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Implementation process of management control systems in the municipally owned hospitals: in the case of Nagasaki prefectural hospitals in Japan

机译:市营医院管理控制系统的实施过程:以日本长崎县立医院为例

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摘要

The purpose of this paper is to describe and explore management reforms in the municipally owned hospitals in Nagasaki prefecture, Japan, based on 'levers of control' framework (Simons, 199.5). The hospitals are changing their strategy through specialising in a particular medical function and streamline of management. At this writing, these reforms are going on. The case is limited in the stage of complete application of Local Public Enterprise Law. However, we could reveal partially how four Management Control Systems (MCSs) are installed and work together for implementing the strategy in one of the hospitals. Finally, discussions and limitations are showed.
机译:本文旨在基于“控制杠杆”框架(Simons,199.5)描述和探索日本长崎县市立医院的管理改革。医院通过专门研究特定的医疗功能和简化管理来改变其策略。在撰写本文时,这些改革正在进行中。该案仅限于完全适用《地方公共企业法》的阶段。但是,我们可以部分揭示如何安装四个管理控制系统(MCS)并一起工作以在其中一家医院中实施该策略。最后,显示了讨论和限制。

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