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Mission, margin, and organizational ethics: The contribution of a service-based organizational culture towards enhancing the operational success of health care institutions and its affect on charity care.

机译：使命，利润和组织道德：基于服务的组织文化对增强医疗保健机构的运作成功及其对慈善医疗的影响的贡献。

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In this dissertation, I argue that a service-based organizational culture for health care institutions, born out of a business modality, respects personhood and promotes the common good. Service-based cultures embrace the uniqueness of the individual and the community. While many strands of behavior can proclaim to support individuals and groups, a service-based culture seeks first to promote the well-being of humanity as a precursor to organizational productivity.; To support this argument, a critical examination is conducted of the culture of health care, personhood and the common good as basic assumptions of a service-based culture, and the effects of transformative change upon health care institutions. The transformative change relationship between the prevalent business model and the ensuing values model is analyzed in terms of the practical nature of moving between earlier and new models of charity care for health care.; Traditional models of charity care indicate that a service-based culture operating in a business market fail. However, the failure of the business model to provide adequate health care services to those unable to pay is balanced by a new relationship that seeks as its ultimate end to respect all persons and promote the common good. Through the analysis of a relevant case study and the development of a newer model of charity care, interventions perpetuated by market malfunctions, such as the collaboration of health care business entities and community based-care, legitimize the functionality and failure of the service-market relationship to more appropriately balance the needs of the individual and society.; A justification for the use of a service-based culture model for health care institutions is supported on the outcomes of implementing collaborative market-community programs based on such a model. Moreover this analysis implies increased organizational productivity and patient and community satisfaction, which directly promotes the nature of persons and communities.

机译：在本文中，我认为基于服务模式的卫生保健机构组织文化源于一种商业模式，它尊重人格并促进共同利益。基于服务的文化包含着个人和社区的独特性。虽然许多行为都可以宣称支持个人和团体，但基于服务的文化首先寻求促进人类的福祉，以此作为组织生产力的先驱。为了支持这一论点，对卫生保健的文化，人格和作为基于服务的文化的基本假设的共同利益进行了严格的审查，并提出了变革性变革对卫生保健机构的影响。根据在医疗保健慈善模式的早期和新模式之间转换的实际性质，分析了流行的业务模型和随之而来的价值模型之间的变革关系。传统的慈善关怀模式表明，在商业市场中运作的基于服务的文化会失败。但是，商业模式无法为无力支付者提供适当的医疗服务，这是通过一种新的关系来平衡的。这种新关系的最终目的是尊重所有人并促进共同利益。通过对相关案例研究的分析和新型慈善医疗模式的开发，由市场失灵造成的干预（例如，医疗保健业务实体和社区基础医疗的合作）使服务市场的功能和失败合法化关系，以更适当地平衡个人和社会的需求。基于基于服务的文化模型在医疗机构中实施协作市场-社区计划的结果得到了支持。而且，该分析意味着组织生产率的提高以及患者和社区的满意度，这直接促进了人员和社区的本质。

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作者
Valadares, Kevin Joseph.;
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作者单位

Saint Louis University.;

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授予单位 Saint Louis University.;
学科 Health Sciences Health Care Management.; Philosophy.; Business Administration Management.
学位 Ph.D.
年度 2003
页码 341 p.
总页数 341
原文格式 PDF
正文语种 eng
中图分类预防医学、卫生学;哲学理论;贸易经济;
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Mission, margin, and organizational ethics: The contribution of a service-based organizational culture towards enhancing the operational success of health care institutions and its affect on charity care.

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