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波兰医院首席执行官的变化——管理专业化?

Changes in hospital CEO profiles in Poland-Professionalisation of management?

机构信息

Health Sciences Faculty, Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland.

出版信息

Int J Health Plann Manage. 2019 Oct;34(4):1238-1250. doi: 10.1002/hpm.2788. Epub 2019 Apr 17.

Abstract

PURPOSE

To present and discuss the findings of surveys on the profiles of hospital CEOs in Poland, as carried out in 2012 and 2017, involving over a hundred hospital CEOs at various reference levels.

FINDINGS

The findings indicate appreciable changes in the group under study. While until recently, a typical hospital CEO was a male physician; presently, there is a fair proportion of women (36%). The majority of CEOs are non-physicians (63%), whereas previously, they accounted for approximately 63% of them. Mean work experience in public health care for male CEOs tends to decrease, whereas an opposite trend is well manifested with regard to female CEOs. It was also established that hospital CEOs were steadily less keen on improving their professional qualifications through postgraduate courses.

CONCLUSION

These changes may imply a kind of "stabilisation" within the sector itself or a departure from the all-male, medicine-centred model of hospital management. They may have been caused by climbing expectations regarding overall management expertise and a higher salary level offered to physicians. Changes in individual work experience seem to indicate that men are more often "transplanted" from other industry sectors, whereas women tend to pursue their entire career path in public health care institutions.

摘要

目的

呈现并讨论 2012 年和 2017 年对波兰各层级逾百位医院院长进行的医院院长概况调查结果。

发现

研究结果表明研究对象群体发生了显著变化。尽管直到最近,典型的医院院长还是男性医生;但现在女性比例相当可观(36%)。多数院长并非医生(63%),而过去他们约占 63%。男性院长在公共卫生保健方面的平均工作经验呈下降趋势,而女性院长则呈现出相反的趋势。研究还发现,医院院长越来越不愿意通过研究生课程提高自己的专业资格。

结论

这些变化可能意味着该领域本身的某种“稳定”,或者是对全男性、以医学为中心的医院管理模式的背离。这可能是由于对整体管理专业知识的期望不断提高,以及向医生提供的更高薪酬水平所致。个人工作经验的变化似乎表明,男性更多地是从其他行业部门“调任”过来的,而女性则倾向于在公共卫生保健机构中从事整个职业道路。

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