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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >Changing organizational structure and organizational memory in primary care practices: A qualitative interview study
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Changing organizational structure and organizational memory in primary care practices: A qualitative interview study

机译：改变组织结构和组织记忆在初级保健实践:定性访谈研究

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摘要

Organizational structure is built through dynamic processes which blend historical force and management decisions, as a part of a broader process of constructing organizational memory (OM). OM is considered to be one of the main competences leading to the organization's success. This study focuses on the impact of the Quality and Outcome Framework (QOF), which is a Pay-for-Performance scheme, on general practitioner (GP) practices in the UK. The study is based on semistructured interviews with four GP practices in the north of England involving 39 informants. The findings show that the way practices assigned different functions into specialized units, divisions or departments shows the degree of specialization in their organizational structures. More specialized unit arrangements, such as an IT division, particular chronic disease clinics or competence-based job distributions enhanced procedural memory development through enabling regular use of knowledge in specific context, which led to competence building. In turn, such competence at particular functions or jobs made it possible for the practices to achieve their goals more efficiently. This study concludes that organizational structure contributed strongly to the enhancement of OM, which in turn led to better organizational competence.
机译：组织结构是通过动态构建的过程的混合和历史的力量管理决策,作为一个整体的一部分构建组织记忆的过程(OM)。导致组织的能力成功。质量和结果框架(QOF)绩效工资方案,一般在英国医生(GP)实践。基于半结构式访谈四吗涉及39的全科医生在英格兰的北部告密者。实践分配不同的功能专门的单位、部门或部门所示专业化的程度组织结构。特别安排,如IT部门慢性疾病诊所或能力本位的工作分布增强程序性记忆发展使常规使用知识在特定背景下,导致能力建设。使特定的功能或工作更多的实践来实现他们的目标高效。组织结构,做出了很大的贡献OM的增强,进而导致更好的组织能力。

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