The University of Melbourne, Australia.
University of New South Wales, Australia.
Soc Sci Med. 2018 Apr;202:99-107. doi: 10.1016/j.socscimed.2018.02.020. Epub 2018 Feb 24.
Recent research has advanced understanding of corporate governance of healthcare quality, highlighting the need for future empirical work to develop beyond a focus on board composition to a more detailed exploration of the internal workings of governance that influence board engagement and activities. This paper proposes a conceptual framework to guide empirical research examining the work of board and senior management in governing healthcare quality. To generate this framework, existing conceptual approaches and key constructs influencing effectiveness are identified in the governance literature. Commonalities between governance and team effectiveness literature are mapped and suggest a number of key constructs in the team effectiveness literature are applicable to, but not yet fully explored, within the governance literature. From these we develop a healthcare governance conceptual framework encompassing both literatures, that outlines input and mediating factors influencing governance. The mapping process highlights gaps in research related to board dynamics and external influences that require further investigation. Organizing the multiple complex factors that influence governance of healthcare quality in a conceptual framework brings a new perspective to structuring theory-led research and informing future policy initiatives.
最近的研究增进了对医疗保健质量的公司治理的理解，突出表明未来的实证工作需要超越对董事会构成的关注，更详细地探讨影响董事会参与和活动的治理内部运作。本文提出了一个概念框架，以指导考察董事会和高级管理层在治理医疗保健质量方面工作的实证研究。为了生成这个框架，我们在治理文献中确定了现有的概念方法和影响有效性的关键结构。治理和团队有效性文献之间的共同点被映射出来，并表明团队有效性文献中的一些关键结构适用于治理文献，但尚未得到充分探索。由此，我们在这两个文献的基础上发展了一个涵盖医疗保健治理的概念框架，概述了影响治理的投入和中介因素。映射过程突出了与董事会动态和外部影响相关的研究空白，这些空白需要进一步调查。在概念框架中组织影响医疗保健质量治理的多个复杂因素，为构建理论导向的研究和为未来的政策举措提供信息带来了新的视角。
