70338Dalhousie University, Halifax, Nova Scotia, Canada.
432234Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Healthc Manage Forum. 2021 Jan;34(1):56-61. doi: 10.1177/0840470420950361. Epub 2020 Aug 26.
Healthcare is a complex adaptive system with multiple stakeholders and dynamic environments. Therefore, healthcare organizations must continuously learn, innovate, adapt, and co-evolve to be successful. This article describes a systematic, comprehensive, and holistic performance management framework that healthcare managers can use to achieve these goals. The framework involves the ongoing assessment, modification, or replacement of current programs or services aimed at adapting successfully to achieve the organization's strategic objectives. This is engendered by the presence of a culture that is premised on continuous learning and innovation. The foundation of the framework is based on accountability, the organization's strategy, and its culture. This then acts as the basis for an ongoing process of measurement, disconfirmation, contextualization, implementation, and routinization that enhances learning, innovation, adaptation, and sustainability within the healthcare organization.
医疗保健是一个具有多利益相关者和动态环境的复杂自适应系统。因此，医疗保健组织必须不断学习、创新、适应和共同进化才能取得成功。本文描述了一个系统的、全面的、整体的绩效管理框架，医疗保健经理可以使用该框架来实现这些目标。该框架涉及对当前旨在成功适应以实现组织战略目标的计划或服务进行持续评估、修改或替换。这是由一种基于持续学习和创新的文化所带来的。该框架的基础是基于问责制、组织的战略和文化。然后，这就成为一个持续的测量、证伪、情境化、实施和常规化的过程的基础，从而增强医疗保健组织内部的学习、创新、适应和可持续性。
