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首页> 外文期刊>Journal of Health Services Research & Policy >Pure plays and hybrids: Acute trust management profile and capacity
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Pure plays and hybrids: Acute trust management profile and capacity

机译：纯戏剧和混合剧：急性信任管理概况和能力

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Objectives To identify the management populations of acute hospitals, and to consider how the composition of this critical but criticized group affects managerial capacity. nnMethods A multi-method study of six acute trusts, involving 1200 managers in setup interviews, focus groups and a survey. Interviews with senior managers identified the key middle management groups in their trusts. The workforce information offices at two trusts estimated the management numbers from their databases. The findings were compared with the NHS Information Centre data on the number of ‘managers and senior managers’ across the service. nnResults The management population of an acute trust includes ‘pure plays’, whose roles are mainly managerial, and ‘hybrids’, whose roles combine managerial and clinical duties. Together, pure plays and hybrids comprise around 30% of staff in an acute trust, and even this may be an underestimate. Hybrid managers typically outnumber pure plays by four to one. NHS Information Centre data indicate that only 3% of all NHS employees are ‘managers and senior managers’. nnConclusions In a climate of cost reductions and radical change, acute trusts have challenging management agendas. Policy to ‘cut management’, if focused on pure plays, increases the managerial burden on hybrids, diluting their clinical focus, and potentially jeopardizing the change agenda along with quality and safety of patient care. To strengthen management capacity, acute trust leadership and management development programmes must target the full ‘hybrids and pure plays’ population, and particularly hybrids who comprise the majority.
机译：目的确定急性医院的管理人群，并考虑这个关键但受到批评的团体的组成如何影响管理能力。 nnMethods对六个急性信托基金进行的多方法研究，涉及1200名经理进行设置性访谈，焦点小组和调查。与高级管理人员的访谈确定了他们信任的主要中层管理团队。两个信托机构的劳动力信息办公室从其数据库中估计了管理人数。将调查结果与NHS信息中心关于整个服务中“经理和高级经理”人数的数据进行比较。 nn结果急性信托基金的管理人员包括主要扮演管理角色的“纯戏剧”和结合管理职责和临床职责的“混合”角色。纯粹的戏剧和杂种在一起构成了大约30％的员工的信任，即使这也可能被低估了。混合型经理通常比纯股经理多四比一。 NHS信息中心的数据表明，所有NHS员工中只有3％是“经理和高级经理”。 nn结论在成本降低和根本变化的气氛中，敏锐的信任对管理议程具有挑战性。如果将“削减管理”政策作为重点放在纯游戏上，则会增加杂种的管理负担，削弱其临床重点，并有可能危及变更议程以及患者护理的质量和安全性。为了增强管理能力，敏锐的信任领导力和管理发展计划必须针对所有“杂种和纯玩杂耍”人群，尤其是占多数的杂种。

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