Management Practices in U.S. Hospitals

美国医院的管理实践

基本信息

批准号：
8299938
负责人：
Kenneth John McConnell
金额：
$ 11.69万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8299938
关键词：
Management Practices U.S.Hospitals

项目摘要

Project Summary Why is the quality of care in some hospitals better than others? It is well documented that the U.S. health care system is marked by problems of inefficiency, poor coordination, and highly variable quality of care. The research literature has focused on a number of factors that could affect quality, but relatively little is known about the ways in which hospitals are internally managed. This application seeks funding to conduct a survey that will produce an entirely new set of data on management practices in a large sample of U.S. hospitals. By management practices, we mean the policies, systems, and standards that are used to guide hospital operations, performance measurement, clinical relationships, and employee incentives. Measuring these practices is not easily accomplished through traditional surveys or reliance on administrative data. We will use an innovative survey methodology that represents a significant breakthrough in its ability to elicit true information on organizational practices and to minimize the gaming of responses toward favorable scores. The overall goal of this application is to measure management practices in U.S. hospitals and their association with patient outcomes. The specific hypothesis behind the proposed research is that there are managerial techniques that are associated with better patient outcomes, but not widely adopted or disseminated within the hospital sector. The survey, and its linkage with existing data on hospitals, patient outcomes, and quality indicators, will address an important gap in the knowledge about the policies and practices that define how a hospital operates. The proposed study would be the first to open the "black box" of U.S. hospital management, and to assess its importance in patient outcomes. This proposal has three specific aims: Specific Aim 1. Survey and measure management practices in 800 U.S. hospitals. Specific Aim 2. Explain why management practices vary across hospitals. Specific Aim 3. Assess the relationship between management practice scores and the quality of patient care. This research aims to improve the understanding of these tools - their frequency of use as well as their apparent effectiveness - so that good tools can be promoted and more quickly adopted by hospitals, with the ultimate goal of improving patient outcomes.

项目概要为什么有些医院的护理质量比其他医院好？据充分证明，美国的医疗保健该系统的特点是效率低下、协调性差、护理质量参差不齐。这研究文献关注了许多可能影响质量的因素，但人们知之甚少关于医院内部管理的方式。该申请寻求资金进行一项调查，该调查将产生一组全新的数据美国大样本医院的管理实践。通过管理实践，我们指的是政策，用于指导医院运营、绩效衡量、临床关系和员工激励。衡量这些做法并不容易通过传统调查或对行政数据的依赖。我们将使用创新的调查方法代表了其获取有关组织实践的真实信息并尽量减少对有利分数的反应的博弈。该应用程序的总体目标是衡量美国医院及其协会的管理实践与患者的结果。拟议研究背后的具体假设是与更好的患者治疗效果相关的管理技术，但尚未广泛采用或在医院部门内传播。该调查及其与医院、患者现有数据的联系成果和质量指标将弥补政策和政策知识方面的重大差距定义医院运作方式的实践。拟议的研究将是第一个打开“黑匣子”的研究美国医院管理，并评估其对患者治疗结果的重要性。该提案有三个具体目标：具体目标 1. 调查和衡量 800 家美国医院的管理实践。具体目标 2. 解释为什么不同医院的管理实践有所不同。具体目标 3. 评估管理实践得分与患者护理质量之间的关系。本研究旨在提高对这些工具的理解——它们的使用频率以及它们的用途效果显着——好的工具可以推广并更快地被医院采用，最终目标是改善患者的治疗效果。