Health and Work Ability, Finnish Institute of Occupational Health, P,O, Box 93 FI-70701, Kuopio, Finland.
Health Res Policy Syst. 2011 Aug 31;9:34. doi: 10.1186/1478-4505-9-34.
In many countries occupational health care system is in change. Occupational health studies are mainly focused on occupational health substance and content. This study offers new perspectives on municipal OHS and its operations from management perspective.
The aim of this study is to analyse how New Public Management (NPM) doctrines are applied in the Finnish occupational health care system (OHS). The main focus is to describe and compare the views of decision-makers' and OH workers within the framework of NPM.
The data were collected by semi-structured interviews from 17 municipal decision-makers' and 26 municipal OH workers. Data was analyzed by examining coded data in a theory-driven way according to Hood's doctrine of NPM.
The doctrines were not as compatible with the OH personnel view as with the decision-makers' view. Decision-makers and OH personnel highlighted the strict criteria required for operation evaluation. Moreover, decision-makers strongly accentuated professional management in the public sector and the reorganization of public sector units. These were not equally relevant in OH personnel views. In OH personnel views, other doctrines (more attention to performance and accomplishments, emphasizing and augmentation of the competition and better control of public expense and means test) were not similarly in evidence, only weak evidence was observed when their importance viewed as medium by decision-makers. Neither of the respondents group kept the doctrine of management models of the private sector relevant.
The NPM and Hoods doctrine fitted well with OH research. The doctrine brought out view differences and similarities between decision-makers and OH personnel. For example, policymakers highlighted more strongly the structural change by emphasizing professional management compared to OH personnel. The need for reorganization of municipal OH, regardless of different operational preconditions, was obvious for both decision-makers and OH personnel. The adaptation of more clarify management to a municipal context is not trouble-free. The municipality systemic structure, complex operational environment, and reconciliation of political and officer authority set challenges to management of municipalities.
在许多国家，职业保健系统正在发生变化。职业健康研究主要集中在职业健康的实质和内容上。本研究从管理角度为市 OHS 及其运营提供了新的视角。
本研究旨在分析新公共管理 (NPM) 理论在芬兰职业保健系统 (OHS) 中的应用。主要重点是在 NPM 框架内描述和比较决策者和 OH 工作人员的观点。
通过对 17 名市决策者和 26 名市 OH 工作人员的半结构化访谈收集数据。通过根据 Hood 的 NPM 理论检验编码数据的方式分析数据。
这些理论与 OH 人员的观点并不像与决策者的观点那样兼容。决策者和 OH 人员强调了运营评估所需的严格标准。此外，决策者强烈强调公共部门的专业管理和公共部门单位的重组。这些在 OH 人员的观点中并不同样重要。在 OH 人员的观点中，其他理论（更加关注绩效和成就，强调竞争和更好地控制公共支出和手段测试）并没有同样明显，只有当决策者认为重要性中等时，才会观察到微弱的证据。没有一组受访者认为私营部门的管理模式理论相关。
NPM 和 Hood 理论与 OH 研究非常吻合。该理论揭示了决策者和 OH 人员之间的观点差异和相似之处。例如，与 OH 人员相比，政策制定者通过强调专业管理，更强烈地强调了结构性变革。决策者和 OH 人员都明显需要对市 OH 进行重组，无论运营的前提条件如何。将更明确的管理方法应用于市境并非易事。市系统结构、复杂的运营环境以及政治和官员权力的协调对市政府的管理构成了挑战。
