Challenges to effectiveness in public health organizations: The case of the Costa Rican Health Ministry

Adrian Rodriguez Carlos

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Challenges to effectiveness in public health organizations: The case of the Costa Rican Health Ministry

机译：公共卫生组织效率挑战：哥斯达黎加卫生部

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摘要

This case provides a setting to analyze organizational problems impeding effective execution in public health organizations in Latin America. This teaching case describes the conditions leading to the weakening leadership of the Costa Rican Health Ministry (CRHM) by the end of September 2014. The document was written based on a combination of interviews with key decision-makers and published/archival data. Students are expected to assume the role of CRHM's General Director, Priscilla Herrera, and propose organizational changes that will improve effectiveness in the ministry's operations. A widespread assumption is that politicians and top-level bureaucrats, due to vested interests or poor judgment, are the root cause of ineffectiveness in the public sector. This case presents a broader picture by suggesting excessive centralization of functions, weak authority lines, conflicting agendas at different organizational levels and regulation rigidities as significant factors affecting public healthcare operations. (C) 2016 Elsevier Inc. All rights reserved.

机译：该案例为分析阻碍拉丁美洲公共卫生组织有效执行的组织问题提供了一种环境。该教学案例描述了导致哥斯达黎加卫生部（CRHM）领导层到2014年9月底被削弱的条件。该文件的编写基于对关键决策者的采访和已发布/档案数据的结合。预计学生将担任CRHM的总经理Priscilla Herrera的职务，并提出组织变革的建议，以提高该部门运作的有效性。一个普遍的假设是，由于既得利益或判断力差，政客和高层官僚是公共部门效率低下的根本原因。该案例表明职能的过度集中，权力机构薄弱，组织级别不同的议程冲突以及监管僵化是影响公共医疗保健运营的重要因素，从而提供了更广阔的前景。（C）2016 Elsevier Inc.保留所有权利。

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来源
《Journal of Business Research》 |2016年第9期|3859-3868|共10页
作者
Adrian Rodriguez Carlos;
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作者单位

INCAE Business Sch, KM 15-5 Carretera Sur, Managua, Nicaragua;

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原文格式 PDF
正文语种 eng
中图分类
关键词
Healthcare management; Public sector organizations; Organizational change; Latin America;

机译：医疗保健管理;公共部门组织;组织变革;拉丁美洲;

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Challenges to effectiveness in public health organizations: The case of the Costa Rican Health Ministry

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