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医学专业管理人员如何以及为何参加研究生管理培训——来自澳大利亚维多利亚州的一项定性研究。

How and why medically-trained managers undertake postgraduate management training - a qualitative study from Victoria, Australia.

作者信息

Loh Erwin

出版信息

J Health Organ Manag. 2015;29(4):438-54. doi: 10.1108/JHOM-10-2013-0233.

Abstract

PURPOSE

The purpose of this paper is to address the research question using qualitative research methods: how and why medically trained managers choose to undertake postgraduate management training?

DESIGN/METHODOLOGY/APPROACH: This research used two qualitative methods to gather data. Both methods used purposeful sampling to select interviewees with appropriate management expertise, qualifications and experience. The first stage utilised convergent interviews and was exploratory. The five interviewees were managers and academics. The second stage used case research methodology and was confirmatory. The fifteen interviewees were medically qualified chief executives and chief medical officers. In total, 20 in-depth interviews were carried. Rigorous content analysis of data collected showed emergent themes.

FINDINGS

The first theme that emerged was that doctors move into management positions without first undertaking training. The second theme was that doctors undertake such training in the form of a masters-level degree and/or a specialist fellowship. The third theme was that effective postgraduate management training for doctors requires a combination of theory and practice. The fourth theme was that clinical experience alone does not lead to required management competencies. The fifth theme was that doctors choose to undertake training to gain credibility.

RESEARCH LIMITATIONS/IMPLICATIONS: This research was exploratory and descriptive in nature and limited to analytical rather than statistical generalisation.

ORIGINALITY/VALUE: This research has provided insights into the importance of understanding how and why doctors undertake postgraduate management training, and may assist policy makers and training providers in the development of such training for doctors.

摘要

目的

本文旨在运用定性研究方法解决以下研究问题:受过医学培训的管理人员如何以及为何选择接受研究生管理培训?

设计/方法/途径:本研究采用两种定性方法收集数据。两种方法均采用目的抽样法,以选取具有适当管理专业知识、资质和经验的受访者。第一阶段采用聚焦访谈法,具有探索性。五名受访者为管理人员和学者。第二阶段采用案例研究法,具有验证性。十五名受访者为具有医学资质的首席执行官和首席医疗官。总共进行了20次深度访谈。对收集到的数据进行严格的内容分析,发现了一些新出现的主题。

研究结果

第一个出现的主题是,医生在未接受培训的情况下就进入管理岗位。第二个主题是,医生通过攻读硕士学位和/或获得专业奖学金的形式接受此类培训。第三个主题是,对医生进行有效的研究生管理培训需要理论与实践相结合。第四个主题是,仅凭临床经验无法获得所需的管理能力。第五个主题是,医生选择接受培训以获得可信度。

研究局限性/启示:本研究本质上是探索性和描述性的,仅限于分析性概括而非统计性概括。

原创性/价值:本研究深入探讨了理解医生如何以及为何接受研究生管理培训的重要性,并可能有助于政策制定者和培训提供者开展针对医生的此类培训。

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