Turning the Titanic: physicians as both leaders and managers in healthcare reform

2019 ◽  
Vol 32 (3) ◽  
pp. 338-347
Author(s):  
Colleen Marie Grady ◽  
C.R. (Bob) Hinings
Keyword(s):  
Healthcare Reform ◽  
Change Leadership ◽  
Current Evidence ◽  
Management Skills ◽  
Leadership And Management ◽  
Content Type ◽  
Skill Sets ◽  
Challenges And Opportunities ◽  
Conceptual Paper ◽  
Canadian Provinces

Purpose Physicians are instrumental in healthcare reform and their capacity to employ both leadership and management skills can affect change at all levels. This paper aims to present the challenges and opportunities for physicians in influencing system change and discuss how the two different but complementary skill sets may enable them to contribute to transformation of healthcare. Design/methodology/approach This is a conceptual paper and represents the viewpoints of both authors while incorporating current evidence through the literature. Findings Healthcare reform is important and underway in many Canadian provinces, yet it is difficult to achieve change. Leadership and management skills differ although these differences are often subtle in language. Physicians both lead and manage in the healthcare system; their capacity to do both is an advantage for healthcare reform. Originality/value This paper represents the opinions of both authors and is considered original as a conceptual paper.

scholarly journals Telemedicine in India: current state, challenges and opportunities

2015 ◽  
Vol 9 (4) ◽  
pp. 393-400 ◽  
Author(s):  
Rajesh K. Chandwani ◽  
Yogesh K. Dwivedi
Keyword(s):  
Healthcare Delivery ◽  
Design Stage ◽  
Successful Implementation ◽  
Healthcare Delivery System ◽  
Content Type ◽  
General Duty ◽  
Current State ◽  
Challenges And Opportunities ◽  
Conceptual Paper ◽  
Multiple Levels

Purpose – The purpose of this conceptual paper is to present the scope of telemedicine, current state of telemedicine in India, challenges in its diffusion and suggest the way forward for implementation of such initiatives. Design/methodology/approach – This is a viewpoint paper that is prepared based on authors’ exposure and knowledge about research topic and the context. A number of appropriate and current citations have been utilised to illustrate current state on the topic as well as to support authors arguments presented in this paper. Findings – The discussion presented in this paper suggests that optimal utilisation of technology in healthcare delivery system requires overcoming barriers at multiple levels including policy, resources and socio-cultural levels. Successful implementation of telemedicine entails involvement of all the stakeholders, namely, the specialists, general duty doctors, paramedical personnel, technical staff, coordination staff, policymakers and, most importantly, the target community, from the design stage itself. Originality/value – The primary value of this paper lies in providing an overview of current state of telemedicine development in India. It is believed that this article will act as a precursor to future articles on this topic.

Enhanced company performance through the development of network alliance management skills: a four-point framework

2016 ◽  
Vol 30 (2) ◽  
pp. 11-14
Author(s):  
Mark Thomas
Keyword(s):  
Strategic Alliances ◽  
Company Performance ◽  
Management Skills ◽  
Content Type ◽  
Alliance Management ◽  
Efficient Management ◽  
Key Issues ◽  
Conceptual Paper ◽  
Corporate Alliances ◽  
Network Alliance

Purpose The prevalence of corporate alliances has increased significantly in the past 25 years. However, such coalitions do not always produce the required results – a problem that is exacerbated when several partners are involved in a network alliance. Part of the difficulty is that, often, firms do not recognize all of the key issues in the successful management of an alliance. This paper aims to outline a four-point model that can be used to help companies develop their employees and work more effectively within network alliances. Design/methodology/approach This paper is a conceptual paper that draws in examples from Apple and IBM as well as research from the automobile, oil and higher education industries. It then offers a practical ABCD framework to assist companies in developing their staff to work effectively within network alliances. Findings Many studies show that companies who habitually succeed at strategic alliances have developed superior management teams. Despite this, few companies actively encourage training or even set best practices for alliance management. Given the high cost of establishing alliances and the excessive failure rate, it would seem logical that companies would invest time in the development of skills for personnel, thereby facilitating alliance success. If organizations dedicated more time and funds to training staff in the efficient management of alliances, they would considerably increase the likelihood of their success. Originality/value This paper gives a practical framework that can be referred to when developing company employees to work more effectively within a network alliance. This framework is based on analysis from a broad range of industries.

Leadership in organizational practice: closing the knowing-doing gap

2014 ◽  
Vol 13 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Ksenia Zheltoukhova
Keyword(s):  
Leadership Development ◽  
Development Strategy ◽  
Organizational Context ◽  
Decision Makers ◽  
Leader Behaviors ◽  
Management Skills ◽  
Leadership And Management ◽  
Content Type ◽  
Academic Literature ◽  
Practical Implications

Purpose – This article aims to question the narrow focus of the existing approaches to leadership development, and guide organizations to a more systemic perspective. Design/methodology/approach – The findings are based on the review of academic literature on the subjects of leadership and management, as well as surveys of 2,069 UK employees (including 806 individuals with managerial responsibilities), 467 HR professionals from the CIPD membership database, 128 senior HR professionals, and 250 senior decision-makers. Findings – Although most organizations today provide leadership development activities to their employees, the focus of those activities, and the lack of enabling organizational systems and processes, may inhibit leader behaviors in practice, potentially explaining the lack of leadership and management skills in UK organizations. Practical implications – In developing a leadership development strategy that is aligned with business priorities, organizations should consider which segments of the workforce can add value by demonstrating leader behaviors, which aspects of organizational context might act as enablers or barriers to individuals demonstrating those behaviors, and which incentives are in place to stimulate leader behaviors. Originality/value – The argument steps away from discussing the construct of “leadership”, assuming that its definitions will vary among organizations, and emphasizes the context in which leaders operate and HR practices as having impact on the effectiveness of leaders.

scholarly journals Planes, straws and oysters: the use of metaphors in healthcare reform

2016 ◽  
Vol 30 (1) ◽  
pp. 117-132 ◽  
Author(s):  
Ross Millar ◽  
Helen Dickinson
Keyword(s):  
Qualitative Data ◽  
Healthcare Reform ◽  
Organisational Change ◽  
Policy Reforms ◽  
Structured Interviews ◽  
Senior Managers ◽  
Content Type ◽  
Metaphorical Language ◽  
Challenges And Opportunities ◽  
Policy Proposals

Purpose – The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform. Design/methodology/approach – A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts. Findings – The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change. Originality/value – The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of “generative” dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of “degenerative” dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.

Debates around the nature of knowledge transfer: how well do we know about the construct?

2019 ◽  
Vol 50 (3) ◽  
pp. 409-425
Author(s):  
Nobin Thomas
Keyword(s):  
Knowledge Transfer ◽  
Design Methodology ◽  
Meta Analysis ◽  
Academic Community ◽  
Organizational Studies ◽  
Clear Understanding ◽  
Content Type ◽  
Theoretical Perspectives ◽  
Challenges And Opportunities ◽  
Conceptual Paper

Purpose Studies have shown that organizations that are capable of effectively transferring knowledge are often more productive than others. At the same time, there is increasing ambiguity regarding how the nature of knowledge transfer affects performance. The purpose of this paper is to review the literature on the nature of knowledge transfer and to understand why it remains a hindrance to most organizations, even now. This conceptual paper tries to identify the major debates surrounding the nature of knowledge transfer in an organization. The challenges and opportunities facing research on knowledge transfer are also elaborated. Design/methodology/approach This conceptual paper is structured to first provide a brief summary of the construct of knowledge transfer and then provide a detailed account of research that highlights the major findings regarding the nature of knowledge transfer and their relation to the current themes. A selective review of the literature was carried out in this paper instead of a meta-analysis. The papers were identified through popular databases. The authors also examined the references of selected papers to provide a comprehensive review of the construct. Findings The debate about codification of knowledge that has stimulated the academic community in organizational studies is still in its infancy. The other debates that have been discussed in this paper have either reached their peak or have given way to newer debates. A clear understanding of the significance of the nature of knowledge transfer is very important at this juncture. The model developed toward the end of the paper assumes a path in this direction. The authors also discuss how research on knowledge has both deepened and expanded the authors’ understanding of knowledge transfer since March and Simon (1958). Originality/value The debate in the field of organizational studies around the nature of knowledge transfer has been occurring for some time. However, there has not been any final consensus on the nature of knowledge transfer. While looking at these debates with a critical eye, the authors may appear to be cynical about the prospect of an end to these deliberations. The authors conclude the paper with a model that examines knowledge transfer from a broader perspective that encompasses the various theoretical perspectives.

scholarly journals Exploring a shared leadership perspective for NHS doctors

2015 ◽  
Vol 28 (4) ◽  
pp. 345-355 ◽  
Author(s):  
Stephen George Willcocks ◽  
Gemma Wibberley
Keyword(s):  
Shared Leadership ◽  
Design Methodology ◽  
Healthcare Reform ◽  
Healthcare Systems ◽  
Content Type ◽  
Health Policy Reform ◽  
Conceptual Paper ◽  
Traditional Approaches ◽  
Practical Implications ◽  
Different Levels

Purpose – The purpose of this paper is to explore involving doctors in shared leadership. It examines the policies that have led to the focus on shared leadership and the implications for practice. Design/methodology/approach – This is a conceptual paper, examining policy developments and key literature to understand the move towards shared leadership. It focuses on UK NHS, and in particular doctors, although the concepts will be relevant to other disciplines in healthcare, and healthcare systems in other countries. Findings – This paper suggests that the shared-leadership approach for doctors has potential given the nature of clinical practice, the inherently collaborative nature of healthcare and the demands of new healthcare organisations. Health policy reform, generally, will mean that all doctors need to be engaged with leadership, albeit, perhaps, at different levels, and with different degrees of formality. Leadership will remain an important precondition for the success of the reforms. This is likely to be the case for other countries involved in healthcare reform. Practical implications – To highlight the benefits and barriers to shared leadership for doctors. Originality/value – Offers an alternative to traditional approaches to leadership.

Leveraging human resource development expertise to improve supply chain managers' skills and competencies

2013 ◽  
Vol 38 (1/2) ◽  
pp. 118-135 ◽  
Author(s):  
Alexander E. Ellinger ◽  
Andrea D. Ellinger
Keyword(s):  
Supply Chain ◽  
Human Resource Development ◽  
Human Resource ◽  
Resource Development ◽  
Short Supply ◽  
Content Type ◽  
Skill Sets ◽  
Chain Processes ◽  
Conceptual Paper ◽  
Hrd Professionals

Purpose – There is an ongoing shortage of talented supply chain managers with the necessary skills and business-related competencies to manage increasingly complex and strategically important supply chain processes. The purpose of this paper is to propose that organizations can create and maintain competitive advantage by leveraging the expertise of human resource development (HRD) professionals to provide a range of developmental and change-oriented interventions related to critical supply chain manager skill sets that are currently in short supply. Design/methodology/approach – This is a conceptual paper. Findings – This is a conceptual paper. Practical implications – Supply chain management (SCM) decisions significantly influence financial performance since firms expend up to 75 percent of their revenue on supply chain activities. HRD professionals' intervention capabilities in training and development, organizational development and change management uniquely equip them to disseminate a deeper and broader understanding of the SCM concept within organizations, to help prioritize the development of supply chain managers and to address the complex interpersonal issues associated with helping people to work together collaboratively to foster operational innovation and make increasingly complex supply chain processes function effectively. Originality/value – The requisite skill sets for effective supply chain managers are described, linkages between HRD and SCM are highlighted, and areas of HRD professionals' expertise that can be exploited to better develop supply chain managers' skill sets and competencies are considered.

Strategic teams: the agents of change

2019 ◽  
Vol 19 (1) ◽  
pp. 32-36
Author(s):  
Daniel Wolf ◽  
Brooke Felger
Keyword(s):  
Design Methodology ◽  
Business Models ◽  
Team Building ◽  
Change Readiness ◽  
Change Leadership ◽  
Learning And Development ◽  
Leadership And Management ◽  
Content Type ◽  
Agents Of Change ◽  
Mind Set

Purpose The purpose of this paper is to examine the nature of change readiness and resolve as a principal feature of strategic teams. Change leadership and management in the context of strategy, talent and culture provide the organization with the capacity for navigating change at the process, category and business levels. This paper provides a practical look at the cultivation of strategic teams as agents for making change strategy happen. Design/methodology/approach The authors have examined a series of variables that inform the strategic agenda, talent blocks and beams, and the cultural agenda for organizations large and small. They have built a general framework for mapping and engaging what serves as a strong mind-set of change readiness and resolve, along with specific team-building elements for learning and development. Findings Strategic teams that are part of the structure and culture of the organization serve as development grounds for change competence and capacity at the group and individual levels. Further, because there are several types of strategic teams with diverse roles and functions, the change readiness and resolve mechanics are subject to experimentation and adaptation. This results in a strong mind-set for change leadership and management and the ability to deploy effectively across a range of situations, needs and challenges. Originality/value This work offers a practical set of views on change and adaptive capacity, and the development pathways that afford an organization the ongoing preparation of individuals and groups for changes in process and policy, programs and categories and business models through the most demanding transformation journeys.

No Significant Difference in Service Learninng Online

2012 ◽  
Vol 16 (4) ◽  
Author(s):  
Sue Y. McGorry
Keyword(s):  
Higher Education ◽  
Service Learning ◽  
Institutions Of Higher Education ◽  
Management Skills ◽  
Program Outcomes ◽  
Online Delivery ◽  
Leadership And Management ◽  
Business Programs ◽  
Face To Face ◽  
Significant Difference

Institutions of higher education are realizing the importance of service learning initiatives in developing awareness of students’ civic responsibilities, leadership and management skills, and social responsibility. These skills and responsibilities are the foundation of program outcomes in accredited higher education business programs at undergraduate and graduate levels. In an attempt to meet the needs of the student market, these institutions of higher education are delivering more courses online. This study addresses a comparison of traditional and online delivery of service learning experiences. Results demonstrate no significant difference in outcomes between the online and face-to-face models.

Developing ASEAN India partnership for fostering technology development

2015 ◽  
Vol 7 (2) ◽  
pp. 205-218
Author(s):  
Sunil Sahadev ◽  
Pongsak Hoontrakul
Keyword(s):  
Technological Innovation ◽  
Policy Development ◽  
Technology Development ◽  
Trade Flow ◽  
Secondary Data ◽  
Trade Agreement ◽  
Content Type ◽  
Conceptual Paper ◽  
Broad Policy ◽  
Practical Implications

Purpose – This conceptual paper aims to discuss issues relevant to fostering cooperation between India and countries in the ASEAN region in the area of technological innovation. Design/methodology/approach – This is a conceptual paper, based on insights from the existing body of literature and secondary data. Findings – The study looks at the competitiveness of different countries in the ASEAN region and considers their technological competitiveness vis-à-vis India. Broad policy issues related to fostering technological innovation as well as the main advantages of such collaboration are discussed. Research limitations/implications – This is a conceptual paper mainly intended for discussion. Practical implications – The paper provides guidelines for fostering technological innovation and could, therefore, help policy development. Originality/value – Although the Indo-ASEAN free-trade agreement is helping trade flow between the countries in the region, the potential for technological collaborations still lies unutilised. This paper looks at the possibilities for such collaborations and is one of the few papers that consider this line of thinking.

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