THE DECISION TO IMPLEMENT GAINSHARING: THE ROLE OF WORK CLIMATE, EXPECTED OUTCOMES, AND UNION STATUS

This study empirically examines several factors that may predict management decisions to implement high-involvement gainsharing plans, interventions that pay company-wide bonuses for performance improvements and encourage employee involvement in work decisions. It addresses the question: why does one facility that considers implementing a gainsharing plan decide to do so, while another facility does not? In 59 facilities (32 nonunion and 27 union) considering the implementation of a gainsharing plan, 485 upper-level managers evaluated the work climate in their facilities (participation, identity, cooperation, and expected plan support) and rated the anticipated outcomes of the intervention. Union status had no direct relationship with the implementation decision. A significant interaction showed that implementation was positively related to participation and expected outcomes in the nonunion facilities, but was unrelated to these variables in the unionized facilities. The results provided little support for a “transformation” model of plan implementation and moderate support for a "compatibility" model.     

就医患者对实习医生参与临床实习教学的认识与态度研究

通过调查502位患者,分析影响患者“有无义务支持实习医生的临床实习教学”的相关因素,结果显示,有显著性影响的因素包括:患者的受教育程度,对实习医生的了解程度及对实习医生参与医疗活动的态度等.深入研究这些影响因素,有助于进一步了解患者与实习医生的关系,促进实习医生的人才培养.