Schwartz R W, Pogge C R, Gillis S A, Holsinger J W
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0298, USA.
Acad Med. 2000 Feb;75(2):133-40. doi: 10.1097/00001888-200002000-00008.
Physician leaders are crucial as never before to ensure the proper integration of good care and cost containment; such integration is both a reasonable expectation of patients and essential for the survival of health care delivery systems. In today's health care environment, a critical mass of physician leaders must be developed in a systematic fashion so that physicians may truly lead the health care enterprise. The authors (1) describe, with examples, the various types and levels of physician leadership training programs currently being offered; (2) explain the costs and benefits of each program type; and (3) offer a program rationale and model (using a program at their medical school), which they analyze using traditional management concepts such as strategic planning, net present value, and make-versus-buy. The authors emphasize that physician leadership training should be local, offer long-term instruction, and be led by physicians. They conclude by stating that the concept of physician leadership will not and should not be taken seriously by non-physician health care executives until the physician community becomes as serious about leadership and management training as it is about clinical training.
医师领导者对于确保优质医疗与成本控制的恰当整合而言，其重要性前所未及；这种整合既是患者的合理期望，也是医疗服务体系生存的关键。在当今的医疗环境中，必须以系统的方式培养足够数量的医师领导者，以便医师能够真正引领医疗事业。作者们（1）举例描述了目前正在提供的各类医师领导力培训项目及其层次；（2）解释了每种项目类型的成本与收益；（3）提供了一个项目原理及模式（以他们医学院的一个项目为例），并运用战略规划、净现值以及自制与外购等传统管理概念对其进行分析。作者们强调，医师领导力培训应当本地化，提供长期指导，并且由医师来主导。他们最后指出，在医师群体像对待临床培训一样认真对待领导力与管理培训之前，非医师医疗高管不会也不应认真看待医师领导力这一概念。
