Health Systems Management Department, Hadassah Academic College, Jerusalem, Israel.
Isr J Health Policy Res. 2024 Oct 1;13(1):55. doi: 10.1186/s13584-024-00645-5.
In the 21st century's digital age, health organizations face challenges from reduced public healthcare spending, creating a competitive market that impacts healthcare management. The struggle is hardest for small organizations, such as private clinics. Competing under unfavorable conditions, these small businesses must run as independent, profitable units in a government-regulated market where they are subject to numerous restrictions yet receive no financial support. In a world of increasing dependence on digital technologies, these small businesses must adopt competitive business models and be adaptive and flexible in embracing change.
This qualitative study is based on a thematic qualitative analysis of 20 in-depth, 45-minute-long interviews with dentists and owners of private dental clinics in various specialties. The study employs the strategic change model to examine how dentists who run private dental clinics implement new strategies and technologies to adjust to changes and create a competitive edge.
Six main categories emerged from the analysis of the interviews: changes in the organization's environment; instituting and assimilating changes; obstacles in embracing change; added value obtained from embracing the change; quality of care and service; and cost-benefit considerations. The categories were map and evaluated in light of the strategic change model. The analysis indicated that digital strategies have been only partially adopted, suggesting an absence of a cohesive, long-term strategic vision for the organizations.
The study explored the actions, perceptions, and challenges of adapting to a competitive digital market in dental private clinics. Based on these insights, recommendations have been provided for global change management, aiming for a sustainable and stable healthcare system that benefits the broader community.
在 21 世纪的数字时代,医疗机构面临公共医疗支出减少的挑战,这创造了一个竞争激烈的市场,影响了医疗保健管理。对于小型组织,如私人诊所,竞争尤为激烈。在不利的条件下竞争,这些小企业必须作为独立的、盈利的单位在政府监管的市场中运营,尽管它们受到许多限制,但却没有得到任何财政支持。在日益依赖数字技术的世界中,这些小企业必须采用有竞争力的商业模式,并在接受变革时具有适应性和灵活性。
本定性研究基于对 20 名从事各种专业的牙医和私人牙科诊所所有者进行的 20 次深入的、45 分钟长的访谈的主题定性分析。该研究采用战略变革模型来考察经营私人牙科诊所的牙医如何实施新策略和技术来适应变化并创造竞争优势。
访谈的分析产生了六个主要类别:组织环境的变化;实施和同化变革;接受变革的障碍;接受变革带来的附加值;护理和服务质量;以及成本效益考虑。根据战略变革模型对这些类别进行了映射和评估。分析表明,数字化战略仅部分采用,表明组织缺乏凝聚力的长期战略愿景。
本研究探讨了牙科私人诊所适应竞争激烈的数字市场的行动、看法和挑战。基于这些见解,为全球变革管理提供了建议,旨在实现一个有利于更广泛社区的可持续和稳定的医疗保健系统。