主题。它为理解组织变革及其与医疗保健组织绩效的关系提供了概念基础，然后讨论了变革的类型和性质，并使用了一些成功管理变革的组织的例子和证据。为公共卫生管理者提供了一个指导变革管理过程的框架。文章最后提出了一些管理能力建议，以建立一个具有变革文化和变革能力的面向变革的组织。
