Decision-making in hospital management

医院管理决策

• 批准号: 234607988
• 负责人: Professor Dr. Werner Vogd
• 金额: --
• 依托单位: Lehrstuhl für Soziologie
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2013
• 资助国家: 德国
• 起止时间: 2012-12-31 至 2015-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/234607988?language=en
• 关键词: Decision; making; hospital; management

The proposed project is based on the hypothesis that increasing economic pressure on hospitals has not led one-dimensionally to issues relating to cost efficiency. Rather, hospital managers continue to face the challenge of linking together the demands of health policies, legal regulations, medical professionalism and increasing cost pressure in a way which ensures the continuity of the hospital as an organisation. This generates decision-making practices which are neither monocausally economic, nor attributable exclusively to political or medical constraints, but which can only be understood in the context of the organisation itself. The proposed project aims at the reconstruction of precisely these practices of decision-making in hospital managements. The managements of various hospitals are to be compared using a qualitative, knowledge-sociological research design. Balanced theoretical sampling is intended to offer insights into the key factors influencing decision-making. Thus, private institutions will be compared with those in the public sector, or peripheral locations with more central urban locations. A typology is to be formed which reconstructs the various forms of decision-making, and conditions will be identified which make it more probable that specific approaches will be adopted. Successful forms of hospital management will be identified, judged in terms of reaching the most acceptable fulfilment of medical, economic, and political/legal expectations.

拟议的项目是基于这样的假设，即对医院日益增加的经济压力并没有导致单向度的成本效益问题。相反，医院管理者继续面临的挑战是，如何将卫生政策、法律的规定、医疗专业精神和不断增加的成本压力的要求联系起来，以确保医院作为一个组织的连续性。这就产生了决策实践，这些决策实践既不是单一的经济原因，也不是完全归因于政治或医疗限制，而是只能在组织本身的背景下理解。拟议的项目旨在重建正是这些做法的决策在医院管理。不同医院的管理是比较使用定性，知识社会学的研究设计。平衡理论抽样旨在提供对影响决策的关键因素的见解。因此，私营机构将与公共部门的机构或周边地区与更中心的城市地区进行比较。将形成一种类型学，重新构建各种形式的决策，并将确定更有可能采取具体办法的条件。医院管理的成功形式将被确定，根据达到医疗，经济和政治/法律的期望的最可接受的实现来判断。