Abstract
This article studies the type of leadership that managers are currently exercising in the Catalan health system in Catalonia. A questionnaire (MQL-5X) was sent to 120 people occupying management positions in healthcare centers and hospitals as well as 14 others who also hold such positions in these healthcare centers and hospitals, were interviewed. The mixed methods research design attests that the Catalan health system is managed through a structure of simultaneous transformational and transactional leadership. However, the efficacy of this system is conditioned purely by the communicative competence that a manager may or may not possess, as the system itself makes no effort to encourage transformational leadership. Transformation leadership inspires positive change, conveys a clear vision and enhances morale, motivation and job performance. It galvanizes a team into changing their expectations and perceptions and motivates them to work towards common goals.
Highlights
In Catalonia, healthcare centers and health resources form part of the Catalan Health Service (CHS), the organism which oversees the provision of healthcare services
The high significant correlation between the factors of transactional and transformational leadership that emerged from the results, is noteworthy as it defines these two leadership styles as being predominant in our sample and indicates, as has been found in other investigations (Bass & Bass, 1974/2008), that they are strongly related
The analysis of differences between leadership style and type of center revealed significant differences, this may indicate that with the MLQ-5X data we do not have enough information to account for which leadership styles are being used in the various Catalan healthcare system centers
Summary
In Catalonia, healthcare centers and health resources form part of the Catalan Health Service (CHS), the organism which oversees the provision of healthcare services. To ensure that these health services reach all the population effectively and with quality, the CHS has a network of centers throughout the Catalan territory which constitute the integral public health system (SISCAT): primary care centers, local clinics, hospitals, health and social care centers and mental health institutions, which functions are the health promotion and (or) education of the population (No 5776, 2010). Bernard Bass and Bruce Avo lio stressed that transformational leadership is a process of influence, by which leaders. One might say that transactional leadership is especially useful in stable contexts, where the focus is on remedial interventions with specific objectives
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