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Review of determinants of national medical leadership development

Published on Dec 1, 2017
· DOI :10.1136/leader-2017-000023
Wouter Alexander Keijser3
Estimated H-index: 3
,
Max Bastiaan Poorthuis1
Estimated H-index: 1
+ 1 AuthorsCeleste P.M. Wilderom28
Estimated H-index: 28
Abstract
Increasingly, physician engagement in management, quality and innovation is being recognised as vital, requiring ‘medical leadership’ (ML) competencies. Besides numerous local institutional efforts and despite the high level of autonomy of the medical profession and the education of its members, in some countries, national level activities are focusing on developing ML competencies to guide physicians in more effectively engaging in these non-medical activities. Up to this date, little is known about effective strategies and tactics for developing ML on a national level. This study investigates existing literature on determinants and interventions for national ML development. We performed a scoping review and subsequent systematic literature review of published reviews, using PubMed, Scopus, Web of Science, Ovid MEDLINE and Science Direct in search for eligible papers between 2011 and 2016. Full-text versions of 43 papers were studied, and a snowballing method was deployed. Data extraction included grounded theory coding, and synthesis of data was done iteratively during data clinics. Analysis of the seven included papers resulted in five discrete categories of determinants of and 10 distinct interventions relevant to national development of ML approaches. None of the papers reported on any specific phasing of national ML development. Our data suggest that local and national level activities in ML development should consider multifaceted and multilevel approaches, taking into account resistance to change and redesign of institutionalised logics that accompany changing positions and reconstruction of professional identities of physicians.
  • References (32)
  • Citations (2)
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References32
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#1Trish Reay (U of A: University of Alberta)H-Index: 26
#2Elizabeth Goodrick (FAU: Florida Atlantic University)H-Index: 9
Last. Ann Casebeer (U of C: University of Calgary)H-Index: 17
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#1Yiannis Kyratsis (City University London)H-Index: 9
#2Rifat Atun (Harvard University)H-Index: 50
Last. Gerard H. Gaynor (Singapore Management University)H-Index: 46
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We investigate how established professionals manage their identities in the face of identity threats from a contested shift in the professional logic that characterizes their field. To do so, we draw on interviews with 113 physicians from five European transition countries who faced pressure for change in their professional identities due to a shift in the logic of health care from a “narrow specialism” in primary care, which characterized the Soviet health system, to “generalism,” which charact...
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#2Jitze MedemaH-Index: 1
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Information and communication technologies (ICT) are promising for the long-term care of older and frequently frail people. These innovations can improve health outcomes, quality of life and efficiency of care processes, while supporting independent living. However, they may be disruptive innovations. As all European member states are facing an increasing complexity of health and social care, good practices in ICT should be identified and evaluated. Three projects funded by DG CNECT are related ...
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#1Yiannis Kyratsis (RMIT: RMIT University)H-Index: 9
#2Kirsten ArmitH-Index: 6
Last. Peter LeesH-Index: 3
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#2Graeme Martin (Dund.: University of Dundee)H-Index: 20
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#2Jo-Louise Huq (U of C: University of Calgary)H-Index: 2
Last. Trish Reay (U of A: University of Alberta)H-Index: 26
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This paper argues that although physicians’ established ways of working make them excellent clinicians, their education and experience make it difficult for them to address wicked problems. After defining wicked problems and illustrating them within healthcare contexts, we explain why physicians’ institutionalised and professionalised ways of working leave them underprepared to address wicked problems. We then describe the emerging concept and frameworks of medical leadership (ML) and show how M...
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The concept of medical leadership (ML) can enhance physicians’ inclusion in efforts for higher quality healthcare. Despite ML’s spiking popularity, only a few countries have built a national taxonomy to facilitate ML competency education and training. In this paper we discuss the development of the Dutch ML competency framework with two objectives: to account for the framework’s making and to complement to known approaches of developing such frameworks. We designed a research approach and analyz...
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#1Steve Iliffe (UCL: University College London)H-Index: 52
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