Dr. Souba is emeritus dean and professor of surgery, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Acad Med. 2015 Feb;90(2):139-42. doi: 10.1097/ACM.0000000000000534.
Most health care transformation efforts are unsuccessful because they overlook the importance of personal transformation in enabling major systemic change. Personal transformation is about creating access to a broader range of ways of being, thinking, and acting in order to be more effective in dealing with those challenges for which conventional strategies are inadequate. As many of the changes that are taking place in health care are inevitable, mastering context is critical to transformation. In moving the organization forward, key thought leaders who embrace new ways of working together can help others recontextualize their challenges, thereby serving as important catalysts for diffusing these innovations into the culture. The ensuing improvement in performance is less the result of having learned some new concept or theory and more a function of having altered the context through which one's challenges are understood. When individual transformation parallels organizational transformation, a tipping point is reached where there is a visible increase in organizational members' effectiveness, a marked increase in organizational members' impact on others' performance, and a collective experience that work is more fulfilling.
大多数医疗保健转型努力都以失败告终,因为它们忽视了个人转型在推动重大系统变革方面的重要性。个人转型是为了创造更多的方式来获得存在、思考和行动的机会,以便更有效地应对那些传统策略不足的挑战。由于医疗保健领域正在发生的许多变化是不可避免的,因此掌握背景对于转型至关重要。在推动组织前进的过程中,拥抱新的合作方式的主要思想领袖可以帮助其他人重新理解他们的挑战,从而成为将这些创新扩散到文化中的重要催化剂。绩效的提高与其说是因为学习了一些新概念或理论,不如说是因为通过改变理解挑战的背景而实现的。当个人转型与组织转型相平行时,就会达到一个临界点,组织成员的效率明显提高,组织成员对他人绩效的影响显著增加,并且集体体验到工作更有意义。