What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study
Medical leadership is an increasingly important aspect of hospital management. By engaging physicians in leadership roles, hospitals aim to improve their clinical and financial performances. Research has revealed numerous factors that are regarded as necessary for 'medical leaders' to mast...
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| Veröffentlicht in: | PloS one 2019-06, Vol.14 (6), p.e0218095-e0218095 |
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| creator | van de Riet, Merlijn C P Berghout, Mathilde A Buljac-Samardžić, Martina van Exel, Job Hilders, Carina G J M |
| description | Medical leadership is an increasingly important aspect of hospital management. By engaging physicians in leadership roles, hospitals aim to improve their clinical and financial performances. Research has revealed numerous factors that are regarded as necessary for 'medical leaders' to master, however we lack insights into their relative importance. This study investigates the views of healthcare professionals and managers on what they consider the most important factors for medical leadership. Physicians (n = 11), nurses (n = 10), laboratory technicians (n = 4) and managers (n = 14) were interviewed using Q methodology. Participants ranked 34 statements on factors elicited from the scientific literature, including personal features, context-specific features, activities and roles. By-person factor analysis revealed three distinct views of medical leadership. The first view represents a strategic leader who prioritizes the interests of the hospital by participating in hospital strategy and decision making. The second view describes a social leader with strong collaboration and communication skills. The third view reflects an accepted leader among peers that is guided by a clear job description. Despite these differences, all respondents agreed upon the importance of personal skills in collaboration and communication, and having integrity and a clear vision. We find no differences in views related to particular healthcare professionals, managers, or departments as all views were defined by a mixture of departments and participants. The findings contribute to increased calls from both practice and literature to increase conceptual clarity by eliciting the relative importance of medical leadership-related factors. Hospitals that wish to increase the engagement of physicians in improving clinical and financial performances through medical leadership should focus on selecting and developing leaders who are strong strategists, socially skilled and accepted by clinical peers. |
| doi_str_mv | 10.1371/journal.pone.0218095 |
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Three views of healthcare professionals and managers: A case study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS) Journals Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>van de Riet, Merlijn C P ; Berghout, Mathilde A ; Buljac-Samardžić, Martina ; van Exel, Job ; Hilders, Carina G J M</creator><contributor>Vaismoradi, Mojtaba</contributor><creatorcontrib>van de Riet, Merlijn C P ; Berghout, Mathilde A ; Buljac-Samardžić, Martina ; van Exel, Job ; Hilders, Carina G J M ; Vaismoradi, Mojtaba</creatorcontrib><description>Medical leadership is an increasingly important aspect of hospital management. By engaging physicians in leadership roles, hospitals aim to improve their clinical and financial performances. Research has revealed numerous factors that are regarded as necessary for 'medical leaders' to master, however we lack insights into their relative importance. This study investigates the views of healthcare professionals and managers on what they consider the most important factors for medical leadership. Physicians (n = 11), nurses (n = 10), laboratory technicians (n = 4) and managers (n = 14) were interviewed using Q methodology. Participants ranked 34 statements on factors elicited from the scientific literature, including personal features, context-specific features, activities and roles. By-person factor analysis revealed three distinct views of medical leadership. The first view represents a strategic leader who prioritizes the interests of the hospital by participating in hospital strategy and decision making. The second view describes a social leader with strong collaboration and communication skills. The third view reflects an accepted leader among peers that is guided by a clear job description. Despite these differences, all respondents agreed upon the importance of personal skills in collaboration and communication, and having integrity and a clear vision. We find no differences in views related to particular healthcare professionals, managers, or departments as all views were defined by a mixture of departments and participants. The findings contribute to increased calls from both practice and literature to increase conceptual clarity by eliciting the relative importance of medical leadership-related factors. 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Three views of healthcare professionals and managers: A case study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-06-11</date><risdate>2019</risdate><volume>14</volume><issue>6</issue><spage>e0218095</spage><epage>e0218095</epage><pages>e0218095-e0218095</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Medical leadership is an increasingly important aspect of hospital management. By engaging physicians in leadership roles, hospitals aim to improve their clinical and financial performances. Research has revealed numerous factors that are regarded as necessary for 'medical leaders' to master, however we lack insights into their relative importance. This study investigates the views of healthcare professionals and managers on what they consider the most important factors for medical leadership. Physicians (n = 11), nurses (n = 10), laboratory technicians (n = 4) and managers (n = 14) were interviewed using Q methodology. Participants ranked 34 statements on factors elicited from the scientific literature, including personal features, context-specific features, activities and roles. By-person factor analysis revealed three distinct views of medical leadership. The first view represents a strategic leader who prioritizes the interests of the hospital by participating in hospital strategy and decision making. The second view describes a social leader with strong collaboration and communication skills. The third view reflects an accepted leader among peers that is guided by a clear job description. Despite these differences, all respondents agreed upon the importance of personal skills in collaboration and communication, and having integrity and a clear vision. We find no differences in views related to particular healthcare professionals, managers, or departments as all views were defined by a mixture of departments and participants. The findings contribute to increased calls from both practice and literature to increase conceptual clarity by eliciting the relative importance of medical leadership-related factors. Hospitals that wish to increase the engagement of physicians in improving clinical and financial performances through medical leadership should focus on selecting and developing leaders who are strong strategists, socially skilled and accepted by clinical peers.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31185051</pmid><doi>10.1371/journal.pone.0218095</doi><tpages>e0218095</tpages><orcidid>https://orcid.org/0000-0002-7000-239X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Beliefs, opinions and attitudes Biology and Life Sciences Case reports Clinical decision making Collaboration Communication skills Curricula Decision making Factor analysis Female Health care Health Personnel Hospitals Humans Leadership Male Management Managers Medical personnel Medical research Medicine and Health Sciences Nurses Nursing administration People and Places Physicians Planning Practice Professionals Social Sciences Studies Technicians |
| title | What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study |
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