Department of Business Administration, School of Economics and Management, Lund University, Lund, Sweden.
J Nurs Manag. 2011 Jul;19(5):664-72. doi: 10.1111/j.1365-2834.2011.01192.x. Epub 2011 Mar 1.
The composition of managers in Swedish public primary care centres has changed since the mid-1990s, favouring nurses and female managers. In parallel, health-care professionals have become more involved in the management structure and many have experienced an increased demand for cost containment. There is limited empirical evidence about how managers with different professional backgrounds perceive tight budgetary control.
To examine whether perceptions of tight budgetary control across managers in Swedish public primary care are related to personal characteristics such as professional background and sex.
A questionnaire measuring perception of tight budgetary control was administered to all (636) identified managers in Swedish public primary care centres (response rate was 59%). Differences between groups were analysed through logistic regression and factor analysis.
Nurses and other non-physicians perceived the budgetary control to be tighter than did physicians and female physicians perceived the budgetary control to be tighter than did male physicians.
Results suggest that nurses were more committed to the budgetary control system and county council objectives than physicians. The impact of these differences are uncertain, however, nurses' capacity to influence primary care services may be more limited compared with physicians because of their lower professional status.
自 20 世纪 90 年代中期以来，瑞典公共初级保健中心的管理人员结构发生了变化，倾向于聘用护士和女性管理人员。与此同时，医疗保健专业人员更多地参与到管理结构中，许多人面临着控制成本的更大需求。关于具有不同专业背景的管理人员如何看待严格的预算控制，实证证据有限。
检验瑞典公共初级保健机构中管理人员对严格预算控制的看法是否与个人特征（如专业背景和性别）有关。
向瑞典公共初级保健中心所有（636 名）确定的管理人员发放了一份测量对严格预算控制的看法的问卷（回应率为 59%）。通过逻辑回归和因子分析分析组间差异。
护士和其他非医生比医生更认为预算控制严格，女医生比男医生更认为预算控制严格。
结果表明，护士比医生更致力于预算控制系统和郡议会的目标。然而，这些差异的影响尚不确定，与医生相比，护士影响初级保健服务的能力可能更为有限，因为她们的专业地位较低。
