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Published on: February 16, 2011
Leadership problems in the management of health institutions
Nilson A Contreras-Carreto1, Martha L Ramírez-Montiel2
1Dirección General de Calidad y Educación en Salud, Secretaría de Salud, Ciudad de México. México.
Abstract:
In health institutions, physicians or other health professionals frequently occupy senior management positions, usually without any administrative expertise. In such a way that an excellent clinician can become a lousy leader and administrator. In this article, the administrative and organizational consequences of a bad exercise of leadership are displayed, interpreting the phenomenon from the classical and contemporary theories of leadership and exposing the problems that top management in health frequently faces in hospitals. Leadership is not innate; it is a skill that can be developed. Leading and managing health institutions is a science and an art that should be learned from undergraduate and perfected in the postgraduate course. Unless the health professional has a solid administrative and political career, holding senior positions in the hospital is a fortuitous matter.
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