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Striking a Balance Between Checking and Trusting
出版University of York, Centre for Health Economics Consortium, NHS Centre for Reviews & Dissemination, 1999
URLhttp://books.google.com.hk/books?id=Xj4BNQAACAAJ&hl=&source=gbs_api
註釋...This paper explores some of the implications of clinical governance using the economic perspective of principal-agent theory. It examines the ways in which principals seek to overcome the potential for agent opportunism either by reducing asymmetries of information (for example, by using performance data) or aligning objective functions (for example, by creation of a shared quality culture) As trust and mutuality (or their absence) underpin all principal-agent relationships these issues lie at the heart of the discussion. The analysis emphasises the need for a balance between techniques that seek to compel performance improvements (through externally applied measurement and management), and approaches that trust to intrinsic professional motivation to deliver high quality services. Of crucial importance in achieving this balance is the creation and maintenance of the right organisational culture. Authors