Medical leadership arrangements in English healthcare organisations: findings from a national survey and case studies of NHS trusts.

Helen Dickinson; Chris Ham; Iain Snelling; Peter Spurgeon

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Medical leadership arrangements in English healthcare organisations: findings from a national survey and case studies of NHS trusts.

机译：英国医疗保健组织的医疗领导安排：NHS信托的国家调查和案例研究的结果。

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This project sought to describe the involvement of doctors in leadership roles in the NHS and the organisational structures and management processes in use in NHS trusts. A mixed methods approach was adopted combining a questionnaire survey of English NHS trusts and in-depth case studies of nine organisations who responded to the survey. Respondents identified a number of challenges in the development of medical leadership, and there was often perceived to be an engagement gap between medical leaders and doctors in clinical roles. While some progress has been made in the development of medical leadership in the NHS in England, much remains to be done to complete the journey that started with the Griffiths Report in 1983. We conclude that a greater degree of professionalism needs to be brought to bear in the development of medical leadership. This includes developing career structures to make it easier for doctors to take on leadership roles; providing training, development and support in management and leadership at different stages of doctors' careers; and ensuring that pay and other rewards are commensurate with the responsibilities of medical leaders. The time commitment of medical leaders and the proportion of doctors in leadership roles both need to increase. The paper concludes considering the implications of these findings for other health systems.

机译：该项目旨在描述医生在NHS中担任领导角色的过程，以及NHS信托中使用的组织结构和管理流程。采取了一种混合方法的方法，该方法结合了对英国NHS信托的问卷调查和对调查做出回应的9个组织的深入案例研究。受访者指出了医疗领导力发展中的许多挑战，并且通常认为医疗领导者和医生在临床角色方面的参与差距。尽管在英国NHS的医疗领导力发展方面取得了一些进展，但要完成从1983年的格里菲斯报告开始的旅程，还有许多工作要做。我们得出的结论是，需要进一步提高专业水平在医疗领导力的发展。这包括发展职业结构，使医生更容易担任领导职务;在医生职业的不同阶段提供管理，领导力方面的培训，发展和支持;并确保薪酬和其他奖励与医务负责人的职责相称。医疗领导者的时间投入和担任领导角色的医生的比例都需要增加。本文的结论是考虑这些发现对其他卫生系统的影响。

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《Health services management research: an official journal of the Association of University Programs in Health Administration》 |2013年第4期|共7页
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Helen Dickinson; Chris Ham; Iain Snelling; Peter Spurgeon;
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中图分类保健组织与事业（卫生事业管理）;
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1. Medical leadership arrangements in English healthcare organisations: findings from a national survey and case studies of NHS trusts. [J] . Helen Dickinson, Chris Ham, Iain Snelling, Health services management research: an official journal of the Association of University Programs in Health Administration . 2013,第4期

机译：英国医疗保健组织的医疗领导安排：NHS信托的国家调查和案例研究的结果。
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Medical leadership arrangements in English healthcare organisations: findings from a national survey and case studies of NHS trusts.

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