HOSPITAL ORGANIZATION RESEARCH SYNTHESIS

医院组织研究综合

• 批准号: 3373556
• 负责人: JERALD HAGE
• 金额: $ 5.55万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-06-01 至 1987-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3373556
• 关键词: books; health care cost /financing; health care facility; health care personnel performance; health care quality; hospital organization /administration; hospital personnel

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.

我们提出的项目的目的是制作一本书， 近20年来医院组织研究综述 其中包括一系列实用建议， 致力于改善医院绩效。 此外，本书将 总结关于“我们现在所知道的”的研究现状， 医院组织和包含对这项研究批判性评论 根据可明确识别的“家庭”组织，每个家庭都有自己的 独特的问题焦点和方法。 这种合成将利用我们最近在一个 与国家卫生服务研究中心的合同，即 所有医院实证研究的详细编码和摘要 出版于1970年代。 拟议的书将建立在乔治普洛斯审查和资源书 关于20世纪60年代医院组织的研究，但将更新和移动 在许多方面超越它。 它涉及到更深层次的整合， 领域及其子家族，以及更明确的努力， 影响和建议。 综合和书将组织 围绕组织结构和管理流程对四个 关键的医院绩效变量：护理质量，成本效率， 士气/营业额和创新。 从偶然性的角度来看， 医院突发事件类型的重要性，如规模、技术和 控制/市场环境。 本书的最后三章将 提出一份综合报告和一套建议， 受众：研究人员、医院管理人员和政策制定者。 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， 在卫生保健系统，和护士流动的问题，需要 这样的综合报告和由此产生的建议相当多。