This article explores how the concept of vertical leadership development might help health organizations cope with and thrive within highly complex and unpredictable health systems, looking at concepts of VUCA (volatility, uncertainty, complexity and ambiguity) and RUPT (rapid, unpredictable, paradoxical and tangled).
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http://dx.doi.org/10.12968/hmed.2016.77.8.471 | DOI Listing |
BMC Health Serv Res
December 2024
Johns Hopkins University, Bloomberg School of Public Health, Department of Health, Behavior and Society, Baltimore, MD, USA.
Background: Reducing perinatal HIV transmission and optimizing maternal and child health (MCH) outcomes in high HIV prevalence settings is an urgent, but complex, priority. Extant interventions over-emphasize individual-level provider and patient behaviors, and neglect critical health systems-level changes. The 'Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE)' study implemented a three-part, patient-centered, health-systems-level intervention to improve MCH and HIV outcomes in Lesotho.
View Article and Find Full Text PDFJ Eval Clin Pract
February 2025
University of Wollongong, Wollongong, New South Wales, Australia.
Healthcare systems are facing unprecedented need to respond to an ever-evolving context of providing safe person-centred care to its citizens and staff. This transformation requires a rethink of healthcare leadership. Systems leaders are critical for culture change; to support safe patient care, facilitate innovation, build person-centred teams, and develop a collaborative workforce.
View Article and Find Full Text PDFJ Int Assoc Provid AIDS Care
November 2024
Department of Community and Environmental Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Background: Option B+ aims to prevent mother-to-child transmission of HIV by providing lifelong antiretroviral therapy (ART) to pregnant and breastfeeding women living with HIV (PBWHIV). Identifying and reengaging PBWHIV who disengage or fail to initiate ART is essential for the success of Option B+. However, the process is often suboptimal, leading to challenges such as misclassification of patients as lost to follow-up.
View Article and Find Full Text PDFInt J Sports Med
January 2025
School of Kinesiology, Auburn University, Auburn AL, United States.
Kinematics and release parameters are important factors of throw location; yet an understanding of their relationship has yet to be achieved. This study sought to explore this relationship. Kinematic data were collected for 77 collegiate pitchers.
View Article and Find Full Text PDFFem Leg Stud
August 2023
Judicial Studies Institute, Masaryk University, Brno, Czech Republic.
Central and Eastern European countries (CEE), compared to common law countries but also other civil law countries of Europe, are known for a strikingly high representation of women within judiciaries. This, however, does not mean that equality has been achieved, as women judges do not reach leadership positions at the same rate as their male peers. Taking the Czech Republic as a case study, this contribution explores the barriers women judges face within a CEE judiciary and analyses their reflections on their positions.
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