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People and Teams Matter in Organizational Change: Professionals’ and Managers’ Experiences of Changing Governance and Incentives in Primary Care

机译：人员和团队在组织变革中至关重要：专业人员和经理在基层医疗中改变治理和激励措施的经验

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>ObjectivesTo explore the experiences of governance and incentives during organizational change for managers and clinical staff.>Study SettingThree primary care settings in England in 2006–2008.>Study DesignData collection involved three group interviews with 32 service users, individual interviews with 32 managers, and 56 frontline professionals in three sites. The Realistic Evaluation framework was used in analysis to examine the effects of new policies and their implementation.>Principal FindingsIntegrating new interprofessional teams to work effectively is a slow process, especially if structures in place do not acknowledge the painful feelings involved in change and do not support staff during periods of uncertainty.>ConclusionsEliciting multiple perspectives, often dependent on individual occupational positioning or place in new team configurations, illuminates the need to incorporate the emotional as well as technocratic and system factors when implementing change. Some suggestions are made for facilitating change in health care systems. These are discussed in the context of similar health care reform initiatives in the United States.

机译：>目标探索组织变革中经理和临床人员的治理和激励措施的经验。>研究环境 2006年至2008年英格兰的三种基本医疗环境。>研究设计数据收集涉及在三个站点中对32位服务用户进行的三个小组访谈，对32位经理和56位一线专业人员的单独访谈。在分析中使用了“现实评估”框架来检查新政策及其实施的效果。>主要发现整合新的跨行业团队以使其有效工作是一个缓慢的过程，尤其是如果现有的结构没有意识到痛苦的情况改变涉及情感，在不确定的时期不支持员工。>结论提出多种观点，通常取决于个人的职业定位或在新的团队配置中的位置，这说明需要将情感和技术官僚相结合和实施变更时的系统因素。为促进卫生保健系统的变化提出了一些建议。这些是在美国类似的医疗改革举措的背景下进行讨论的。

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期刊名称 Health Services Research
作者
Helen T Allan; Sally Brearley; Richard Byng; Sara Christian; Julie Clayton; Maureen Mackintosh; Linnie Price; Pam Smith; Fiona Ross;
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作者单位

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年(卷),期 2014(49),1
年度 2014
页码 93–112
总页数 20
原文格式 PDF
正文语种
中图分类医院、综合医院;中医院;
关键词
Emotions chronic illness relationships health care health policy/policy analysis;

机译：情绪;慢性病;人际关系;医疗保健;健康政策/政策分析;

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1. People and teams matter in organizational change: Professionals' and managers' experiences of changing governance and incentives in primary care [J] . AllanH.T., BrearleyS., ByngR., Health services research: HSR . 2014,第1aPta1期

机译：人员和团队对组织变革至关重要：专业人员和管理人员在初级保健中改变治理和激励措施的经验
2. Career Change and the Iron Cage: Organizations and the Early Labour Market Experience of Professional Managers [J] . Stanislav D. Dobrev Journal of management studies . 2012,第5期

机译：职业转变与铁笼：职业经理人的组织和早期劳动力市场经验
3. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
4. Changing of Internal Governance Mode and Performance in Family Firms after Professional Manager Recruitment [C] . LI Qianbing, DING Donghong, HUANG Suning 2008年国际应用统计学术研讨会（2008 International Institute of Applied Statistics Studies）论文集 . 2008

机译：职业经理人招聘后家族企业内部治理模式和绩效的变化
5. Enabling Organizational Change: How First-level Managers Influence and Commit to Implementing and Sustaining Change in a Healthcare System [D] . Noureddin, Loubna. 2018

机译：支持组织变革：一级经理如何影响和承诺在医疗系统中实施和维持变化
6. Implementing professional behaviour change in teams under pressure: results from phase one of a prospective process evaluation (the Implementing Nutrition Screening in Community Care for Older People (INSCCOPe) project) [O] . Mike Bracher, Katherine Steward, Kathy Wallis, 2019

机译：在压力下在团队中实施职业行为改变：前瞻性过程评估的第一阶段（在老年人社区护理中实施营养筛查（INSCCOPe）项目）的结果
7. People and teams matter in organisational change: professionals' and managers' experiences of changing governance and incentives in primary care [O] . Smith, Pamela, Allan, Helen, Ross, Fiona, 2014

机译：人员和团队在组织变革中起着重要作用：专业人员和管理人员在初级保健中改变治理和激励的经验

People and Teams Matter in Organizational Change: Professionals’ and Managers’ Experiences of Changing Governance and Incentives in Primary Care

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