The medical leadership challenge in healthcare is an identity challenge

Andersson, Thomas

doi:10.1108/lhs-04-2014-0032

Cited by 62 publications

(102 citation statements)

References 52 publications

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“…Our results reveal that new DEMs experience these tensions most acutely. More generally, our study affirms that the DEM role, like other clinical leadership roles, 29 is a hybrid one, with competing goals and commitments that co-exist uneasily.…”

Section: Discussionsupporting

confidence: 80%

“…In the brainstorming phase, participants were asked to list up to 10 personal and system-level challenges. After the brainstorming phase, participants' responses were organised into two lists of personal challenges (31) and system-level challenges (29), respectively ( Table 2). In the narrowing down phase, participants were asked to identify their top 10 personal and system-level challenges from these lists.…”

Section: Survey Processmentioning

confidence: 99%

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Leadership challenges of directors of emergency medicine: An Australasian Delphi study

Rixon

Wilson

Hussain

et al. 2019

Emerg Medicine Australasia

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Objective Emergency medicine (EM) is an emerging profession with complex clinical and leadership demands. However, studies of leadership in EM are in their infancy. The present study makes a novel contribution to empirical research in this area by examining the leadership challenges faced by Australasian directors of emergency medicine (DEMs). Methods An online Delphi study was conducted with 87 Australasian DEMs. To structure the process, participants were sorted into four panels reflecting their leadership experience and geographical location. Using a three‐phase Delphi process, participants were guided through the process of brainstorming leadership challenges, narrowing down these challenges, and ranking these challenges from most to least important. Results Four leadership challenges were shared across all panels, regardless of experience and location; namely, administrative overload, overcrowding and access block, managing challenging colleagues and engaging with hospital executive. However, the low consensus achieved within and across panels highlights the complexity of leadership in EM and cautions against simplistic approaches to addressing leadership challenges. Conclusion The recommendation for DEMs is that they need to engage in programmes which will support the development of the leadership and non‐clinical skills required to enable them to cope with responsibilities of hybrid role of physician‐leader. The development and delivery of specialised leadership programmes attuned to the hybridity of the director role and the complexity of hospitals is vital for ensuring high‐quality patient care and successful running of EDs.

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Section: Discussionsupporting

confidence: 80%

Section: Survey Processmentioning

confidence: 99%

Leadership challenges of directors of emergency medicine: An Australasian Delphi study

Rixon

Wilson

Hussain

et al. 2019

Emerg Medicine Australasia

View full text Add to dashboard Cite

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“…Physicians can be appointed as managers in order to integrate professional and managerial control. But Swedish examples mirror international examples, showing that although physicians assume limited organizational responsibilities and tend not to see themselves as managers, they become more powerful physicians in their combined role (Andersson 2015;Cregård & Eriksson 2015;Öfverström 2008). Nurses who become health care managers change more than physicians do; their managerial role becomes a career step (Berg & Byrkjeflot 2014), and they substantially integrate their professional and organizational roles (Blomgren 1999(Blomgren , 2003.…”

Section: Trend 2: Increasing Professional Stratificationmentioning

confidence: 99%

A New Professional Landscape: Entangled Institutional Logics in Two Swedish Welfare Professions

Alvehus

Andersson

2018

NJWLS

Self Cite

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Previous research has made three parallel but incompatible observations on the contemporary development of welfare professions: loss of professional autonomy, hybridization, and maintained autonomy. Yet, research providing contextual understanding of the simultaneous occurrence of these three observations is lacking. The aim of this theoretical paper is to identify and explain seemingly contradictory coexisting features of modern welfare professions through a comprehensive reading of current literature on the health care and teaching professions in Sweden. The literature has demonstrated entangled institutional logics, in which simultaneous but differing effects occur, thereby developing a new professional landscape.

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“…The promising healthcare ecosystem will be composed of several stockholders including patients, clinics, professionals, pharmacies, insurance companies and federal government organizations, each stockholder will implement and interpret policies and legal requirements to meet the accountability inside the ecosystem. The eHealth paradigm by nature is decentralized where patient have different gadgets and embedded devices generating medical data anytime anywhere and the patient can visit different clinics and physicians for assistance, while purchasing medicines from different pharmacies and drug suppliers, moreover patient have to share a certain data to insurance companies and federal organization to answer the government laws [45].…”

Section: The Limitation Of Centralized Identity Management Models Formentioning

confidence: 99%

Distributed Ledger Technology for eHealth Identity Privacy: State of The Art and Future Perspective

Bouras

Qing-hua

Zhang

et al. 2020

Sensors

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Electronic healthcare (eHealth) identity management (IdM) is a pivotal feature in the eHealth system. Distributed ledger technology (DLT) is an emerging technology that can achieve agreements of transactional data states in a decentralized way. Building identity management systems using Blockchain can enable patients to fully control their own identity and provide increased confidence in data immutability and availability. This paper presents the state of the art of decentralized identity management using Blockchain and highlights the possible opportunities for adopting the decentralized identity management approaches for future health identity systems. First, we summarize eHealth identity management scenarios. Furthermore, we investigate the existing decentralized identity management solutions and present decentralized identity models. In addition, we discuss the current decentralized identity projects and identify new challenges based on the existing solutions and the limitations when applying it to healthcare as a particular use case.

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The medical leadership challenge in healthcare is an identity challenge

Abstract: Medical leadership is most often related to organizational structure and/or leadership skills, but this paper discusses identity requirements and challenges related to medical leadership.

Cited by 62 publications

References 52 publications

Leadership challenges of directors of emergency medicine: An Australasian Delphi study

Leadership challenges of directors of emergency medicine: An Australasian Delphi study

A New Professional Landscape: Entangled Institutional Logics in Two Swedish Welfare Professions

Distributed Ledger Technology for eHealth Identity Privacy: State of The Art and Future Perspective

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