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Staff Participation in Administrative Decision-Making

Authors
Journal
Healthcare Management Forum
0840-4704
Publisher
SAGE Publications
Publication Date
Volume
6
Issue
3
Identifiers
DOI: 10.1016/s0840-4704(10)61105-2
Disciplines
  • Medicine

Abstract

Victoria Hospital Corporation in London has adopted a collaborative management model that involves the participation of medical, union and non-union staff in the administrative decision-making process within predetermined parameters. Reactions have been favourable from all sides - positive feedback from the groups involved and minimal negative public response to the sensitive decisions made concerning downsizing. Early indicators suggest increasing further the participation of union and non-union staff in decision-making on multiple levels, but with clearly defined “boundaries of responsibility.” La Victoria Hospital Corporation de London a adopté un modèle de gestion concertée qui associe le personnel médical ainsi que le personnel syndiqué et non syndiqué au processus de prise de décision administrative, dans les limites de paramètres prédéfinis. Les réactions ont été, de tous côtés, positives: les groupes concernés se sont montrés favorables et le public n'a soulevé aucune objection majeure aux décisions délicates prises en matière de restructuration. Les premiers indicateurs penchent du côté d'une participation accrue du personnel syndiqué et non syndiqué à la prise de décisions à des paliers multiples, tout en estimant que les responsabilités doivent être clairement démarquées.

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