Fernandopulle Navindi
MBBS, Bsc Gloucester Royal Hospital, Gloucester, UK.
Med J Islam Repub Iran. 2021 Sep 14;35:117. doi: 10.47176/mjiri.35.117. eCollection 2021.
Hierarchical leadership is an antiquated practice seen commonly in health care, whereby strictly defined roles and their importance are overemphasized. This can have unintended negative consequences in a pressurised environment. In contrast, flat hierarchies are gaining popularity, as they afford the flexibility and equality that is vital in a caring environment, where no one should be afraid to raise concerns and voice their opinions. Are hierarchical power structures inhibiting hospitals from achieving effective medical leadership and quality care? With increasing pressures on the health care system, is it time to move away from a hierarchical power structure that has been present for over 70 years? To inspire culture change, is it time to explore alternatives, such as a flat hierarchy?
等级制领导是医疗保健领域常见的一种过时做法，即过分强调严格定义的角色及其重要性。在压力环境下，这可能会产生意想不到的负面后果。相比之下，扁平式层级结构越来越受欢迎，因为它们提供了在关怀环境中至关重要的灵活性和平等性，在这种环境中，没有人应该害怕提出担忧并表达自己的意见。等级制权力结构是否在阻碍医院实现有效的医疗领导和高质量护理？随着医疗保健系统压力的不断增加，是否到了摒弃存在了70多年的等级制权力结构的时候？为了推动文化变革，是否到了探索诸如扁平式层级结构等替代方案的时候？
