The role of the middle manager in the implementation of evidence-based health care.
The role of the middle manager in the implementation of evidence-based health care.
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DOI：
10.1111/j.1365-2934.2005.00612.x
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发表时间：
2006-01-01
影响因子：
5.5
通讯作者：
Fitzgerald, Louise
中科院分区：
文献类型：
--
作者：
Dopson, Sue;Fitzgerald, Louise
本研究反映了中层管理人员在实施循证医疗保健中的作用。这一运动主张临床实践不断地被强有力的研究和证据的结果所告知。在我们的工作中，探索确保实践得到证据的复杂性，我们发现，与临床医生特别是医生相比，总经理的影响力相对较小。我们认为，当地的专业团体一起工作的实践社区，这往往是uniporfessional。这些界限影响到寻求改进和提升的动机，以及对证据和知识的理解和解释方式。我们认为，如果要提高医疗保健的质量，我们需要了解复杂的历史和上下文知情的不同专业群体之间的相互作用，并设计扩散策略，承认这种复杂性。
The present study reflects on the role of the middle manager in the implementation of what has become known as evidence-based health care. This movement advocates that clinical practice is continually informed by the results of robust research and evidence. In our work exploring the complexity of ensuring that practice is informed by evidence we have found that general managers have relatively little influence when compared with clinicians especially doctors. We argue that local professional groups work together in communities of practice, which are frequently uniprofessional. These boundaries affect the motivations for seeking improvement and upgrading and the way evidence and knowledge is perceived and interpreted. We argue that if the quality of health care is to be improved, we need to understand the complex historically and contextually informed interactions between different professional groups and to design diffusion strategies that acknowledge this complexity.