Health care is a complex field, composed of many unrelated but interdependent venues of care, of a wide array of highly skilled people in clinical and management backgrounds, and of a complex array of reimbursement programs. A changing demographic population, a consumer orientation, an untenable level of escalating costs, new technologies, changing societal values, and demands for transparency in financial reporting and quality performance, is driving it toward change. The health care leader is compelled to develop and master skills that are transformational, the focus turning to communication, customer satisfaction, and superb performance. This is the challenge of leadership in the complex environment of health care. Not only is the field complex, but more is expected of health care leaders than those in other fields. (Egger & Fitzgerald, 2003, 1125-8)
Comparing the Trends of Health Care
From a long history shaped by the Hippocratic Oath, "health care leaders must be authentic and transparent in the way that they lead their organizations". Leadership in health care presents opportunity for unique challenge and self-fulfilment. (Inchley, 2000, 200-206) It also calls on deep personal strength, values, and vision. In addressing health care leaders, we are reminded of the clear differences among them. Some lead academic medical centres, others are responsible for health systems comprising multiple hospitals, and still others work in long-term care services, rehabilitation and specialty hospitals, hospice care, outpatient and ambulatory care, teaching and research institutions, managed care organizations, and other divergent organizations—all of them participants within a continuum of care. In some cases, hospitals stand alone as the sole provider in their communities, smaller, narrower in scope of services, and limited to the primary and secondary care services that are within their range of technology and practitioner skill. (Fleuren & Wieferink, 2004, 107-23) Still others are of moderate size and scope. In each case, leadership is faced with similar challenges related to changing reimbursement systems, clinician workforce shortages, new technologies, and waves of patients unable to pay for their services. Hospitals daily face competitive environments in which not only other hospitals but also their own medical staff providers often pursue competitive interests (e.g., in building their own surgery centres and thereby pulling market share from the hospital).
Concepts of Miasma Theories
Above all, the theory says that there is a foreign force affecting the organism and producing disease. Thus a remedy has to be administered to eliminate this disturbance and to recuperate the patient's health.
Sanchez Ortega said that a cell has only three possibilities to exist in a pathological manner: psora is connected with weakness, sycosis is connected with hypertrophy, and syphilis is connected with perversion as well as destruction. These kinds of diseases are of course expressed physically as well as in character and psyche of particular individuals. And they are always expressed symbolically which makes them easily detectable.
As professionals, health care leaders are going to find themselves faced with even more competition in the years ahead. They work in a world in which the tax exemption ...