Ogbimi R I
Institute of Public Administration and Extension Services, Ekenwan Campus, University of Benin, Benin City, Edo State, Nigeria.
Afr J Med Med Sci. 2009 Jun;38 Suppl 2:49-53.
Unacceptable health system outcomes are often related to problems with leadership because the ultimate responsibility for assigned work rests on leadership. In this paper, proper leadership at micro and macro-levels can have positive impact on the health and well being of citizens. While this may be readily obvious in other spheres, it has not been addressed adequately in the context of health care systems and its impact on health outcomes. In this paper, I discuss types of work and leadership systems in order to highlight the importance of leadership and leadership training in collaborative training and research for cancer management. The complexity of health systems highlight the expanded role of leadership in terms of capacity and capability to control the environmental risk factors for cancer, deploy adequate resources for the management of cancers, and ensure fruitful and productive post treatment life for citizens. Improved community awareness, better training of health care workers, improved working environment based on better interpersonal relationships between all cadres of health care workers, environmental health and safety initiatives and research on cancer are some of the areas where improved leadership can lead to better health outcomes. Effective leadership requires a set of skills that can be acquired with requisite operating environment, political will and adequate funding in order to generate the expected improvements in outcome.
不可接受的卫生系统结果往往与领导问题有关，因为分配工作的最终责任在于领导。在本文中，微观和宏观层面的恰当领导能够对公民的健康和福祉产生积极影响。虽然这在其他领域可能显而易见，但在医疗保健系统背景下及其对健康结果的影响方面，尚未得到充分探讨。在本文中，我将讨论工作类型和领导系统，以强调领导以及领导培训在癌症管理协作培训和研究中的重要性。卫生系统的复杂性凸显了领导在控制癌症环境风险因素的能力、为癌症管理调配充足资源以及确保公民治疗后生活充实且富有成效等方面的扩展作用。提高社区意识、更好地培训医护人员、基于医护人员各层级之间更好的人际关系改善工作环境、环境卫生与安全举措以及癌症研究，都是领导力提升能够带来更好健康结果的一些领域。有效的领导需要一系列技能，这些技能可以在必要的运营环境、政治意愿和充足资金的支持下获得，以便在结果方面产生预期的改善。
