Structure of health-care dyad leadership: an organization's experience.

Purpose This study aims to explore the structural aspects (roles, responsibilities and reporting) of dyad leadership in one health-care organization (HCO). Design/methodology/approach The perceptions of 32 leaders (17 physician leaders and 15 dyad co-leaders) in formal leadership positions (six first-level with formal authority limited to teams or divisions, 23 middle-level with wider departmental or program responsibility and three senior-level with institution-wide authority) were obtained through focus groups and surveys. In addition, five senior leaders were interviewed.

Leading patient-centred change in the Swedish health system: lessons from the 2009 Sweden Study Tour.

In May 2009, 17 senior health leaders from Canada travelled to Sweden as part of a Canadian College of Health Service Executives study tour. This paper provides an overview of the tour, outlines a number of health service reform practices in Sweden and proposes five "lessons learned" with regard to the practice of leading reform. Knowledge of the current Swedish practices of "leading change" based on the itinerary shows that a patient-centred vision, when combined with effective leadership practice, can bring about significant change.