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Healer Vs Leader –Determinants & Deterrents of Clinician Leadership in Indian Healthcare


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1 Associate Professor (Business Management), Symbiosis Law School, Hyderabad, A constituent of Symbiosis International (Deemed University), Pune, India
     

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Clinician leadership is important for quality healthcare delivery, but does it collide with the image of a healer? This study explores different leadership styles of doctors and contextual factors causing it in a corporate, private hospital in South India. Managerial Grid questionnaire and Semi-structured interviews are used to elicit data. Thematic Analysis is used to interpret Semi-structured interview data. It is found that a few position holders are exhibiting appropriate style while most of them are exhibiting styles that are incompatible with their job description. The deterrents identified in the study prevent the healer to become a leader. At the same time, these deterrents also prevent the healers to reconcile with the growing importance of clinical leadership.
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  • Adair, J. (1973), Action-centered Leadership, McGraw-Hill, New York.
  • Baker, G. (2011), The Roles of Leaders in Highperforming Healthcare Systems, Paper commissioned by The King’s Fund, United Kingdom.
  • Barrow, J. C. (1976), “Worker Performance and Task Complexity as Casual Determinants of Leader Behavior Style and Flexibility”, Journal of Applied Psychology, 6 (4): 143340
  • Bennis, W. G. (1959), “Leadership Theory and Administrative Behavior: The Problem of Authority, Administrative Science Quarterly, 4 (Issue no): 259-69.
  • Blake, R. R., Mouton, J. S. & Bidwell, A. C. (1962), ”The Managerial Grid”, Advanced Management-Office Executive, 1(9): 12-15.
  • D a l y , D , J a c k s o n , J , M a n n i x , P . M . , Davidson, M., Hutchinson (2014), “The Importance of Clinical Leadership in the Hospital Setting”, Journal of Healthcare Leader, 6: 75-83 doi: 10.2147/JHL.S46161
  • Darzi, A. (2008), High Quality Care for all: NHS Next Stage Review Final Report, Department of Health, London. Available at: http:/ /www.officialdocuments.gov.uk/document/ cm74/7432/7432.pdf (accessed 19 June 2019).
  • Dinh, J.E., Lord, R.G., Gardner, W.L., Meuser, J.D., Liden, R.C., Hu, J. (2014) “Leadership Theory and Research in the New Millennium: Current Theoretical Trends and Changing Perspectives”, Leadership Quarterly, 25(1) :36–62.
  • Goodwin, C. & Heritage, J. (1990), “Conversation Analysis”, Annual Review of Anthropology, 19 (1): 283-307 Guthrie, M. B. (1999), “Challenges in Developing Physician Leadership and Management”, Frontiers of Health Services Management, 15(4): 3-26
  • Ham C (2003), “Improving the Performance of Health Services: the Role of Clinical Leadership”, Lancet, 361:1978-80.
  • Hernandez, M., Eberly, M. B., Avolio, B. J., Johnson, M. D. (2011), “The Loci and Mechanism of Leadership: Exploring a More Comprehensive View of Leadership Th eo r y”, T h e L e a dershi p Quarterly,22:1165-85.http://faculty.washington.edu/mdj3/Leadership%20Loci%20and%20Mechanisms.pdf
  • Hersey, P, &Blanchard, K. H. (1993), Management of Organizational Behavior: Utilizing Human Resources, 6th Ed., Prentice-Hall, New Jersey.
  • Hoff, T. J., & Mandell, J. (2001), “Exploring Dual Commitment Among Physician Executives in Managed Care”, Journal of Healthcare Management, 46 (2): 91-109.
  • Horwitz, I.B, Horwitz, S. K, Daram, P. (2008), “Transformational, Transactional, and Passiveavoidant Leadership Characteristics of a Surgical Resident Cohort: Analysis Using the Multifactor Leadership Questionnaire and Implications for Improving Surgical Education Curriculums”, Journal of Surgical Research,148 (1) :49-59.
  • Howell, J. M. & Avolio, B. J. (1993), “Transformational Leadership, Transactional Leadership, Locus of Control, and Support for Innovation: Key Predictors of Consolidated Business Unit Performance”, Journal of A pp l ie d P syc ho l o g y, 78 ( 6): 8 91 - 90 2 www.ibef.org (Accessed from https:// www.ibef.org/industry/healthcare-presentation)
  • Karmel, B. (1978), “Leadership: A Challenge to Traditional Research Methods and Assumptions”, Academy of Management Review, 3 :475-82.
  • Kling, Jim (2020), “Hospital Leadership Lessons in the Era of COVID-19”, Available at ( h t t p s : / / w w w. t h e - h o s p i t a l i s t . o r g / hospitalist/article/229864/leadership-training/ hospital-leadership-lessons-era-covid19)
  • Kumar, R. D. C. , (2013), “Leadershi p in Healthcare”, Anaesthesia and Intensive Care Medicine,17 (1): 39-41.
  • La Bier, Douglas (2014), “Why Humble, Empathic Business Leaders Are More Successful”, Huffington Post, 24 October
  • Lewin, Kurt, Lippitt, R, White, R. K. (1939), “Patterns of Aggressive Behavior in Experimentally Created social climates”, Journal of Social Psychology, 10 : 271-99
  • Marcus, J. Leonard, McNulty, J. Eric (2019), The Knowns and Unknowns of Health Care Meta Leadership, Available at: (https:// www.hsph.harvard.edu/ecpe/knowns-unknownshealthcare-meta-leadership/ )
  • Marcus, Leonard J., Dorn, Barry C. & Henderson, Joseph M. (2006), “Meta-Leadership and National Emergency P reparedness: A Model to Build Government Connectivity”,Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science. 4(2):128–34
  • MacPhee M, Chang, L, Lee D & Spiri, W.C., (2013), “Global Healthcare Leadership Development: Trends to Consider”, Journal of Healthcare Leader, 2013(5): 21-29
  • McDermott, A. M, Keating M. A, Leggat, S. G, Balding, C. (2013), “Achieving organizational Competence for Clinical Leadership: The Role of High Performance Work Systems”, Journal of Health Organization and Management, 27(3): 312–29.
  • Noon, M. (2016), The Essential Element to Employee Engagement: Rounding. Lecture conducted at Owensboro Health Regional Hospital, Owensboro, KY, November Northouse, P.G. (2012), Introduction to Leadership: Concepts and Practice. 2nd Ed. Sage Publications, Thousand Oaks, CA.
  • Palmer, R, Cragg, R, Wall, D. & Wilkie V. (2008), “Team and Leadership Styles of Junior Doctors”, International Journal of Clinical Leadership, 16 (3): 131-5.
  • Patterson, P. (2015), Healthy Exchange 2015, Owensboro Health 2015 (Employee Town Hall Forums). Lecture conducted at Owensboro Health Regional Hospital, Owensboro, KY. April Riordan, M. C., (2014), Three Ways Leaders Can Listen with More Empathy [online].
  • Robbins, S.P. (1979), Organizational Behavior: Concepts and Controversies, Engle wood cliffs, Prentice Hall, New Jersey Ryan, J. C & Tipu, S. A. (2013), “Leadership Effects on Innovation Propensity: A Two-factor Full Range Leadership Model”, Journal of Business Research, 66(10): 2116–29.
  • Simsek, M.S, Akgemici, T., Çelik, A. (2003), Davranýþ Bilimlerine Giriþ ve Örgütlerde Davranýþ, Adým Matbaacýlýk, Konya.
  • Yukl, G. (2002), Leadership in Organizations, 5th Edition, Upper Saddle River, New Jersey, USA Schreuder, J. A. H, Roelen, C.A.M, Van Zweeden, N. F. (2011), “Leadership Effectiveness and Recorded Sickness Absence Among Nursing Staff: a Cross Sectional Pilot Study”, Journal of Nursing in Management, 19 : 585-95.
  • Schwartz, R.W., Tumblin, T.F. (2002), “The Power of Servant Leadership to Transform Healthcare Organizations for the 21st-century Economy”, Arch Surg, 137 (12) :141927. https://pubmed.ncbi.nlm.nih.gov/1247 0112/
  • Schyve, P. (2009), Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards, The Governance Institute, San Diego, CA Siriwardena, A. N. (2006), ”Releasing the Potential of Health Services: Translating Clinical Leadership into Healthcare Quality Improvement”, Qual Prim Care, 14 (3): 125-28
  • Smith, P. C, Anell, A, Busse R, Crivelli L, Healy J, Lindahl, A.K, Westert, G, Kene, T. (2012), “Review of Leadership and Governance in Seven Developed Health Systems”, Health Policy,106 (1): 37-49.
  • Storey, J. & Holti, R. (2013), “Possibilities and Pitfalls for Clinical Leadership in Improving Service Quality, Innovation and Productivity, Final Report for the National Coordinating Centre for NHS Service Delivery and Organization R&D (NCCSDO)
  • SDO Research Project 09/1001/22, Access via: http://oro.open.ac.uk/36270/1/SDO_FR_09-1001-22_V05.
  • Swanwick T. & McKimm, J. (2011), “What Is Clinical Leadership ...and Why Is It Important?” The Clinical Teacher, 8 (1): 22-26
  • Tannenbaum, R. &, Schmidt, W. H. (1973), “How to Choose a Leadership Pattern?”, Harvard Business Review, May-June, 162-80 The King’s Fund (2011), The Future of Leadership and Management in the NHS: No More Heroes, The King’s Fund, London.
  • Vaghee S, &Yavari, M. (2013), “The Effect of Communication Skills Training on the Quality of Nursing Care of Patients”, Evidence Based Care Journal, 2 (4): 37–46
  • Weberg, D. (2012), “Complexity Leadership: A Healthcare Imperative” Weberg (Ed), Nursing Forum; Wiley Online Library.
  • Xiragasar, S, Samuels, M. E, & Stoskopf, C. H. (2005), “Physician Leadership Styles and Effectiveness: an Empirical Study”, Medical Care Research and Review, 62 (issue no):720-40.
  • Yukl, Gary (2012), “Effective Leadership Behavior: What We Know and What Questions Need More Attention”, Academy of Management Perspectives, 26 (4) 66-85

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  • Healer Vs Leader –Determinants & Deterrents of Clinician Leadership in Indian Healthcare

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Authors

Prageetha G Raju
Associate Professor (Business Management), Symbiosis Law School, Hyderabad, A constituent of Symbiosis International (Deemed University), Pune, India

Abstract


Clinician leadership is important for quality healthcare delivery, but does it collide with the image of a healer? This study explores different leadership styles of doctors and contextual factors causing it in a corporate, private hospital in South India. Managerial Grid questionnaire and Semi-structured interviews are used to elicit data. Thematic Analysis is used to interpret Semi-structured interview data. It is found that a few position holders are exhibiting appropriate style while most of them are exhibiting styles that are incompatible with their job description. The deterrents identified in the study prevent the healer to become a leader. At the same time, these deterrents also prevent the healers to reconcile with the growing importance of clinical leadership.

References