Spaulding Aaron, Kash Bita A, Johnson Christopher E, Gamm Larry
Aaron Spaulding, PhD, is Associate Consultant I, Department of Health Sciences Research, Division of Health Care Policy and Research, Mayo Clinic, Jacksonville, Florida. E-mail:
Health Care Manage Rev. 2017 Apr/Jun;42(2):151-161. doi: 10.1097/HMR.0000000000000096.
We do not have a strong understanding of a health care organization's capacity for attempting and completing multiple and sometimes competing change initiatives. Capacity for change implementation is a critical success factor as the health care industry is faced with ongoing demands for change and transformation because of technological advances, market forces, and regulatory environment.
The aim of this study was to develop and validate a tool to measure health care organizations' capacity to change by building upon previous conceptualizations of absorptive capacity and organizational readiness for change.
METHODOLOGY/APPROACH: A multistep process was used to develop the organizational capacity for change survey. The survey was sent to two populations requesting answers to questions about the organization's leadership, culture, and technologies in use throughout the organization. Exploratory and confirmatory factor analyses were conducted to validate the survey as a measurement tool for organizational capacity for change in the health care setting.
The resulting organizational capacity for change measurement tool proves to be a valid and reliable method of evaluating a hospital's capacity for change through the measurement of the population's perceptions related to leadership, culture, and organizational technologies.
The organizational capacity for change measurement tool can help health care managers and leaders evaluate the capacity of employees, departments, and teams for change before large-scale implementation.
我们对医疗保健组织尝试并完成多个有时相互竞争的变革举措的能力了解不足。变革实施能力是一个关键的成功因素，因为由于技术进步、市场力量和监管环境，医疗保健行业面临着持续的变革和转型需求。
本研究的目的是在先前对吸收能力和组织变革准备情况的概念化基础上，开发并验证一种衡量医疗保健组织变革能力的工具。
方法/途径：采用多步骤流程来开发组织变革能力调查问卷。该问卷被发送给两个人群，要求他们回答有关组织领导、文化以及整个组织所使用技术的问题。进行了探索性和验证性因素分析，以验证该问卷作为医疗保健环境中组织变革能力测量工具的有效性。
最终得出的组织变革能力测量工具被证明是一种有效且可靠的方法，可通过测量人群对领导、文化和组织技术的看法来评估医院的变革能力。
组织变革能力测量工具可帮助医疗保健管理人员和领导者在大规模实施之前评估员工、部门和团队的变革能力。
