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. 2021 Sep 14:35:117.
doi: 10.47176/mjiri.35.117. eCollection 2021.

To what extent does hierarchical leadership affect health care outcomes?

Navindi Fernandopulle  1
Affiliations

To what extent does hierarchical leadership affect health care outcomes?

Navindi Fernandopulle. Med J Islam Repub Iran. .

Abstract

Hierarchical leadership is an antiquated practice seen commonly in health care, whereby strictly defined roles and their importance are overemphasized. This can have unintended negative consequences in a pressurised environment. In contrast, flat hierarchies are gaining popularity, as they afford the flexibility and equality that is vital in a caring environment, where no one should be afraid to raise concerns and voice their opinions. Are hierarchical power structures inhibiting hospitals from achieving effective medical leadership and quality care? With increasing pressures on the health care system, is it time to move away from a hierarchical power structure that has been present for over 70 years? To inspire culture change, is it time to explore alternatives, such as a flat hierarchy?

Keywords: Hierarchial Leadership; Leadership In Healthcare; Patient Safety; Reverse Ward Rounds.

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