Leadership and Negotiation in Public Health Management: A Systematic Review of the Literature

Isabel C P Marques, Fernanda Nogueira, Sónia P Gonçalves, Raysa Geaquinto Rocha
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Abstract

The domain of public health management has seen an increase in emerging issues that require attention to improve organizational performance. To address these challenges, this study presents a systematic review of the literature conducted between 2015 and 2023 to illuminate trends in healthcare research, including leadership and negotiation. Based on the PRISMA analysis framework developed by Liberati et al. (2009), we took an approach to assess the coverage of public health management research. Using selection criteria based on the SCOPUS database, our investigation identified 2674 articles. These publications were subjected to analysis, selecting 54 articles deemed particularly insightful and impactful. Furthermore, we developed a conceptual model using Grounded Theory that accentuates the key determinants that influence organisational performance in healthcare institutions. The main factors examined in our model include healthcare negotiation, organizational behaviour, leadership, evidence-based practices, sustainability, and corporate governance. The results of our study shed light on the intricate relationships between these determinants and their impact on overall performance in the public health sector. By elucidating these dynamics, our research provides valuable information to policymakers, administrators, and practitioners striving to achieve excellence in healthcare management. Based on our analysis, we propose an agenda for future research in public health management. This agenda seeks to address knowledge gaps, explore new approaches, and stimulate innovation in addressing healthcare organizations' complex challenges. By focusing on areas such as adaptive leadership strategies, transformative negotiation techniques, evidence-based practice, and sustainable governance models, our proposed agenda aims to catalyse advances in this field, ultimately leading to better health outcomes for individuals and communities. In conclusion, this study represents a significant contribution to public health management. Its review and the development of a conceptual model and research agenda provide stakeholders with the tools and knowledge needed to promote optimal organizational performance and drive positive change in this domain.
公共卫生管理中的领导与谈判:文献综述
公共卫生管理领域出现了需要关注以提高组织绩效的新问题。为了应对这些挑战,本研究对2015年至2023年间进行的文献进行了系统回顾,以阐明医疗保健研究的趋势,包括领导力和谈判。基于Liberati等人(2009)开发的PRISMA分析框架,我们采用了一种方法来评估公共卫生管理研究的覆盖范围。使用基于SCOPUS数据库的选择标准,我们的调查确定了2674篇文章。对这些出版物进行分析,选出54篇被认为特别有洞察力和影响力的文章。此外,我们利用扎根理论开发了一个概念模型,强调了影响医疗机构组织绩效的关键决定因素。我们的模型考察的主要因素包括医疗谈判、组织行为、领导力、循证实践、可持续性和公司治理。我们的研究结果揭示了这些决定因素及其对公共卫生部门整体绩效的影响之间的复杂关系。通过阐明这些动态,我们的研究为政策制定者、管理人员和从业者提供了有价值的信息,以努力实现卓越的医疗保健管理。在此基础上,我们提出了未来公共卫生管理研究的议程。该议程旨在解决知识差距、探索新方法并刺激创新,以应对医疗保健组织面临的复杂挑战。通过关注适应性领导战略、变革性谈判技巧、循证实践和可持续治理模式等领域,我们提出的议程旨在促进这一领域的进步,最终为个人和社区带来更好的健康结果。总之,本研究对公共卫生管理有重大贡献。它的审查和概念模型和研究议程的发展为利益相关者提供了促进最佳组织绩效和推动该领域积极变革所需的工具和知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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