Physicians in the management and leadership of health care: A systematic review of the conditions conducive to organizational performance

摘要: Abstract Introduction The influx of management ideas into health care has triggered considerable debate about if and how managerial medical logics can co-exist. Recent reviews suggest that clinician involvement in hospital leadership lead to superior performance. Objective To systematically explore the conditions instrumental for have an impact on organizational Methods We searched PubMed, Web Science, Psychinfo peer-reviewed, empirical, English language articles published between January 1, 2006 August 12, 2018. performed a thematic synthesis through inductive line-by-line coding included studies. Results search yielded 1447 publications, which 62 were included. Three major themes identified described movement 1. From protectionism medicine, 2. command control participatory practices, 3. Organizational practices support incidental versus willing leaders. Based these themes, authors developed model depict facilitate or impede influence virtuous cycle medicine vicious protectionism. Conclusions This review helps individuals, organizations, educators, trainers better understand be both boon barrier performance organizations. In contrast conventional view conflicting logics, would benefit from more integrative mental medicine. Nurturing engagement requires enabled long-term investments at individual, organizational, system levels. These combined efforts will enable shift new paradigms suitable complexity care, establish favorable large-system transformation reform. Strengths limitations this study While previous literature established correlation physicians roles performance, is our knowledge first seeks what contributes link. expands typically quantitative focus systematic by providing fifty-five empirical studies seven reviews. A presented depicts limited quality heterogeneity plausible correlations outcomes are explored, causality designs determine strength relationships.