Eakin J M
Soc Sci Med. 1984;18(3):221-8. doi: 10.1016/0277-9536(84)90083-2.
In 1973, the Canadian Province of Quebec 'democratized' its hospital boards of directors by replacing the previous 'elite' boards by boards representative of the hospitals' major interest groups. This study looks at the impact of these participatory boards on the distribution of power within hospitals, particularly their effect on the hospital administrators' position of control in relation to their boards of directors and medical staff. Findings include a deterioration in the administrators' sense of organizational control, a weakening of the boards' authority over physicians, and a concentration of decision-making outside of the boardroom.
1973年，加拿大魁北克省对其医院董事会进行了“民主化”改革，用代表医院主要利益集团的董事会取代了之前的“精英”董事会。本研究考察了这些参与式董事会对医院内部权力分配的影响，特别是它们对医院管理人员相对于其董事会和医务人员的控制地位的影响。研究结果包括管理人员组织控制感的恶化、董事会对医生权威的削弱，以及决策集中在董事会会议室之外。
