Chaire de recherche du Canada en économie politique internationale et comparée (CRÉPIC)
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Physician engagement and leadership for health system improvement - Expedited knowledge synthesis

Chercheur principal
J-L Denis

Co-chercheur principal
Ross Baker

Charlotte Moore Hepburn
Charlyn Black
Marie-Pascale Pomey
Bernard Lawless
Ann Langley
Diane Leblanc

Organisme de financement
Institut Canadien de la recherche sur la santé

Budget total
83 463 $


The purpose of this expedited synthesis is to synthesize the existing “intelligence” regarding physician leadership and engagement and to identify key recommendations to enhance physician leadership skills, physician alignment with other components of the health care system, and the capacity to forge accountability relationships to improve organizational and system performance.

The specific objectives of the project are to:

1) Conduct a systematic review of the scholarly and grey “literature” that focuses on physician leadership and engagement at the organizational and system levels.

2) Synthesize the identified information in order to determine potential levers for and barriers to improving physicians’ accountability to the system, including the health outcomes of their patients, and the costs of healthcare (including remuneration schemes or economic incentives).

3) Elaborate an integrated framework of factors and processes that influence physician leadership and engagement for health systems and organizational performance.

4) Synthesize the gathered information in order to identify policies to develop and support physician leadership and engagement in improvement initiatives within health care organizations and systems.

5) Assess the potential of these policies, strategies and levers for the broader improvement of healthcare organizations and systems in Canada.

6) Identify gaps in learning for future research.

Two research questions are at the basis of this review:

(1) What are effective levers for engaging physicians and forging an accountability relationship with the system for system performance, the health outcomes of their patients and the population generally?; and (2) How can the influence of physicians be harnessed for leadership around quality improvement, organizational change and transformation?