一般企業でしばしば問題になる管理部門と現場との対立は、病院などの医療機関においてもよく見られます。その原因としては、管理部門と現場との目指している目標の違い(例:財政再建 vs 患者予後の改善)、コミュニケーション不足(例:密室会議での方針決定)、マイクロマネジメント(例:管理部門から現場への口出し)などが挙げられるわけですが、労働力を含む医療資源の分配やスケジューリングの問題なども重要です。
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