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为同时实现降低单位成本消耗、改进患者体验和提升群体健康质素这三重目标,与“按项目付费”相适应的医院组织文化面临巨变。为应对奥巴马医改,美国的医院管理者在各类行业会议熏陶、专家呼吁下,正努力改变所在医院的组织文化。但什么是文化,传统按项目付费的医疗环境中的医院文化有哪些突出特征?朝着按价值付费转变的方向,医院必须付诸哪些改变?这些问题有必要厘清。美国麻省理工大学教授Edgar Schein定义组织文化为“组织成员基
In order to simultaneously achieve the three goals of reducing unit cost, improving patient experience and improving group health quality, the organizational culture of hospital is facing tremendous changes in line with the ”pay-per-item“ approach. In order to cope with the Obamacare reform, the hospital managers in the United States have been nurtured in various industry conferences and urged by experts to work hard to change the organizational culture in their hospitals. However, what are the prominent features of the hospital culture in the cultural and traditional project-paid medical environment? What changes must be made to the hospital in the direction of the change of value-for-money? These problems need to be clarified. Edgar Schein, a professor at the Massachusetts Institute of Technology in the United States, defines the organizational culture as a ”member of the organization."