后新公共管理在塑造创新中的作用:以公立医院为例

The role of Post-New Public Management in shaping innovation:the case of a public hospital

以葡萄牙一家教学医院为例,本文考察了后新公共管理行政模式如何塑造创新过程。研究发现,创新是一种多层次的组织现象,主要依赖于3个因素的相互作用:(1)个人层面是基于信任的专业自主权;(2)团队层面是创新(再)设计的组织内协作方法;(3)组织层面是实施创新时,员工对医院战略的参与/承诺。此外,正式和非正式的联系过程相互促进,这些过程又促进了创新。通过提供对后新公共行政模式下组织内部创新过程如何发生的细致理解,本文对创新和行政模式的文献作出了贡献。同样,本文是将后新公共管理行政模式与创新联系起来并进行实证分析的首次尝试之一。

This article examines how the Post-New Public Management administrative model adopted by a teaching hospital in Portugal shapes innovation processes.We find that innovation is a multi-level organizational phenomenon that relies substantially on the interplay of three factors:(1)trust-based professional autonomy at the individual level;(2)an intra-organizational collaborative approach in innovation(re)design at the team level;and(3)staff involvement/commitment towards the hospital's strategy in the implementation of innovations at the organizational level.Additionally,innovation is fecilitated by interconnected formal and informal processes that mutually reinforce each other.The study contributes to the literature on innovation and administrative models by providing a nuanced understanding of how intra-organizational innovation processes take place within a Post-New Public Management model.As such,it is one of the first attempts to empirically analyse and link the administrative model of Post-New Public Management with innovation.