Medische staf op weg naar partnership? De deelname van medisch specialisten in de besturing van Nederlandse ziekenhuizen

Translated title of the contribution: Medical staff on its way to partnership? Participation of medical specialists in the governance of Dutch hospitals

Gerard R.M. Scholten, Tom E.D. Van der Grinten

Research output: Contribution to journalArticlePopular

1 Citation (Scopus)

Abstract

As the interdependence between the hospital boards and medical staffs grows, models for integrating doctors in hospital governance are being sought. Trends have driven medical-staff executives into a position alongside the hospital board, which is called 'juxtapositioning' in hospital governance. This study in six Dutch hospitals concerns such juxtapositioning of staff executives. The strategies the medical staffs choose and the adaptation of their organization to their new role in hospital governance are described. It appears that the primary objective of medical staffs is to control rather than to act as a partner of the hospital board. One of the problems of the juxtaposition of medical staff concerns its legitimacy because of the discrepancy between the new power of doctors in hospital governance, on the one hand, and the weakness of the medical staff organization as a decision making body and the absence of responsibility for hospital policy, on the other hand. Therefore, we expect that the problems with the juxtapositioning of doctors will stimulate the search for new models of hospital governance. The co-makership model seems promising in guiding their development.

Translated title of the contributionMedical staff on its way to partnership? Participation of medical specialists in the governance of Dutch hospitals
Original languageDutch
Pages (from-to)7-21+89
JournalActa Hospitalia
Volume43
Issue number2
Publication statusPublished - 2003

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