Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Experience is lost during reorganisation of health and medical care

12.10.2009
Within health and medical care the merger of hospitals and privatisation of activities have become popular solutions in the hunt for increased efficiency and more care for less money.

"There is much mention of efficiency without further definition of the concept, but it influences and is influenced by the organisation's structure, leadership as well as employeeship," says Agneta Kullén Engström who is studying for a doctor's degree in the subject at the Nordic School of Public Health, NHV.

"Structural changes, such as mergers and privatisation, can be compared to fashion trends," says Agneta Kullén Engström, who, on 16 October will be defending her thesis "Leadership and employeeship during structural changes within health and medical care.

The experiences of key players and employees" at the Nordic School of Public Health.

Whilst structural changes are happening within health and medical care, changes are also taking place in the population structure and a development of knowledge involving increased demands on availability and quality, which can lead to conflicts of objectives.

"Furthermore, if there is a lack of trust in the organisation and its management, neither managers nor employees can be expected to act rationally in a process of change," says Agneta Kullén Engström.

She works with strategic personnel and educational issues at Skaraborg's Hospital.

Processes of change double spiral
"The management, communication, culture and employees' participation accompanied by words and deeds are thought to be some of the keys to the success of organisations in times of change," says Agneta Kullén Engström, who interviewed a large number of managers and employees in connection with structural changes within health and medical care.

The processes of change can be described as a double spiral, with two different intertwined sides. One side is characterised by commitment, security and positive feelings whilst the other is characterised by negative feelings, lack of commitment and security.

At the same time, according to Agneta Kullén Engström, there is a tendency for the lessons learned from previously implemented structural changes to be ignored, which means that mistakes already made tend to be repeated. Structural changes within health and medical care should instead build upon previous experiences and be deeply rooted among the employees in order to be successful and sustainable.

Title of thesis: Leadership and employeeship during structural changes in health and medical care The experiences of key players and employees
Author: Agneta Kullén Engström, (+46) 502 230 33 (home), (+46) 500 432964 (work), (+46) 73 3521299 (mobile), e-mail: agneta.kullen_engstrom@vgregion.se
Main supervisor: Runo Axelsson, Professor, the Nordic School of Public Health, (+46) 31 693924
Opponent: Terese Bondas, Professor, Bodø, University College, Norway
Time and place of disputation: Friday, 16 October 2009, at 13.30 Aulan (the Lecture Hall), the Nordic School of Public Health
Address: Fredrik Bloms väg 25, Nya Varvet, Göteborg, Sweden
The thesis can be ordered for SEK 150.00 exclusive of postage and packing: kirsi.gomes@nhv.se

Monica Bengtsson | idw
Further information:
http://www.vr.se

More articles from Health and Medicine:

nachricht 'Living bandages': NUST MISIS scientists develop biocompatible anti-burn nanofibers
16.02.2018 | National University of Science and Technology MISIS

nachricht New process allows tailor-made malaria research
16.02.2018 | Eberhard Karls Universität Tübingen

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: In best circles: First integrated circuit from self-assembled polymer

For the first time, a team of researchers at the Max-Planck Institute (MPI) for Polymer Research in Mainz, Germany, has succeeded in making an integrated circuit (IC) from just a monolayer of a semiconducting polymer via a bottom-up, self-assembly approach.

In the self-assembly process, the semiconducting polymer arranges itself into an ordered monolayer in a transistor. The transistors are binary switches used...

Im Focus: Demonstration of a single molecule piezoelectric effect

Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale

Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...

Im Focus: Hybrid optics bring color imaging using ultrathin metalenses into focus

For photographers and scientists, lenses are lifesavers. They reflect and refract light, making possible the imaging systems that drive discovery through the microscope and preserve history through cameras.

But today's glass-based lenses are bulky and resist miniaturization. Next-generation technologies, such as ultrathin cameras or tiny microscopes, require...

Im Focus: Stem cell divisions in the adult brain seen for the first time

Scientists from the University of Zurich have succeeded for the first time in tracking individual stem cells and their neuronal progeny over months within the intact adult brain. This study sheds light on how new neurons are produced throughout life.

The generation of new nerve cells was once thought to taper off at the end of embryonic development. However, recent research has shown that the adult brain...

Im Focus: Interference as a new method for cooling quantum devices

Theoretical physicists propose to use negative interference to control heat flow in quantum devices. Study published in Physical Review Letters

Quantum computer parts are sensitive and need to be cooled to very low temperatures. Their tiny size makes them particularly susceptible to a temperature...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

2nd International Conference on High Temperature Shape Memory Alloys (HTSMAs)

15.02.2018 | Event News

Aachen DC Grid Summit 2018

13.02.2018 | Event News

How Global Climate Policy Can Learn from the Energy Transition

12.02.2018 | Event News

 
Latest News

Contacting the molecular world through graphene nanoribbons

19.02.2018 | Materials Sciences

When Proteins Shake Hands

19.02.2018 | Materials Sciences

Cells communicate in a dynamic code

19.02.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>