HOSPITAL ORGANIZATION RESEARCH SYNTHESIS

我们提议的项目的目标是写一本书，代表一个 近二十年来医院组织研究综述 其中包含了一系列针对这些人的实用建议 对提高医院绩效感兴趣。此外，这本书将 概述“我们现在所知道的”的研究现状 医院组织，并包含这项研究的批判性综述 按照明显可识别的“家庭”组织，每个家庭都有自己的家庭 独特的问题焦点和方法。 这一合成将利用我们最近在一项 与国家卫生服务研究中心签订合同，即 关于医院的所有实证研究的详细编码和摘要 20世纪70年代出版的组织。 拟议的这本书将建立在Georgopoulos评论和资料书的基础上 关于20世纪60年代医院组织的研究但将更新和移动 在许多方面都超过了它。它涉及到更深层次的整合 字段及其子系列，以及更明确的努力，以提供 影响和建议。将组织综合和图书出版 围绕组织结构和管理流程对四个方面的影响 关键医院绩效变量：护理质量、成本效益、 士气/流动率和创新。权变视角将强调 医院应急类型的重要性，例如规模、技术和 控制/市场环境。这本书的最后三章将 提供一份针对三个不同类别的综合和一组建议 受众：研究人员、医院管理者和政策制定者。 鉴于医院组织研究领域的不同性质， 医疗费用的急剧增加，医院的核心作用 在医疗保健系统中，护士流动率的问题，需要 这样的综合和衍生的建议是相当可观的。

The aim of our proposed project is to produce a book that represents a synthesis of the recent two decades of research on hospital organizations and which contains a series of practical recommendations for those interested in improving hospital performance. Additionally, this book will summarize the current state of research on "what we now know" about hospital organization and contain a critical review of this research organized according to clearly identifiable "families" each with their own distinctive problem focus and methodologies. This synthesis will utilize the products we have recently completed under a contract with the National Center for Health Services Research, namely the detailed codings and abstracts of all empirical research on hospital organizations published during the 1970s. The proposed book will build upon the Georgopoulos review and resource book about the 1960s hospital organization research but will update and move beyond it in a number of ways. It involves a deeper integration of the field and its sub-families as well as a more explicit effort to provide implications and recommendations. The synthesis and book will be organized around the impact of organization structure and management process on four critical hospital performance variables: quality of care, cost efficiency, morale/turnover, and innovation. A contingency perspective will stress the importance of type of hospital contingencies such as size, technology, and control/market environment. The last three chapters of the book will provide a synthesis and set of recommendations directed at three separate audiences: researchers, hospital administrators, and policy makers. Given the disparate nature of the hospital organization research field and the radical increase in health care costs, the central role of the hospital in the health care system, and problems of nurse turnover, the need for such a synthesis and derived recommendations is considerable.