在美国排名第一的医院中,初级保健医生领导地位
Erin E Sullivan1, Amber L Stephenson2, Wai Wai Khaing2
1From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH). Esullivan5@suffolk.edu.
很少有医院首席执行官 (4-7%) 是初级保健医生,这影响了该专业的重要作用. 加强领导力发展对于初级保健的未来和全球健康效益至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗领导力 医疗领导力
- 医生劳动力研究 医生劳动力研究
背景情况:
- 初级保健在全球健康结果中的关键作用.
- 越来越复杂的医疗保健系统和领导力需求.
- 初级保健医生在顶级医院领导职位上的代表性不足.
研究的目的:
- 量化美国顶级医院首席执行官中初级保健医生的比例.
- 突出需要改善初级保健医生的领导力发展途径.
- 为了强调由于领导力缺陷而对初级保健的作用造成的潜在负面影响.
主要方法:
- 分析来自医院首席执行官的领导力数据,这些数据出现在美国四大医院排名中.
- 首席执行官医生培训背景的分类,具体确定初级保健专业.
- 对代表比例进行比较分析.
主要成果:
- 在美国顶级医院的首席执行官中,只有4%至7%的首席执行官有初级保健医生背景.
- 初级保健医生在执行领导角色中的代表性显著不足.
- 确定了从初级保健住院到卫生系统实践的领导力发展管道中的差距.
结论:
- 迫切需要针对初级保健医生制定有针对性的领导力发展计划.
- 如果未能解决这一差距,可能会削弱初级保健的基本功能和全球贡献.
- 加强初级保健领导力对于有效的医疗保健系统管理和患者结果至关重要.
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