Mitterlechner Matthias
University of St. Gallen, St. Gallen, CH.
Int J Integr Care. 2020 Aug 11;20(3):6. doi: 10.5334/ijic.5420.
In many countries, elderly patients with chronic conditions require a web of services delivered by several providers collaborating in inter-organisational networks. In view of their global importance, it is surprising how little we know how these networks are led. Like traditional organisations, networks require leadership to function effectively. This paper reviews central characteristics of leadership in integrated care networks and proposes opportunities for future research.
Analysing 73 studies published in leading academic journals, this paper consolidates research on leadership media, practices, activities and outcomes, covering the network, policy and organisation levels of analysis.
Findings indicate that the field has focused on leadership media and outcomes at the network level. They also suggest that leadership in integrated care networks faces multiple tensions. Future research could usefully provide a fuller picture by examining leadership practices, activities and outcomes at the policy and organisation level, integrating advances in the wider leadership literature.
These findings contribute to the debate on leadership in integrated care networks. They also inform practice, drawing attention to persistent tensions as a core leadership challenge and offering latest scholarly evidence practitioners can use to reflect on and advance their own leadership practice.
在许多国家，患有慢性病的老年患者需要由多个提供者在组织间网络中协作提供的一系列服务。鉴于其全球重要性，令人惊讶的是，我们对这些网络的领导方式知之甚少。与传统组织一样，网络需要领导力才能有效运作。本文回顾了综合护理网络中领导力的核心特征，并提出了未来研究的机会。
通过分析在领先学术期刊上发表的73项研究，本文整合了关于领导媒介、实践、活动和结果的研究，涵盖网络、政策和组织层面的分析。
研究结果表明，该领域主要关注网络层面的领导媒介和结果。研究还表明，综合护理网络中的领导力面临多种矛盾。未来的研究可以通过在政策和组织层面研究领导实践、活动和结果，整合更广泛领导力文献中的进展，从而更全面地呈现相关情况。
这些研究结果有助于关于综合护理网络中领导力的辩论。它们也为实践提供了参考，提醒人们注意持续存在的矛盾是核心领导挑战，并提供最新学术证据，供从业者用于反思和推进自己的领导实践。
