al-Shehri A, Stanley I, Thomas P
Department of General Practice, University of Liverpool.
BMJ. 1993 Jul 10;307(6896):101-3. doi: 10.1136/bmj.307.6896.101.
Vision is a fashionable but ill defined term in management circles. Nevertheless, it embodies a significant concept related to guiding an organisation from present realities, through opportunities and hazards, to a viable future. Until recently a typical general practice could assume a stable external environment, but now it is caught up in the uncertainties stemming from the NHS reforms. For such a practice to undertake effective strategic planning it will have to develop a vision connecting the present with aspirations for the future. While vision is usually considered to be an individual talent, it is possible to develop a collective organisational vision within a general practice, and the small size of general practices makes this relatively easy. The vision needs to be broad; it needs to be continuous; and its capacity to predict the future needs to be monitored.
在管理领域，愿景是一个时髦但定义模糊的术语。然而，它体现了一个重要概念，即关乎引导组织从当前现实出发，穿越机遇与风险，迈向可行的未来。直到最近，典型的普通医疗实践仍可假定外部环境稳定，但如今却陷入了因英国国家医疗服务体系（NHS）改革所引发的种种不确定性之中。对于这样的医疗实践而言，要进行有效的战略规划，就必须形成一种将当下与未来愿景相联系的愿景。虽然愿景通常被视为个人才能，但在普通医疗实践中也有可能形成集体的组织愿景，而且普通医疗实践规模较小，这使得做到这一点相对容易。该愿景需要具有广度；需要具有连贯性；并且其预测未来的能力需要得到监测。
