Waring, J;
Bishop, S;
Clarke, J;
Exworthy, M;
Fulop, NJ;
Hartley, J;
Ramsay, AIG;
(2018)
Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal‘power and politics’of major health system change.
BMC Health Services Research
, 18
(198)
10.1186/s12913-018-3728-z.
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Abstract
The implementation of strategic health system change is often complicated by the informal politics and power of health systems, such as competing interests and resistant groups. Evidence from other industries shows that strategic leaders need to be aware of and manage such ‘organisational politics’ when implementing change, which involves developing and using forms of political ‘skill’, ‘savvy’ or ‘astuteness’. The purpose of this study is to investigate the acquisition, use and contribution of political ‘astuteness’ in the implementation of strategic health system change.
Type: | Article |
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Title: | Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal‘power and politics’of major health system change |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1186/s12913-018-3728-z |
Publisher version: | https://doi.org/10.1186/s12913-018-3728-z |
Language: | English |
Additional information: | Copyright © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated |
Keywords: | Organisational politics, Political skill, Political astuteness, Leadership, System change, Qualitative, Ethnography |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research |
URI: | https://discovery.ucl.ac.uk/id/eprint/10063421 |
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