MTDS, Ripon, UK.
Leadersh Health Serv (Bradf Engl). 2020 Aug 3;33(4):351-363. doi: 10.1108/LHS-02-2020-0005.
This paper aims to make the case that there is a need to move beyond a focus on an approach to leadership development which is confined to health care only. It argues that, given the economic, financial, social and organisational context within which health and social care organisations in the UK operate, there is a need to develop leadership within health and social care systems, rather than within the existing "siloed" sectors.
DESIGN/METHODOLOGY/APPROACH: The paper considers the context within which health and social care organisations in the UK operate; examines the nature of those organisations; makes the case for focusing on the health and social car system through systems leadership; and identifies the need for leadership, rather than leader development.
There is a danger of health and social care organisations "walking backwards into the future" with eyes fixed on the past. The future lies with treating health and social care as a system, rather than focusing on organisations. The current model is individual leader focused, but the emerging model is one of collective multi-agency teams.
ORIGINALITY/VALUE: The paper seeks to go beyond a health-care-only focus, by asserting that there is a need to regard health and social care as a single system, delivered by a multiplicity of different organisations. This has implications for the kind of leadership involved and for how this might be developed.
本文旨在提出一个观点，即需要超越仅关注医疗保健领域的领导力发展方法。本文认为，鉴于英国卫生和社会保健组织所处的经济、财务、社会和组织背景，有必要在卫生和社会保健系统内培养领导力，而不是在现有的“孤立”部门内。
设计/方法/途径：本文考虑了英国卫生和社会保健组织所处的环境；研究了这些组织的性质；通过系统领导力为关注卫生和社会保健系统提出了理由；并确定了领导力而非领导者发展的必要性。
如果卫生和社会保健组织只关注过去，那么它们将“倒退着走向未来”。未来在于将卫生和社会保健视为一个系统，而不是关注组织。当前的模式以个体领导者为中心，但新兴的模式是集体多机构团队。
原创性/价值：本文通过断言需要将卫生和社会保健视为一个由多种不同组织提供的单一系统，超越了仅关注医疗保健的观点。这对所涉及的领导类型和如何发展这种领导类型都有影响。
