抄録
This study aims to examine how fees influence clinical practice for management
organizations. Clinical practice refers to the application of professional
knowledge through which management organizations can be intervened
in an improvement-oriented manner. Clinical fees have been treated
reluctantly in action research on management organizations. Further, studies
on psychological counseling in clinical psychology have examined how fees
influence clinical processes and outcomes. However, they differ from the
clinical practice observed in management organizations, such that individuals
pay the required fees, the clinical conditions do not change with or without
the payment of fees, and clinicians are trusted by their clients from the clinical
beginning. Therefore, we describe the relationship between clinical practice
and the payment of fees in the context of management organizations
based on 20 clinical cases. The findings suggest that fee negotiation creates
a clinical structure composed of clinical goals, schedules, and teams while
encouraging fees earnings. In addition, it leads to resource mobilization and
clinical outcomes, considering that the clinical practice was legitimately performed
in the management organization. This clinical structure may reduce
the significant influence of clinician behavior on outcomes and allow more
researchers to engage in clinical practice in management organizations.
