Sawyer School of Business, Suffolk University, Boston, Massachusetts, and Center for Primary Care, Harvard Medical School, Boston.
David D. Reh School of Business, Clarkson University, Schenectady, New York.
J Healthc Manag. 2022 Jul 1;67(4):254-265. doi: 10.1097/JHM-D-21-00224.
Physician leadership has been associated with improved patient outcomes, increased provider satisfaction, and decreased physician burnout as well as more profitable, higher-quality healthcare delivery. However, physicians frequently struggle when assuming leadership positions, given the dissonance between their administrative and clinical roles. Informed by social identity theory, we aimed to identify why physicians lead, how they experience leadership roles, and the challenges they face during the transition into those roles.
We conducted 27 semistructured interviews with primary care physician leaders between January and April 2020. Interviews were transcribed and analyzed using the constant comparative method.
Four themes were developed from the analysis, including (1) desire for change, (2) desire for growth, (3) challenges experienced during the transition to a leadership role, and (4) changes to professional identity. The results of this study identified aspects of leadership perceived by physicians as attractive and motivating. The study also revealed challenges that occur during the transition into leadership as well as shifts in professional identity experienced by physicians.
The results can be used by healthcare managers and executives to empower more physicians to take on leadership roles and implement changes that alleviate stresses associated with physicians transitioning into leadership roles.
医生领导力与改善患者预后、提高医务人员满意度、降低医生倦怠以及提供更有利可图、更高质量的医疗服务有关。然而，由于医生的行政和临床角色之间存在不和谐，他们在担任领导职务时经常会感到困难。本研究以社会认同理论为指导，旨在确定医生为什么要领导，他们如何体验领导角色，以及他们在向这些角色过渡时面临的挑战。
我们于 2020 年 1 月至 4 月期间对初级保健医生领导者进行了 27 次半结构化访谈。采用恒定性比较法对访谈内容进行转录和分析。
分析得出了四个主题，包括（1）变革的愿望，（2）成长的愿望，（3）向领导角色过渡时面临的挑战，以及（4）职业认同的变化。这项研究的结果确定了医生认为有吸引力和激励性的领导方面。该研究还揭示了在过渡到领导角色期间出现的挑战，以及医生经历的职业认同转变。
研究结果可被医疗保健经理和主管用于授权更多医生担任领导角色，并实施缓解与医生过渡到领导角色相关压力的变革。
