An exploratory study on the management system of clinical management teams in a hospital

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An exploratory study on the management system of clinical management teams in a hospital

 

Author: Lee, Wai-man
Title: An exploratory study on the management system of clinical management teams in a hospital
Degree: M.Sc.
Year: 1999
Subject: Hospitals -- China -- Hong Kong -- Administration -- Case studies
Hospital Authority (Hong Kong, China)
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Management
Pages: vii, 149, [34] leaves : ill. (some col.) ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1483512
URI: http://theses.lib.polyu.edu.hk/handle/200/4693
Abstract: The establishment of Hospital Authority(HA) in 1991 signified a milestone in the delivery and management of hospital services in Hong Kong. One of the major focus under the series of New Management Initiatives was the delegation of authority and accountability to the front-line cross-disciplinary patient care team, Clinical Management Team (CMT) in the hospital. After about 7 years of implementation, what are the characteristics of management system at CMT and hospital levels? Are there complimentary and supportive changes in the management structure, process, culture, and the capability? What are the major contributory factors? This dissertation was an exploratory study aiming to examine the management systems at both CMT and Hospital levels in a general acute hospital and to identify the issues of interest and concern. At the CMT level, the present perception and future expectation of the management system were examined by using Rennis Likert's measurement tool, 'Profile of Organizational Characteristics' for self-administration by the core managers of the team. Various demographic and individual factors of respondents, including profession, team, rank, gender, age, length of service, foreign working experience, number of staff under management, and attendance of management training, were collected to identify the significant contributory factor(s). At the hospital level, results of the Staff Opinion Survey (SOS) were abstracted to examine the state of its management system. The results revealed that the management system of CMTs as perceived by their core managers was of System 3 in Likert's terms, i.e. 'Consultative'. There was statistically significant gap between the respondents' present perception and future expectation, though both fall within the 'Consultative' system. Respondents still expected the concentration of the decision-making and control functions at the senior level. Focus of their expectation rested on the accuracy of information, teamwork, confidence and trust between members of the teams. Length of service in public service, rank and number of staff under management were found to be significant factors affecting some aspects of respondents' present perception and future expectation. The two surveys quoted showed that both the hospital and CMT levels displayed similar management system characteristics, strength and weakness. Both levels exhibited characteristics of a centralized system, with control and decision-making authority rested at the top. While staff dissatisfaction was expressed towards departmental management and level of participation, team-work and inter-personal relation were rated positively. There were great differences in views and satisfaction at different hierarchical levels. Inadequate provision of training and development was expressed by respondents at both CMT and Hospital levels.

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