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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

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. Green open access

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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
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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