Grady Colleen Marie, Hinings C R Bob
Department of Family Medicine, Queen's University , Kingston, Canada.
Alberta School of Business, University of Alberta , Edmonton, Canada.
Leadersh Health Serv (Bradf Engl). 2019 Jun 28;32(3):338-347. doi: 10.1108/LHS-09-2017-0058. Epub 2018 Apr 19.
Physicians are instrumental in healthcare reform and their capacity to employ both leadership and management skills can affect change at all levels. This paper aims to present the challenges and opportunities for physicians in influencing system change and discuss how the two different but complementary skill sets may enable them to contribute to transformation of healthcare.
DESIGN/METHODOLOGY/APPROACH: This is a conceptual paper and represents the viewpoints of both authors while incorporating current evidence through the literature.
Healthcare reform is important and underway in many Canadian provinces, yet it is difficult to achieve change. Leadership and management skills differ although these differences are often subtle in language. Physicians both lead and manage in the healthcare system; their capacity to do both is an advantage for healthcare reform.
ORIGINALITY/VALUE: This paper represents the opinions of both authors and is considered original as a conceptual paper.
医生在医疗改革中发挥着重要作用，他们运用领导和管理技能的能力会影响各级层面的变革。本文旨在阐述医生在影响系统变革方面面临的挑战与机遇，并探讨这两种不同但相辅相成的技能组合如何使他们为医疗保健转型做出贡献。
设计/方法/途径：这是一篇概念性论文，代表了两位作者的观点，同时通过文献纳入了当前的证据。
医疗改革在加拿大许多省份都很重要且正在进行，但实现变革却很困难。领导技能和管理技能有所不同，尽管这些差异在语言上往往很细微。医生在医疗系统中既发挥领导作用又进行管理；他们具备这两种能力对医疗改革来说是一项优势。
原创性/价值：本文代表了两位作者的观点，作为一篇概念性论文被认为具有原创性。
