Leading primary care under the weight of COVID-19: how leadership was enacted in six australian general practices during 2020.
Publication/Presentation Date
1-19-2024
Abstract
BACKGROUND: The COVID-19 pandemic challenged health care delivery globally, providing unique challenges to primary care. Australia's primary healthcare system (primarily general practices) was integral to the response. COVID-19 tested the ability of primary health care to respond to the greater urgency and magnitude than previous pandemics. Early reflections highlighted the critical role of leaders in helping organisations negotiate the pandemic's consequences. This study explores how general practice leadership was enacted during 2020, highlighting how leadership attributes were implemented to support practice teams.
METHODOLOGY: We performed secondary analysis on data from a participatory prospective qualitative case study involving six general practices in Melbourne, Victoria, between April 2020 and February 2021. The initial coding template based on Miller et al.'s relationship-centred model informed a reflexive thematic approach to data re-analysis, focused on leadership. Our interpretation was informed by Crabtree et al.'s leadership model.
RESULTS: All practices realigned clinical and organisational routines in the early months of the pandemic - hierarchical leadership styles often allowing rapid early responses. Yet power imbalances and exclusive communication channels at times left practice members feeling isolated. Positive team morale and interdisciplinary teamwork influenced practices' ability to foster emergent leaders. However, emergence of leaders generally represented an inherent 'need' for authoritative figures in the crisis, rather than deliberate fostering of leadership.
CONCLUSION: This study demonstrates the importance of collaborative leadership during crises while highlighting areas for better preparedness. Promoting interdisciplinary communication and implementing formal leadership training in crisis management in the general practice setting is crucial for future pandemics.
ISSN
1836-7399
Published In/Presented At
Wisbey, K., Lane, R., Neil, J., Advocat, J., Alexander, K., Crabtree, B. F., Miller, W. L., & Russell, G. (2024). Leading primary care under the weight of COVID-19: how leadership was enacted in six australian general practices during 2020. Australian journal of primary health, 10.1071/PY23045. Advance online publication. https://doi.org/10.1071/PY23045
Disciplines
Medicine and Health Sciences
PubMedID
38237267
Department(s)
Department of Family Medicine
Document Type
Article