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Passing the baton--toward making a case for a Canadian centre for health leadership
William G Tholl1, Monika MacLaren, Alexandra Tcheremenska-Greenhill
1Canadian Medical Association.
Insights
Senior health leadership tenure has sharply declined over 30 years, falling below private and public sectors. This study explores reasons and proposes a Canadian Centre for Health Leadership to strengthen sector leadership.
Area of Science:
- Health Services Research
- Leadership Studies
- Public Policy
Background:
- The stability and effectiveness of senior leadership are crucial for healthcare system performance.
- Declining leadership tenure can impact strategic planning, organizational continuity, and workforce morale.
- Comparisons with other sectors are needed to contextualize trends in health leadership.
Purpose of the Study:
- To analyze trends in senior health leadership tenure over the past three decades.
- To compare health sector leadership tenure with private and public sectors.
- To propose a framework for a Canadian Centre for Health Leadership.
Main Methods:
- Analysis of longitudinal data on senior leader tenure in the Canadian health sector.
- Comparative analysis of leadership tenure across health, private, and public sectors.
- Qualitative assessment of factors influencing leadership transitions.
Main Results:
- Average senior leadership tenure in the health sector has significantly decreased over the last 30 years.
- Health sector leadership tenure is substantially shorter compared to private and public sectors.
- Identified key factors contributing to the downward trend in health leadership duration.
Conclusions:
- The declining tenure of senior health leaders poses a risk to healthcare system stability and effectiveness.
- A dedicated Canadian Centre for Health Leadership is proposed to address leadership development and retention challenges.
- Strengthening health leadership is essential for navigating complex healthcare reforms and ensuring quality patient care.
Abstract:
This paper demonstrates that the average tenure of current senior leaders in the health sector has declined sharply over the last three decades, and is substantially shorter than that of leaders in the private and public arenas. It offers potential reasons for this downward trend, and sets out the broad parameters for a Canadian Centre for Health Leadership, which could help better identify, develop, support, and celebrate leadership in health and healthcare in Canada.
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