Coffey R J, Finger R E
University of Michigan Hospitals, Ann Arbor.
J Soc Health Syst. 1990 Spring;2(1):50-60.
Employee involvement has increasingly been recognized as important for improving both quality and cost effectiveness. Given the especially crucial role played by employees in the health-care field, and the relatively high level of education and sophistication that characterizes this group, it is also recognized that initiating and sustaining meaningful employee involvement programs in a health-care setting represent unique challenges and opportunities. This article presents the operational evolution of a successful employee involvement program in a large, diversified academic medical center. The developed program includes quality-improving and revenue-enhancing suggestions as well as cost-containment ideas. Specific operational issues and program changes are examined within the context of the total quality process at the University of Michigan Medical Center. Finally, this article identifies three main types of incentives that can maximize the results obtained by employee involvement programs in health-care settings.
员工参与对于提高质量和成本效益日益被认为是重要的。鉴于员工在医疗保健领域所发挥的特别关键的作用，以及该群体所具有的相对较高的教育水平和成熟度，人们也认识到，在医疗保健环境中启动并维持有意义的员工参与计划既带来了独特的挑战，也带来了机遇。本文介绍了一家大型多元化学术医疗中心一个成功的员工参与计划的运作演变。所制定的计划包括质量改进和收入增加建议以及成本控制理念。在密歇根大学医学中心全面质量流程的背景下，对具体的运营问题和计划变更进行了审视。最后，本文确定了三种主要激励类型，它们可以使医疗保健环境中员工参与计划所取得的成果最大化。
