Uncovering middle managers' role in healthcare innovation implementation
Uncovering middle managers' role in healthcare innovation implementation
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DOI：
10.1186/1748-5908-7-28
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发表时间：
2012-04-03
影响因子：
7.2
通讯作者：
Weiner, Bryan J.
中科院分区：
文献类型：
--
作者：
Birken, Sarah A.;Lee, Shoou-Yih Daniel;Weiner, Bryan J.
背景：中层管理人员在现有的卫生服务研究中很少受到关注，但他们可能在卫生保健创新实施中发挥关键作用。有效护理的证据与实践之间的差距可能部分归因于医疗保健创新实施不力。调查中层管理人员在医疗保健创新实施中的作用可能会揭示改进的机会。在本文中，我们提出了中层管理人员在医疗保健创新实施中的作用理论，以填补文献中的空白，并刺激实证研究中层管理人员对医疗保健组织创新实施的影响。讨论：现有的医疗创新实施研究主要集中在医生和高层管理人员的角色上。中层管理者的角色在很大程度上被忽视了。我们建议中层管理人员通过传播信息、综合信息、战略与日常活动之间的中介以及销售创新实施来影响医疗保健创新实施。团队合作设计在医疗保健组织中已经变得很流行。由于中层管理人员监督这些团队计划，他们影响创新实施的潜力已经增长。未来的研究应探讨中层管理人员在医疗保健创新实施中的作用。研究结果可能有助于高层管理者利用中层管理者的影响力来提高医疗创新实施的有效性。
Background: Middle managers have received little attention in extant health services research, yet they may have a key role in healthcare innovation implementation. The gap between evidence of effective care and practice may be attributed in part to poor healthcare innovation implementation. Investigating middle managers' role in healthcare innovation implementation may reveal an opportunity for improvement. In this paper, we present a theory of middle managers' role in healthcare innovation implementation to fill the gap in the literature and to stimulate research that empirically examines middle managers' influence on innovation implementation in healthcare organizations.Discussion: Extant healthcare innovation implementation research has primarily focused on the roles of physicians and top managers. Largely overlooked is the role of middle managers. We suggest that middle managers influence healthcare innovation implementation by diffusing information, synthesizing information, mediating between strategy and day-to-day activities, and selling innovation implementation.Summary: Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers' role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers' influence to improve the effectiveness of healthcare innovation implementation.