| Adaptive leadership and the practice of medicine: a complexity-based approach to reframing the doctor-patient relationship. | |
| | |
MedLine Citation:
|
PMID: 20846289 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
RATIONALE, AIMS AND OBJECTIVES: This paper applies the concepts of 'adaptive leadership', as developed by Ron Heifetz, MD, to the practice of medicine. METHODS: Literature review and theory development. RESULTS: Patients are complex adaptive systems facing both adaptive and technical health challenges. Technical health challenges are amenable to the simple or complicated expert-mediated technical interventions that are common in modern medicine, but complex adaptive challenges can only be addressed by patients doing the adaptive work to learn new attitudes, beliefs and behaviours. In medicine, we often make the mistake of offering technical interventions in lieu of supporting patients' adaptive work. This error can result in poor clinical outcomes and wasted resources. Expecting simple or complicated technical 'solutions' to resolve complex adaptive health challenges is a failure of adaptive leadership and violates Ashby's law of requisite variety. Adaptive leadership behaviours correspond to and complement doctor practices that have been shown to improve health outcomes and doctor-patient communication. CONCLUSIONS: Adopting an adaptive leadership framework in the practice of medicine will require adaptive work on our part, but it promises to improve the doctor-patient relationship, increase our effectiveness as healers and reduce unnecessary health care utilization. |
| | |
Authors:
|
Marcus Thygeson; Lawrence Morrissey; Val Ulstad |
Related Documents
:
|
23457279 - Canine behaviour problems: discussions between veterinarians and dog owners during annu... 20448499 - Managing the trainee in difficulty. 20139869 - Mid-level providers in gastroenterology. 20981309 - Pediatric sedation: a global challenge. 19181879 - Myth of reincarnation: a challenge for mental health profession. 2246459 - What practicing physicians in north carolina rate as their most challenging geriatric m... 11067089 - The american college of medical practice executives' competency study. 10316359 - Medical director, an evolving and expanding role of the physician-executive. 12818579 - Complexity theory in the management of communicable diseases. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
|
Languages: eng Pagination: 1009-15 Citation Subset: IM |
Copyright Information:
|
© 2010 Blackwell Publishing Ltd. |
Affiliation:
|
Center for Health Care Innovation, Allina Hospitals and Clinics, Minneapolis, Minnesota 55407-1321, USA. marcus.thygeson@allina.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Trends in the perceived complexity of primary health care: a secondary analysis.
Next Document: Designing health innovation networks using complexity science and systems thinking: the CoNEKTR mode...