Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Directorate of Primary Health Care, Faculty of Health Science, University of Cape Town, Cape Town, South Africa; and, Department of Family and Emergency Medicine, Western Cape Department of Health, George Regional Hospital, George.
Afr J Prim Health Care Fam Med. 2021 Sep 6;13(1):e1-e4. doi: 10.4102/phcfm.v13i1.3043.
Healthcare systems are complex adaptive systems, requiring a change in leadership style, from the traditional model to collaborative, values-driven leadership (VDL). Family physicians are well positioned to facilitate integration and coordination between levels of care, across specialties and within teams, in partnership with local and district management team members. This short report describes a leadership innovation experience in a rural South African district, where a VDL course was introduced in a district health context to build on a strong tradition of relationship-centred outreach and support aimed at creating a learning health system. The authors reflect on the contribution of family physicians to strengthen team-based capacity building, care coordination and a learning culture aimed at quality improvement from the perspectives of the regional and district hospital environments. A values-based leadership style will enable family physicians to strengthen team-relationships and create organisational environments, which support shared learning and quality improvement approaches. Ultimately this approach should lead to improved health systems.
医疗保健系统是复杂的自适应系统，需要改变领导风格，从传统模式转变为协作、价值观驱动的领导（VDL）。家庭医生非常适合促进各级医疗保健之间的整合和协调，跨越专业领域，并在与当地和地区管理团队成员的合作中，在团队内部进行协调。本简短报告描述了南非农村地区的一项领导力创新经验，在该地区卫生背景下引入了 VDL 课程，以建立在以关系为中心的拓展和支持的强大传统基础上，旨在创建学习型卫生系统。作者从区域和地区医院环境的角度反思家庭医生在加强基于团队的能力建设、协调护理和学习文化以提高质量方面的贡献。基于价值观的领导风格将使家庭医生能够加强团队关系，并创造组织环境，支持共享学习和质量改进方法。最终，这种方法应该会改善卫生系统。
