CeRGAS, SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Value Health. 2013 Jan-Feb;16(1 Suppl):S46-51. doi: 10.1016/j.jval.2012.10.004. Epub 2012 Nov 14.
Recent studies have highlighted the importance of management in the health care sector. Positive correlations have been found between clinical and economic performance. Although there is still controversy regarding what kind of management and which managers should lead health care organizations and health systems, we now have interesting evidence to analyze. Starting with a systematic review of the literature, this article presents and discusses the streams of knowledge regarding how management can influence the quality and sustainability of health systems and organizations. Through the analysis of 37 studies, we found that the performance of health care systems and organizations seems to be correlated with management practices, leadership, manager characteristics, and cultural attributes that are associated with managerial values and approaches. There is also evidence that health care organizations run by doctors perform better than others. Finally, we provide a roadmap that indicates how the relationship between the management and performance of health systems and organizations can be further and more effectively investigated.
最近的研究强调了管理在医疗保健领域的重要性。临床和经济绩效之间存在正相关关系。虽然对于什么样的管理和什么样的管理者应该领导医疗保健组织和卫生系统仍然存在争议，但我们现在有有趣的证据可供分析。本文从文献的系统回顾开始，介绍和讨论了关于管理如何影响卫生系统和组织的质量和可持续性的知识流。通过对 37 项研究的分析，我们发现医疗保健系统和组织的绩效似乎与管理实践、领导力、经理人的特征以及与管理价值观和方法相关的文化属性有关。也有证据表明，由医生管理的医疗保健组织的表现优于其他组织。最后，我们提供了一个路线图，指出如何进一步更有效地研究卫生系统和组织的管理与绩效之间的关系。
