Stearns N S, Bergan T A, Roberts E B, Cavazos L F
J Med Educ. 1978 Jun;53(6):464-72. doi: 10.1097/00001888-197806000-00002.
The large number of affiliations between medical schools and hospitals resulting from recently increased size of schools has typically been accompanied by both school-hospital and hospital-hospital interrelationship problems involving faculty and administrative personnel in all departments and at all levels. In this paper the authors describe a new technique, "systems intervention," designed specifically to deal with problems of needed change in complex organizational settings, and they illustrate its use by reporting a case study of the relationships between Tufts University School of Medicine and its associated hospitals. The process combines system analysis and behavioral science techniques to promote understanding and overcome barriers to change. Changes attributed to the systems intervention at Tufts are outlined.
近期医学院校规模的扩大导致了医学院与医院之间大量的附属关系，这通常伴随着院校与医院之间以及医院与医院之间的相互关系问题，涉及各级各部门的教职员工和行政人员。在本文中，作者描述了一种专门为应对复杂组织环境中必要变革问题而设计的新技术——“系统干预”，并通过报告塔夫茨大学医学院与其附属医院之间关系的案例研究来说明其应用。该过程将系统分析和行为科学技术相结合，以促进理解并克服变革障碍。文中概述了塔夫茨大学因系统干预而产生的变化。
