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Western organizational change capacity theory and its application in Chinese public health organizations: A multiple case analysis.

机译:西方组织变革能力理论及其在中国公共卫生组织中的应用:多案例分析。

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摘要

As public health reform becomes a crucial task for governments in both China and the United States, public health organizations are required to adopt changes based on reform policy. However, little research has focused on organizational change capacity and its application in Chinese organizations, especially public health organizations. Organizational Change Capacity theory (OCC), developed by Klarner and his colleagues (2007), is a Western theory that was employed in this study to understand Chinese public health organizational change. The OCC framework indicates the change capacities that organizations should possess when pursuing successful organizational change. The main purpose of this dissertation is to understand public health organizational change in China during the country's national health reform by applying Western OCC theory to Chinese public health organizations that have already achieved success or have remained challenged in implementing organizational change during the health reform. This study seeks answer to these questions: Is the OCC theory applicable in Chinese public health organizations? How should the OCC framework be modified to best fit Chinese public health organizations?;In this study, 72 participants from twelve Chinese public health organizations were recruited for in-depth interviews and follow-up questionnaires that asked questions about their experiences during their organizational changes. The participants included leaders, mid-level managers, employees, and clients/partners in public hospitals, community health centers, and district health bureaus in the cities of Beijing and Xi'an. During the comparison of common elements across the six successfully changed sites and the six remain challenged sites, a new Chinese Organizational Change Capacity theory (CNOCC) with nine main themes emerged. The themes consist of transformational leadership, implementation strategy, member's positive character, communication and transparency, government support, member's consensus on change, healthy internal system, member's self-improvement, and cooperation with external parties during the change. The CNOCC framework developed from this study provides a guideline and a tool for Chinese public health organizations to evaluate their change capacity levels. Furthermore, it offers a theoretical foundation for researchers to design interventions that help Chinese public health organizations increase their change capacity and achieve successful change.
机译:由于公共卫生改革已成为中美两国政府的一项关键任务,因此要求公共卫生组织根据改革政策采取变革。但是,很少有研究关注组织变革能力及其在中国组织,特别是公共卫生组织中的应用。组织变革能力理论(OCC)由Klarner及其同事(2007)开发,是一种西方理论,在本研究中用于理解中国的公共卫生组织变革。 OCC框架指示组织在追求成功的组织变革时应具备的变革能力。本文的主要目的是通过将西方OCC理论应用于在卫生改革过程中已经成功实施或仍面临挑战的中国公共卫生组织,来了解中国国家卫生改革期间中国公共卫生组织的变化。本研究寻求以下问题的答案:OCC理论是否适用于中国公共卫生组织?如何修改OCC框架以最适合中国的公共卫生组织?;在这项研究中,招募了来自十二个中国公共卫生组织的72名参与者进行深入的采访和后续问卷调查,询问他们在组织变革期间的经历。参加人员包括北京和西安市公立医院,社区卫生中心和地区卫生局的领导,中层管理人员,员工以及客户/合作伙伴。在比较六个成功变更的地点和六个仍受挑战的地点的共同要素时,出现了一个新的具有九个主题的中国组织变革能力理论(CNOCC)。主题包括变革型领导,实施策略,成员的积极性,沟通和透明度,政府支持,成员对变革的共识,健康的内部体系,成员的自我完善以及在变革过程中与外部各方的合作。通过这项研究开发的CNOCC框架为中国公共卫生组织评估其变更能力水平提供了指南和工具。此外,它为研究人员设计干预措施提供了理论基础,以帮助中国公共卫生组织提高其变革能力并实现成功的变革。

著录项

  • 作者

    Zhao, Xueyin.;

  • 作者单位

    Indiana University.;

  • 授予单位 Indiana University.;
  • 学科 Public health.;Asian studies.;Organization theory.;Organizational behavior.
  • 学位 Ph.D.
  • 年度 2015
  • 页码 142 p.
  • 总页数 142
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-17 11:52:51

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