Systems thinking and the leadership conundrum in health care

被引:4
|
作者
Marchildon, Gregory P. [1 ]
Fletcher, Amber J. [2 ]
机构
[1] Univ Toronto, Toronto, ON M5S 1A1, Canada
[2] Univ Regina, Regina, SK S4S 0A2, Canada
来源
EVIDENCE & POLICY | 2016年 / 12卷 / 04期
基金
加拿大健康研究院;
关键词
systems thinking; health system leadership; health reform; leadership competencies; KNOWLEDGE;
D O I
10.1332/174426415X14449988605954
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
The ability to think in terms of a system is critical to achieving common direction, alignment, and commitment in highly distributed health systems. In Canada, provincial and territorial ministries of health provide leadership on the direction of health reform while leadership to align system levels is determined by a far more distributed group of actors. There is a natural tension between organisational (or 'tribal') identity and loyalty and a system-wide loyalty and identity. A major research project in Canada reveals that the challenge for health system leaders is to find the most constructive balance within this tension.
引用
收藏
页码:559 / 573
页数:15
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