The effects of reengineering: fad or competitive factor?
The effects of reengineering: fad or competitive factor?
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再造的影响：时尚还是竞争因素？
DOI：
10.1097/00115514-199911000-00009
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
R. Bogue
中科院分区：
文献类型：
--
作者：
S. Walston;R. Bogue
医疗保健组织经常参与承诺彻底改变其操作的管理创新（例如，目标管理、质量循环、全面质量管理和再工程）。从历史上看，这样的管理创新始于少数虔诚的追随者，滚雪球般地被广泛接受，然后随着受欢迎程度的下降而消失。由于缺乏对创新的一致和明确的定义，以及很少或根本没有对其组织效果的评价，这种管理采用的循环通常变得复杂。本文考察了当前的一种管理创新，即重新设计，这种创新在广泛采用后，现在已经开始不受许多高管的青睐。首先给出了一个清晰、实用的再造定义，然后评估了再造对竞争性医院成本的影响。最后，对影响再造效果的因素进行了探讨。总体而言，从统计上看，重组并没有改善医院的成本状况；然而，我们建议提供清晰和一致的反馈，编纂再造过程，以及让高管参与核心变更是改善再造结果的关键手段。提供了如何使用这些因素来促进再造的具体示例。如果实施得当，重组可能仍然是有益的。
Healthcare organizations have often participated in managerial innovations that have promised to revolutionize their operations (e.g., management by objectives, quality circles, total quality management, and reengineering). Historically, such managerial innovations began with a few devout adherents, snowballed into widespread acceptance, and then faded as their popularity waned. This cycle of managerial adoption generally has been complicated by a lack of a consistent, clear definition of the innovation and little or no evaluation of its organizational effects. This article examines a current managerial innovation, reengineering, that after widespread adoption has now begun to fall out of favor with many executives. A clear, practical definition of reengineering is first offered, followed by an evaluation of the effect of reengineering on competitive hospital costs. Finally, factors that influence the results of reengineering are explored. Overall, reengineering did not statistically improve a hospital's cost position; however, we suggest that providing clear and consistent feedback, codifying the reengineering process, and involving executives in core changes are key means for improving reengineering outcomes. Specific examples of how these factors may be used to facilitate reengineering are provided. Reengineering may still be beneficial if it is properly implemented.