Sorrells-Jones J
University of Virginia Medical Center, Charlottesville, USA.
Nurs Adm Q. 1997 Winter;21(2):20-30. doi: 10.1097/00006216-199702120-00006.
Managed care is forcing health care organizations to change. Many are seeking structures in which staff can deliver sound, better-integrated care and service faster and at lower cost. The university of Virginia Medical Center developed and implemented a type of "boundaryless" or "seamless" organizational structure aimed at achieving these goals through more highly developed interdisciplinary clinical and administrative practice. This article is a progress report of that reorganization.
管理式医疗正在迫使医疗保健机构进行变革。许多机构都在寻求一种架构，使员工能够以更低的成本更快地提供完善的、整合度更高的医疗服务。弗吉尼亚大学医学中心开发并实施了一种“无边界”或“无缝”的组织结构，旨在通过更高度发展的跨学科临床和行政实践来实现这些目标。本文是该重组的进展报告。
