Integrated Practice Units: A Playbook for Health Care Leaders

Health-care leaders work at the highest levels of organizations and face unique challenges in today's health-care systems. This article reports the lived experiences of an executive nurse to better understand their leadership journey and leadership shadow, exploring their professional development of health-care leadership while navigating change and conflict by interpreting critical turning points in their career and triangulating data to identify and analyze central themes. Offering a real-world perspective, the article uses personal reflection aligned to professional inquiry, workplace observations, document reviews, and personal accounts to focus on executive nursing and the construction of a social movement from within a large managed care organization. The purpose of this evaluation is to create deeper understandings of ways in which to improve patient and provider experiences, reduce system waste, and improve population health. The theme of transformational leadership emerged, and new insights were created to inform future thinking.

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Public Hospitals in China

International Journal of Public and Private Healthcare Management and Economics ◽

10.4018/ijpphme.2015010104 ◽

2015 ◽

Vol 4 (1) ◽

pp. 53-72

Author(s):

Donghai Wei ◽

Louis Rubino

Keyword(s):

Health Care ◽

Health Care Reform ◽

Essential Medicine ◽

Universal Coverage ◽

Health Care Facilities ◽

Public Hospitals ◽

The Public ◽

Reform Plan ◽

Health Care Leaders ◽

Primary Health Care Facilities

China has had some initial success in its current health care reform efforts. Five areas of reform have been targeted and include providing universal coverage, equitable access to basic health insurance, establishing an essential medicine system, and improving primary health care facilities. The last area, the reform of the public hospitals, remains the most difficult to reform. General guidelines have been established by the national government and movement is being taken to delegate authority to local units for implementation. The aim of this paper is to compare China's formal government sponsored health care reform plan for public hospitals to the acknowledgement and acceptance by a sample of health care leaders in Guangzhou. Challenges are strong and include cost accountability, doctor training, employee empowerment, improprieties, and the influence of private hospitals. Based on this qualitative research, conclusions and recommendations are made by the authors as to what is necessary to have effective pubic hospital reform in China.

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