Development of Medical Leadership in Primary Health Care: A Core Skill for General Practitioners
Keywords:
Leadership, Medical leadership, Primary healthcare (PHC), Organizational performanceAbstract
Leadership within the realm of primary healthcare (PHC) stands as a linchpin for organizational success and patient well-being, necessitating a nuanced exploration of its multifaceted dynamics and impact. This manuscript provides a comprehensive analysis of medical leadership in PHC, elucidating its essential qualities, challenges, and strategies for skill development. This study employs a literature review methodology to systematically examine existing research on medical leadership in PHC settings. It synthesizes empirical findings and theoretical frameworks to delineate the core attributes and skills required for effective leadership Key findings underscore the pivotal role of qualities such as vision formulation, effective communication, inspiration, decision-making, emotional intelligence, and adaptability. These qualities foster collaborative teamwork, patient-centered care, and organizational success.Furthermore, the study identifies various challenges faced by medical leaders, including balancing clinical and managerial responsibilities, staying abreast of healthcare advancements, and fostering strong stakeholder relationships. In light of these findings, the study proposes strategies for cultivating medical leadership skills, suggesting that organizations foster a culture of collaboration, promote interprofessional education, encourage continuous professional development, and implement leadership development programs.These initiatives aim to empower healthcare professionals with the necessary competencies to navigate complex healthcare environments and drive innovation. Overall, this study highlights the critical role of medical leadership in advancing PHC delivery. It underscores the importance of ongoing efforts to develop and support healthcare leaders in fulfilling their roles effectively, thereby contributing to the enhancement of healthcare outcomes and organizational performance in PHC settings.
References
Agarwal, S. (2020). Leadership Style and Performance of Employees. International Research Journal of Business Studies, 13(1), 1-14.
Al Khajeh, E. H. (2018). Impact of Leadership Styles on Organizational Performance. Journal of Human Resources Management Research, 1-10. doi:10.5171/2018.687849
Al-Masri, M. et al. (2018). Leadership qualities in primary health care: a narrative review. Journal of Healthcare Leadership, 6(1), 50-58.
Bass, B. M., & Bass Bernard, M. (1985). Leadership and performance beyond expectations.481-484.
Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Benmira, S., & Agboola, M. (2021). Evolution of leadership theory. BMJ Leader. doi:10.1136/leader-2020-000296
Bloom, S. et al. (2018). Challenges and opportunities of medical leadership in primary care. Journal of the American Board of Family Medicine, 31(6), 773-778.
Bradberry, A., & Greaves, M. (2009). Emotional intelligence 2.0. San Francisco, CA: TalentSmart.
Brown, M. E., & Treviño, L. K. (2006). Ethical Leadership: A Review and Future Directions. Leadership Quarterly, 17(6), 595-616.
Caruth, G. D. (2013). Demystifying mixed methods research design: A review of the literature. Online Submission, 3(2), 112-122.
Chemers, M. (2014). An integrative theory of leadership: Psychology Press.
Conger, J. A., & Kanungo, R. N. (1994). Charismatic leadership in organizations: Perceived behavioral attributes and their measurement. Journal of organizational behavior, 15(5), 439-452.
Gagnon, M. et al. (2017). Cultural competency in primary health care leadership. Journal of Healthcare for the Poor and Underserved, 28(1), 25-33.
Goleman, D. (1995). Emotional intelligence. New York, NY: Bantam Books.
Goleman, D. (1995). Emotional Intelligence: Why It Can Matter More Than IQ. Bantam Books.
Hartog, D. N. (2008). The relationship between emotional intelligence and transformational and transactional leadership: A meta-analysis. Journal of Management Studies, 45(3), 631-647.
Hogan, R., & Kaiser, R. B. (2005). What we know about Leadership. Review of General Psychology, 9(2), 169-180. doi:10.1037/1089-2680.9.2.169
Hogg, W., Carrieri-Kohlman, V., & Scott, I. (2018). General practitioner leadership in primary health care: A narrative review. Australian Journal of Primary Health, 24(3), 211-217.
House, R. J. (1976). A 1976 Theory of Charismatic Leadership. Working Paper Series 76-06.
Jeon, Y.H,Conway, J.,Chenoweth, L.,Weise, J.,Thomas, T.H, & iams, A. (2015). Validation of a clinical leadership qualities framework for managers in aged care: a Delphi study. Journal of clinical nursing, 24(7-8), 999-1010.
Johnson, B. (2020). Decision-Making in Leadership: Strategies for Complex Situations. Journal of Leadership Studies, 40(2), 127-143.
Judge, T. A., & Bono, J. E. (2001). Relationship of Core Self-Evaluations Traits—Self-Esteem, Generalized Self-Efficacy, Locus of Control, and Emotional Stability—With Job Satisfaction and Job Performance: A Meta-Analysis. Journal of Applied Psychology, 86(1), 80-92.
Kotagal, M., & Pellegrini, C. A. (2018). Qualities of a Good Leader. Surgical Mentorship and Leadership: Building for Success in Academic Surgery, 151-157.
Li, L., Gan, Y., Jiang, H., Yang, Y., Zhou, X., Zheng, Y., ... & Lu, Z. (2020). Job satisfaction and its associated factors among general practitioners in China. The Journal of the American Board of Family Medicine, 33(3), 456-459.https://doi.org/10.3122/jabfm.2020.03.19012
Maina, A. et al. (2021). Adaptability and resilience in primary health care leadership. Journal of Healthcare Management, 66(4), 305-312.
Mayfield, D., & Peterson, D. R. (2004). Emotional intelligence in the workplace: Application of theory. Business Horizons, 47(1), 47-54.
Mumford, M. D., Zaccaro, S. J., Harding, F. D., Jacobs, T. O., & Fleishman, E. A. (2000). Leadership Skills for a Changing World: Solving Complex Social Problems. Leadership Quarterly, 11(1), 11-35.
O’Connell, M., Lown, B., & Bhat, R. (2018). The impact of leadership on patient outcomes in primary health care. Journal of Healthcare Leadership, 10, 43-51.
Paro, H., Braghiroli, K., & Peduzzi, M. (2017). The impact of leadership development programs on primary health care teams: A systematic review. Journal of Health Management, 15(3), 403-419.
Patel, V. et al. (2019). Empathy in primary health care leadership. Journal of General Internal Medicine, 34(10), 2087-2092.
Pellecchia, U. et al. (2020). Communication skills in primary health care leadership. Patient Education and Counseling, 103(10), 1975-1981.
Romi, M. V., Alsubki, N., Almadhi, H. M., & Propheto, A. (2022). The Linkage Between Leadership Styles, Employee Loyalty, and Turnover Intention in Healthcare Industry. Frontiers in Psychology, 13. doi:10.3389/fpsyg.2022.890366
Salovey, P., & Mayer, J. D. (1990). Emotional intelligence. Imagination, Cognition and Personality, 9(3), 199-217.
Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sloan, J., Satele, D., Sloan, J. R., & West, C. P. (2015). Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clinic Proceedings, 90(12), 1600-1613.
Short, L. et al. (2020). The role of medical leadership in primary health care innovation. Medical Journal of Australia, 212(10), 456-459.
Smith, A. (2017). The Inspirational Role of Leaders in Empowering Others. Leadership Quarterly, 25(3), 301-317.
Van den Berg, S., Kok, G., & Schyns, B. (2019). The role of continuing professional development in developing medical leadership skills in primary health care. Journal of Continuing Education in the Health Professions, 39(3), 181-187.
Van der Velden, A. et al. (2018). Problem-solving and decision-making skills in primary health care leadership. BMC Family Practice, 19(1), 121.
Vitale, T. R. (2019). The impact of a mentorship program on leadership practices and job satisfaction. Nursing Management, 50(2), 12-14. https://doi.org/10.1097/01.NUMA.0000552745.94695.81
Weber, M., Henderson, A. M., & Parsons, T. (1947). The Theory of Social and Economic Organization. 57(5), 524-528.
Wensing, M., Grol, R., Eccles, M., & Davis, D. (2016). Leadership in improving primary care: A review. BMJ Open, 6(11), e012515.
Wilderom, C. P., Van den Berg, P. T., & Wiersma, U. J. (2012). A longitudinal study of the effects of charismatic leadership and organizational culture on objective and perceived corporate performance. The leadership quarterly, 23(5), 835-848.
Willson, K. A., FitzGerald, G. J., & Lim, D. (2021). Disaster Management in Rural and Remote Primary Health Care: A Scoping Review. Prehospital and disaster medicine, 36(3), 362–369.
World Health, O. (1978). Declaration of alma-ata. Retrieved from
Yukl, G. (2012). Leadership in Organizations. Pearson Education.
Zwarenstein, M., Barr, H., & Goldman, J. (2018). Interprofessional education: A key strategy for effective medical leadership in primary health care. Journal of Interprofessional Care, 32(6), 767-773.