Translating Guidelines and Public Policy Into Optimal Health Care for Women: Carrots and Sticks

Department of Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States
Obstetrics and Gynecology (Impact Factor: 5.18). 05/2013; 121(5):923-6. DOI: 10.1097/AOG.0b013e31828ea070
Source: PubMed
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  • Obstetrics and Gynecology 06/2013; 122(1). DOI:10.1097/AOG.0b013e318298313b · 5.18 Impact Factor
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    ABSTRACT: Purpose of review: Physicians have increasingly given up private practices to become members of, and key stakeholders in, large healthcare systems. These systems are currently transforming to meet the Triple Aim: guaranteeing the equitable provision of high-quality, evidence-based care at a reasonable cost. Participatory leadership is an organizational change theory that engages key stakeholders as architects in the transformation process. This review highlights the utility of this leadership strategy in designing care for women's health. Recent findings: Our blueprint describing participatory leadership theory in women's health systems change is discussed in three case studies, highlighting what we call the six Ps of participatory leadership: participants, principles, purpose, process, and power. The 'sixth P', product, can then be substantially influential in changing the paradigm of care. Summary: Obstetrics and gynecology is increasingly practiced in large health systems responsible for the health of populations. Innovations in clinical practice impact care at the level of the individual. In order for advances in clinical practice to reach broad populations of women, they must be integrated into a delivery system. Physician engagement in leadership during this time of system transformation is of critical importance.
    Current opinion in obstetrics & gynecology 10/2014; 26(6). DOI:10.1097/GCO.0000000000000122 · 2.07 Impact Factor