Lomoschitz Friedrich M, Stummer Harald
Department of Diagnostic and Interventional Radiology, Clinic Hietzing, Wolkersbergenstrasse 1, A-1130 Vienna, Austria.
Institute for Management and Economics in Health Care, UMIT-University for Health Sciences, Medical Informatics and Technology, Eduard-Wallnoefer-Zentrum 1, A-6060 Hall in Tirol, Austria.
Diagnostics (Basel). 2022 May 24;12(6):1301. doi: 10.3390/diagnostics12061301.
Interventional radiology (IR) has the potential to offer minimally invasive therapy. With this potential, new and arising IR methods may sometimes be in competition with established therapies. To introduce new methods, transformational processes are necessary. In organizations, structured methods of change management, such as the eight-step process of Kotter-(1) Establishing a sense of urgency, (2) Creating the guiding coalition, (3) Developing a vision and strategy, (4) Communicating the change vision, (5) Empowering employees for broad-based action, (6) Generating short-term wins, (7) Consolidating gains and producing more change, and (8) Anchoring new approaches in the culture-are applied based on considerable evidence. In this article, the application of Kotter's model in the clinical context is shown through the structured transformational process of the organizational implementation of the percutaneous thermal ablation of small renal masses. This article is intended to familiarize readers in the medical field with the methods of structured transformational processes applicable to the clinical setting.
介入放射学（IR）有提供微创治疗的潜力。有了这种潜力，新出现的IR方法有时可能会与既定疗法形成竞争。要引入新方法，变革过程是必要的。在组织中，基于大量证据应用结构化的变革管理方法，如科特的八步流程：（1）建立紧迫感，（2）创建指导联盟，（3）制定愿景和战略，（4）传达变革愿景，（5）授权员工采取广泛行动，（6）取得短期胜利，（7）巩固成果并推动更多变革，以及（8）将新方法融入文化。在本文中，通过小肾肿瘤经皮热消融组织实施的结构化变革过程展示了科特模型在临床环境中的应用。本文旨在让医学领域的读者熟悉适用于临床环境的结构化变革过程方法。
