医院控制策略对医生满意度及医患冲突的影响。
The effect of hospital control strategies on physician satisfaction and physician-hospital conflict.
作者信息
Burns L R, Andersen R M, Shortell S M
机构信息
Department of Management and Policy, College of Business and Public Administration, University of Arizona, Tucson 85721.
出版信息
Health Serv Res. 1990 Aug;25(3):527-60.
This article examines several strategies that hospitals use to control their medical staffs. Such strategies include placing physicians on salary, developing exclusive hospital affiliations with physicians, and involving physicians in decision-making bodies. Using regression techniques, we investigate which hospitals are more likely to utilize these strategies and whether such strategies are effective in promoting physician-hospital integration. Contrary to our expectations, corporate hospital structures (e.g., for-profit hospitals, membership in multihospital systems) generally do not employ these strategies more often and oftentimes employ them less. There is also little evidence that control strategies are effective levers for increasing physician satisfaction or decreasing physician-hospital conflict. We suggest that control strategies are useful for purposes other than promoting physician-hospital integration. Finally, hospital ownership appears to exert the biggest effect on physician satisfaction and conflict.
本文探讨了医院用于管控其医务人员的几种策略。这些策略包括给医生发放薪水、与医生建立独家医院附属关系，以及让医生参与决策机构。我们运用回归技术，研究哪些医院更有可能采用这些策略，以及这些策略在促进医患整合方面是否有效。与我们的预期相反，企业型医院结构（例如，营利性医院、多医院系统中的成员）通常并不更频繁地采用这些策略，而且往往使用得更少。也几乎没有证据表明管控策略是提高医生满意度或减少医患冲突的有效手段。我们认为，管控策略在促进医患整合之外还有其他用途。最后，医院所有权似乎对医生满意度和冲突产生最大影响。
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