Mintzberg H
McGill University in Montreal, Canada.
Health Care Manage Rev. 1997 Fall;22(4):9-18. doi: 10.1097/00004010-199710000-00005.
This article builds around a framework of cure, care, control, and community, with collaboration at the center, to consider 12 issues common to many hospitals. These include, among others, the fragmentation of efforts, confusion in mission (and in mission statements), the problems of bundling research with clinical work, selectivity in informing board members, the dangers of professional management, and the difficulties of combining external advocacy with internal reconciliation in the senior manager's job. The article concludes that hospitals could better learn how to solve systemic problems systemically, and that to do so will require not the wish lists of strategic planning and structural reorganizing, but tangible changes in their collective behavior.
本文围绕治疗、护理、管控和社区这一框架展开，以合作为核心，探讨了许多医院共有的12个问题。其中包括工作的碎片化、使命（以及使命声明）的混乱、将研究与临床工作捆绑的问题、向董事会成员通报情况时的选择性、专业管理的风险，以及高级管理人员工作中在外部宣传与内部协调之间取得平衡的困难。文章得出结论，医院可以更好地学习如何系统性地解决系统性问题，而要做到这一点，需要的不是战略规划和结构重组的愿望清单，而是集体行为的切实改变。
