Williams R B
Am J Hosp Pharm. 1985 Apr;42(4):816-8.
Perhaps the most important factor to focus on is that organizations work because of the people in them; also, they don't work because of the people in them. Perhaps some people in some of our organizations need changing. Hospitals and colleges face similar issues that need to be worked on together. The philosophy of collaboration needs adopting because competition will not provide the success desired by the college or the hospital. Without a strong commitment on the part of decision makers, time and effort will be wasted. There must be an active process. It can't be talked about only once a year. There should also be an ongoing, active process at the national level. We must build on our mutual needs. We must use positive approaches rather than developing more negative arguments. The key to success is to concentrate more heavily on communications, visibility, and accountability. F. Scott Fitzgerald put it this way: The test of a first-rate intelligence is the ability to hold two opposed ideas in mind at the same time and still retain the ability to function. We have three ideas that at times are in opposition. Service, education, and research can be integrated by applying the intelligence found in every teaching hospital and college of pharmacy.
或许最需要关注的重要因素是，组织之所以运转是因为其中的人员；同样，组织之所以无法运转也是因为其中的人员。或许我们一些组织中的某些人需要改变。医院和学院面临着类似的需要共同解决的问题。需要采用合作的理念，因为竞争无法带来学院或医院所期望的成功。如果决策者没有坚定的承诺，时间和精力就会被浪费。必须有一个积极的过程。不能一年只谈一次。在国家层面也应该有一个持续、积极的过程。我们必须基于彼此的需求。我们必须采用积极的方法，而不是制造更多消极的争论。成功的关键在于更专注于沟通、透明度和问责制。F. 斯科特·菲茨杰拉德曾这样说过：一流智力的考验在于同时持有两种相反的观点，并且仍然具备正常行事的能力。我们有三个有时相互对立的观点。通过运用每一家教学医院和药学院所具备的智慧，可以将服务、教育和研究整合起来。
