Royal Roads University, Centre for Health Leadership and Research, Victoria, BC V9B 5Y2, Canada.
Qual Health Res. 2011 Jul;21(7):952-67. doi: 10.1177/1049732311399780. Epub 2011 Feb 22.
Health care delivery must be transformed to manage spiraling costs and preserve quality care. Transforming complex health systems will require the engagement of physicians as leaders in their health care settings, in both formal and informal roles. In this article we explore the experience of physician leader engagement and identify factors operating at the individual, team, and organizational levels related to increased or decreased physician leader engagement. Using an inductive approach, our analysis of the transcribed interviews yielded a rich understanding of what motivates physicians to be engaged as leaders, how they experience engagement, the role of the physician leader, how physicians understand other physicians' engagement, what encourages and discourages their engagement efforts, and the role that education and training has in physician engagement. We conclude by offering strategies that physicians, health care organizations, and educational institutions can implement to increase the engagement of physician leaders.
医疗保健服务必须进行转型，以控制不断攀升的成本并维持高质量的医疗服务。要实现复杂的医疗体系转型，就需要医生以领导者的身份参与到他们的医疗环境中，无论是正式的还是非正式的角色。在本文中，我们探讨了医生领导者参与的经验，并确定了与医生领导者参与度增加或减少相关的个体、团队和组织层面的因素。通过采用归纳法，我们对转录访谈的分析得出了对激励医生成为领导者的动机、他们的参与体验、医生领导者的角色、医生如何理解其他医生的参与、鼓励和阻碍他们参与的因素以及教育和培训在医生参与中的作用的深入理解。最后，我们提出了医生、医疗保健组织和教育机构可以实施的策略，以增加医生领导者的参与度。
