Lowe Graham, Chan Ben
The Graham Lowe Group Inc.
Healthc Pap. 2010;10(3):8-23.
This article proposes a comprehensive framework for assessing, reporting and improving the quality of work environments in healthcare organizations across Canada. Healthy work environments (HWEs) contribute to positive outcomes for healthcare employees and physicians. The same HWE ingredients also can reduce operating costs, improve human resources utilization and ultimately lead to higher-quality patient care. We show how health system employers, governments, quality agencies and other stakeholders can implement effective HWE metrics. The common reporting framework and metrics we propose enable managers and policy makers to use HWE ingredients as levers to improve organizational performance. Progress requires the active involvement of stakeholders in developing common metrics, the integration of these metrics into existing measurement and reporting systems, the building in of managerial accountability for work environment quality and support for ongoing improvements at the front lines of care and service delivery.
本文提出了一个全面的框架，用于评估、报告和改善加拿大各地医疗机构的工作环境质量。健康的工作环境（HWEs）有助于为医疗保健员工和医生带来积极成果。同样的HWE要素还可以降低运营成本、提高人力资源利用率，并最终带来更高质量的患者护理。我们展示了卫生系统雇主、政府、质量机构和其他利益相关者如何实施有效的HWE指标。我们提出的通用报告框架和指标使管理人员和政策制定者能够将HWE要素作为改善组织绩效的杠杆。取得进展需要利益相关者积极参与制定通用指标，将这些指标纳入现有的测量和报告系统，建立对工作环境质量的管理问责制，并支持在护理和服务提供的前线持续改进。
