Justo Robert, Ward Cameron, Slater Anthony, McEniery Julie, Sargent Phil, Isles Alan, Karl Tom R, Alphonso Nelson
Queensland Paediatric Cardiac Service, Queensland Children's Hospital, Brisbane, Queensland, Australia.
School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
J Paediatr Child Health. 2020 Jun;56(6):833-837. doi: 10.1111/jpc.14914. Epub 2020 May 29.
We describe a complex change process for the paediatric cardiac service in Queensland that involved transitioning the service out of an essentially adult hospital into one of two children's hospitals in Brisbane. This initial step was complex as the governance was changed from Queensland Health to Mater Health, an independent faith-based organisation who became the new employer. Six years later, the service was again transitioned; this time to the newly constructed Queensland Children's Hospital, with a Hospital and Health Services Board as the employer under the aegis of Queensland Health. This was a complex journey. As with all change processes there was resistance to change on the part of some individuals. Five years on from the second major change, the service is settled, has an excellent workplace culture, has excellent clinical outcomes and has become research intensive.
我们描述了昆士兰儿科心脏服务的一个复杂变革过程，该过程包括将该服务从一家本质上的成人医院转移至布里斯班的两家儿童医院之一。这第一步很复杂，因为管理从昆士兰卫生部变更为 Mater Health，后者是一个基于信仰的独立组织，成为了新雇主。六年后，该服务再次进行了转移；这次是转移到新建的昆士兰儿童医院，由一家医院及健康服务委员会作为雇主，隶属于昆士兰卫生部。这是一段复杂的历程。与所有变革过程一样，一些人抵制变革。在第二次重大变革过去五年后，该服务已步入正轨，拥有出色的工作场所文化、优异的临床成果，并且科研氛围浓厚。
