(European Health Management in Transition)
by Federico Lega (Author), Angela Pirino (Author)
Healthcare
systems across the globe are currently facing perhaps the greatest
challenges and pressures to date as the need to improve outcomes,
efficiency, productivity, quality, customer satisfaction and
sustainability have significantly risen. Further, the emerging focus on
value-based healthcare has increased performance expectations. To
improve capability to face these challenges, doctors were "transformed"
by health organizations and systems into more hybrid figures, i.e.,
doctor-managers and most recently clinical leaders. Yet, in many cases
their engagement hasn't worked as expected or desired, and there is
still much ambiguity on what is the set of expectations attached to the
new hybrid role.
Providing a systematic review of
previous literature about the progressively worrying challenge in
transforming doctors to clinical leaders, Lega and Pirino offer a
qualitative analysis of different advanced countries facing the issue of
training this hybrid role. Finding improved practices applicable
elsewhere, they conclude with a case study focus on the Italian system.
Developing and Engaging Clinical Leaders in the "New Normal" of Hospitals suggests specific policy and practice recommendations on how the system should evolve with regards to clinical leadership.
