¿Liderazgo médico para el abordaje de la crisis sanitaria en Chile?

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Bibliographic Details
Title:	¿Liderazgo médico para el abordaje de la crisis sanitaria en Chile?
Alternate Title:	Medical leadership for addressing the healthcare crisis in Chile?
Authors:	Alonso Figueroa, Diego¹ alonsofigueroadiego@gmail.com
Source:	Cuadernos Médico Sociales. 2025, Vol. 65 Issue 4, p5-10. 6p.
Subjects:	LEADERSHIP, HEALTH services administration, TRAINING of executives, PATIENT-centered care, PUBLIC health, HEALTH care industry, MEDICAL personnel training, CHILEANS
Geographic Terms:	CHILE
Abstract (English):	Chile's healthcare crisis has exposed structural tensions arising from financial constraints, excessive waiting times, and poor user satisfaction indicators. In this context, medical leadership has re-emerged as a strategic issue for strengthening health system management. This article reviews the main approaches to administration, management, and leadership--from classical traditions to contemporary evidence-based perspectives--highlighting that leading healthcare organizations requires professional competencies that go beyond clinical training. A review of international and Latin American literature shows associations between clinical leadership and improved outcomes in quality, safety, and organizational culture, although studies caution that the evidence remains heterogeneous and largely correlational. The review also identifies important contributions from administrative and nursing leadership, supporting the need for interprofessional governance models. The article argues that physicians should not seek leadership roles on the basis of their profession alone, but through rigorous training in management and leadership. When clinical experience is complemented by these competencies, physicians can play a valuable role in strategic decision-making and in improving institutional performance. The article concludes that investing in leadership and management training for physicians is a key strategy for building safer, more efficient, and more patient-centered healthcare organizations. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	La crisis sanitaria chilena ha expuesto tensiones estructurales que combinan limitaciones financieras, excesivos tiempos de espera y malos índices de satisfacción usuaria. En este contexto, el liderazgo médico reaparece como una cuestión estratégica para fortalecer la gestión sanitaria. Este artículo revisa los principales enfoques de administración, gestión y liderazgo, desde la tradición clásica hasta perspectivas contemporáneas basadas en evidencia, destacando que la conducción de organizaciones de salud requiere competencias profesionales que trascienden la formación clínica. La literatura internacional y latinoamericana muestra asociaciones entre liderazgo clínico y mejores resultados en calidad, seguridad y cultura organizacional, aunque los estudios advierten que la evidencia sigue siendo heterogénea y mayoritariamente asociativa. Asimismo, se identifican aportes relevantes de liderazgos administrativos y de enfermería, lo que respalda la necesidad de modelos de gobernanza interprofesionales. El artículo argumenta que el estamento médico no debe disputar roles directivos por su profesión, sino a través de formación rigurosa en gestión y liderazgo. Cuando la experiencia clínica se complementa con estas competencias, los médicos pueden desempeñar un papel valioso en la toma de decisiones estratégicas y en la mejora del desempeño institucional. Se concluye que invertir en formación directiva para médicos constituye una estrategia clave para construir organizaciones de salud más seguras, eficientes y centradas en las personas. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Chile's healthcare crisis has exposed structural tensions arising from financial constraints, excessive waiting times, and poor user satisfaction indicators. In this context, medical leadership has re-emerged as a strategic issue for strengthening health system management. This article reviews the main approaches to administration, management, and leadership--from classical traditions to contemporary evidence-based perspectives--highlighting that leading healthcare organizations requires professional competencies that go beyond clinical training. A review of international and Latin American literature shows associations between clinical leadership and improved outcomes in quality, safety, and organizational culture, although studies caution that the evidence remains heterogeneous and largely correlational. The review also identifies important contributions from administrative and nursing leadership, supporting the need for interprofessional governance models. The article argues that physicians should not seek leadership roles on the basis of their profession alone, but through rigorous training in management and leadership. When clinical experience is complemented by these competencies, physicians can play a valuable role in strategic decision-making and in improving institutional performance. The article concludes that investing in leadership and management training for physicians is a key strategy for building safer, more efficient, and more patient-centered healthcare organizations. [ABSTRACT FROM AUTHOR]
ISSN:	07161336
DOI:	10.56116/cms.v65.n4.2025.2212