Is Management Essential to Improving the Performance and Sustainability of Health Care Systems and Organizations? A Systematic Review and a Roadmap for Future Studies
Is Management Essential to Improving the Performance and Sustainability of Health Care Systems and Organizations? A Systematic Review and a Roadmap for Future Studies
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DOI：
10.1016/j.jval.2012.10.004
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发表时间：
2013-01-01
期刊：
影响因子：
4.5
通讯作者：
Spurgeon, Peter
中科院分区：
文献类型：
--
作者：
Lega, Federico;Prenestini, Anna;Spurgeon, Peter
最近的研究强调了卫生保健部门管理的重要性。临床表现和经济效益之间存在正相关关系。尽管关于哪种管理方式以及哪些管理者应该领导医疗保健组织和卫生系统仍存在争议，但我们现在有了有趣的证据来分析。从文献的系统回顾开始，本文介绍并讨论了关于管理如何影响卫生系统和组织的质量和可持续性的知识流。通过对37项研究的分析，我们发现卫生保健系统和组织的绩效似乎与管理实践、领导力、管理者特征以及与管理价值观和方法相关的文化属性有关。也有证据表明，由医生运营的医疗保健组织的表现优于其他组织。最后，我们提供了一个路线图，指出如何进一步和更有效地调查卫生系统和组织的管理和绩效之间的关系。版权所有(C)2013国际药物经济学和结果研究学会(ISPOR)。爱思唯尔公司出版，版权所有。
Recent studies have highlighted the importance of management in the health care sector. Positive correlations have been found between clinical and economic performance. Although there is still controversy regarding what kind of management and which managers should lead health care organizations and health systems, we now have interesting evidence to analyze. Starting with a systematic review of the literature, this article presents and discusses the streams of knowledge regarding how management can influence the quality and sustainability of health systems and organizations. Through the analysis of 37 studies, we found that the performance of health care systems and organizations seems to be correlated with management practices, leadership, manager characteristics, and cultural attributes that are associated with managerial values and approaches. There is also evidence that health care organizations run by doctors perform better than others. Finally, we provide a roadmap that indicates how the relationship between the management and performance of health systems and organizations can be further and more effectively investigated. Copyright (C) 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.