Kimberly J R
J Health Polit Policy Law. 1982 Winter;6(4):637-52. doi: 10.1215/03616878-6-4-637.
Stimulated by a variety of external pressures, managerial innovation is likely to become more common in health care organizations. Relatively little is known, however, about the phenomenon. This paper develops a framework for the analysis of managerial innovation in health care organizations, based on the premise that control is at the heart of effective managerial practice. Physician control over the production process in health care is likely to be increasingly challenged, partially as a consequence of the ascendency of managerial ideology. Opportunities for managerial innovation will be created, but are likely to be successful only to the extent that physician expertise is incorporated into rather than excluded from the resulting changes.
受到各种外部压力的刺激，管理创新在医疗保健组织中可能会变得更加普遍。然而，人们对这一现象的了解相对较少。本文基于控制是有效管理实践核心的前提，构建了一个分析医疗保健组织管理创新的框架。医疗保健生产过程中的医生控制权可能会受到越来越多的挑战，部分原因是管理理念的兴起。管理创新的机会将会出现，但只有在将医生专业知识纳入而非排除在由此产生的变革中时，才可能取得成功。
