回到未来:从COVID-19大流行中吸取的长期领导力教训
Richard Frankel1,2, Jordan Brogley Webb3,4, John Bowen5
1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
The Permanente journal
|August 22, 2025
概括
有效应对疫情需要强有力的领导力,情况意识和关注组织文化. 了解这些因素可以改善对未来全球健康危机的准备.
科学领域:
- 公共卫生
- 卫生系统管理
- 流行病学
背景情况:
- 像1918年流感和H1N1疫情这样的历史性流行病凸显了全球持续的不准备.
- 2019年新冠肺炎 (COVID-19) 疫情进一步暴露了美国公共卫生准备的重大缺陷.
- 经常出现的失败表明需要确定和实施有效的流行病应对策略.
研究的目的:
- 调查有助于成功应对COVID-19流行病的领导实践.
- 确定改善未来疫情防控的基本原则和做法.
- 从高级领导人管理灾难性健康事件的经验中学习.
主要方法:
- 招募了14名高级领导人 (61%) 来自多个地点,多个国家综合卫生系统,使用最大变异抽样.
- 进行的个人录音采访 (约. 20分钟) 基于评估性调查和关键事件报告.
- 使用代共识编码来识别六个主要主题:自我和情况意识,团队合作,准备,鼓舞人心的领导力,内部沟通和外部沟通.
主要成果:
- 组织文化,共享认知和历史背景显著影响整个系统对流行病的反应.
- 个人领导决策很重要,但更广泛的组织因素影响了整体效率.
- 有效的反应不仅取决于领导者的个人行为.
结论:
- 对新事件的准备不足和单向沟通是混乱和无效的流行病反应的风险因素.
- 高级领导者必须将临床需求与人文价值观和目标相结合, 以获得最佳结果.
- 优先考虑情况意识和组织文化可以提高未来疫情准备和应对的质量,及时性和有效性.
相关概念视频
Steps in Outbreak Investigation
199
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
199
Stress Prevention and Stress Management Techniques VI
64
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
64
Long-term Depression
2.6K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.6K
Stress Prevention and Stress Management Techniques I
92
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
92
Longitudinal Studies
238
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
238
Current Trends in Nursing I
1.7K
Current trends in nursing include:
1.7K


