ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Rapidly changing times in health care challenge both physicians and health care administrators to manage the paradox of providing orderly, high quality, and efficient care while bringing forth innovations to address present unmet problems and surprises that emerge. Health care has grown throughout the past several centuries through differentiation and integration, becoming a highly complex biological system with the hospital as the central attractive force-or "strange attractor"-during this century. The theoretical model of complex adaptive systems promises more effective strategic direction in addressing these chaotic times where the new strange attractor moves beyond the hospital.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Leaders of health care organizations must constantly deal with paradox in and around their organizations. The paradox profile is a modeling technique for examining how organizations prioritize their dealings with the eight competing issues from which the four paradoxes are derived. This article demonstrates the leadership challenges that exist when a paradox is present and how these tensions differ when the integrative status of the medical group-as either part of an integrated system or not-is considered.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The public health aspects of promotion of health and prevention of illness take on a different vision when one moves from biological concerns to social and societal dyscrasias. Social illness is as much the concern of a hospital system board and its medical staff as the biomedical dyscrasias which are the traditional concerns of public health agencies. An organizational entity under a board of trustee's auspices must become involved because all social illnesses end up requiring physician and hospital care.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

For decades, the hospital environment has been described as turbulent and hostile. At the same time, the transfer of business practices into hospitals has been advocated, accompanied by the largely untested assumption that these practices are crucial to performance and even survival. As this pattern became entrenched, the accumulated knowledge gained within the industry of managing in a hostile and turbulent environment has been overlooked. We argue that it is time to question the pattern.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Forecasting the future of health care is difficult. However, we argue that this future will include the movement of health care through process improvement (enhancement) toward the objective of mass customization. This article discusses how mass customization might apply to specific portions of client-centered health care.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This article examines the intersection of professionalism and complexity science as a source of new insights for improving the health care industry from both a clinical and business point of view. Viewing health care organizations as professional complex adaptive systems suggests eight leadership tasks for addressing the circumstances that engulf health care. Managers who adopt this view will be able to create new levers for positive movement in their organizations.

ISSN:0361-6274    

出版商:OVID    

年代:2000

数据来源: OVID