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Báo cáo khoa học: "A comparison of decision-making by physicians and administrators in healthcare settings"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A comparison of decision-making by physicians and administrators in healthcare settings. | Available online http ccforum.eom content 10 5 163 Commentary A comparison of decision-making by physicians and administrators in healthcare settings David S Matheson and Niranjan Kissoon Department of Pediatrics University of British Columbia Children s Hospital Rm K4-105 4480 Oak Street Vancouver British Columbia Canada V6H 3V4 Corresponding author Niranjan Kissoon nkissoon@cw.bc.ca Published 5 September 2006 This article is online at http ccforum.com content 10 5 163 2006 BioMed Central Ltd Critical Care 2006 10 163 doi 10.1186 cc5028 Abstract Physicians and administrators are committed to the same goal of providing quality care at affordable costs. Their perceptions of each other and their resulting behaviors however may lead to conflict. We offer some insight into these perceptions and behaviors and provide a framework to improve communication and to reduce misunderstanding. Introduction The chief of critical care walks into the Chief Executive Officer s office to discuss the proposal to purchase a new electronic order entry system for medications. The Chief Executive Officer is asking for justification to purchase this unit. The chief does not feel any justification is needed beyond it is simply good for patient care . The administrator wants a business plan outlining the need for this system its fixed and variable costs and its projected savings. The meeting ends with both participants frustrated. Physicians are naive they don t realize that we cannot provide what we cannot afford states the administrator. Administrators don t care about patients they only care about their bottom line states the physician. These are the typical perceptions of each other. While it may seem that physicians and healthcare administrators are pursuing different goals both are committed to one goal value for patients 1 . Value however is a product of quality good outcomes and cost efficiency . Conflict arises because each group perceives that they are responsible for meeting .