Public Health England South West, 3rd Floor, 2 Rivergate, Bristol, BS1 6EH, UK.
Centre for Public Health and Wellbeing, University of the West of England, Bristol, BS16 1QY, UK.
BMC Public Health. 2020 Nov 17;20(1):1735. doi: 10.1186/s12889-020-09641-1.
'Systems leadership' has emerged as a key concept in global public health alongside such related concepts as 'systems thinking' and 'whole systems approaches.' It is an approach that is well suited to issues that require collective action, where no single organisation can control the outcomes. While there is a growing literature on the theory of systems leadership in a number of fields, there remains a lack of published empirical studies of public health systems leadership for professionals to learn from. The aim of the current project was to conduct cases studies in UK public health to provide empirical evidence on the nature of effective systems leadership practice.
Three system leadership case studies were identified in the key domains of public health: health protection, healthcare public health and health improvement. A total of 27 semi-structured interviews were conducted. Data were thematically analysed to identify the components of effective systems leadership in each case and its impact.
The thematic analysis identified themes around 'getting started,' 'maintaining momentum' and 'indicators of success' in systems leadership. In terms of getting started, the analysis showed that both a compelling 'call to action' and assembling an effective 'coalition of the willing' are important. To maintain momentum, the analysis identified themes relating to system structure, culture and the people involved. Regarding culture, the main themes that emerged were the importance of nurturing strong relationships, curiosity and a desire to understand the system, and promoting resilience. The analysis identified three components that could be used as indicators of success; these were a sense of enjoyment from the work, resource gains to the system and shifts in data indicators at the population level.
This study has provided insight into the nature of systems leadership in public health settings in the UK. It has identified factors that contribute to effective public health systems leadership and offers a thematic model in terms of establishing a systems leadership approach, maintaining momentum and identifying key success indicators.
“系统领导力”作为一个关键概念在全球公共卫生领域与“系统思维”和“整体系统方法”等相关概念一同出现。它是一种非常适合需要集体行动的问题的方法，在这种问题中，没有任何一个组织可以控制结果。虽然在多个领域都有关于系统领导力理论的不断增长的文献，但对于专业人士来说，仍然缺乏关于公共卫生系统领导力的已发表的实证研究可供学习。本项目的目的是在英国公共卫生领域进行案例研究，为有效的系统领导力实践提供实证证据。
在公共卫生的主要领域确定了三个系统领导案例研究：卫生保护、医疗保健公共卫生和健康改善。共进行了 27 次半结构化访谈。对数据进行了主题分析，以确定每个案例中有效系统领导力的组成部分及其影响。
主题分析确定了系统领导力中的“开始”、“保持动力”和“成功指标”主题。在开始方面，分析表明，一个有说服力的“行动号召”和组建一个有效的“有意愿的联盟”都很重要。为了保持动力，分析确定了与系统结构、文化和相关人员有关的主题。在文化方面，出现的主要主题是培养强大关系的重要性、好奇心和了解系统的愿望，以及促进弹性。分析确定了三个可以用作成功指标的组成部分；这些是对工作的享受感、系统的资源收益以及人口水平上数据指标的变化。
本研究深入了解了英国公共卫生环境中的系统领导力的性质。它确定了有助于有效公共卫生系统领导力的因素，并提供了一个关于建立系统领导力方法、保持动力和确定关键成功指标的主题模型。
