Physician leadership during the current crisis in healthcare: A perspective drawn from anthropological and clinical leadership research

Author:

Looi Jeffrey C L1ORCID,Allison Stephen2ORCID,Kisely Stephen R3ORCID,Bastiampillai Tarun4ORCID

Affiliation:

1. Academic Unit of Psychiatry and Addiction Medicine, The Australian National University, Medical School of Medicine and Psychology, Canberra Hospital, Canberra, ACT; Australia Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia

2. Consortium of Australian‐Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia

3. Consortium of Australian‐Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; School of Medicine, The University of Queensland, Princess Alexandra Hospital, Woolloongabba, Brisbane, QLD, Australia; Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada

4. Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA),Canberra, ACT, Australia; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; Department of Psychiatry, Monash University, Clayton, VIC, Australia

Abstract

Objectives There are ongoing challenges in workforce sustainability and service delivery due to the COVID-19 pandemic. Recruiting credible clinical leaders can enhance outcomes through mentoring, leading by example, and creating positive work environments. We investigate the anthropology of, and related research on leadership. Conclusions Clinical and anthropological research provides strong grounds for investing in clinical leadership. The stability of ‘prestige-based’ leadership can be contrasted with the outcomes of ‘dominance-based’ leadership that relies on force, control, and threats. Dominance-based leadership increases the risks of bullying in stressed healthcare organisations. In contrast, expert clinical leaders can exert culturally mediated effects on social learning, team cooperation and morale, and patient outcomes.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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