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. 2017 Oct/Dec;26(4):177-183.
doi: 10.1097/QMH.0000000000000146.

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Jennifer M Sterbenz  1 , Kevin C Chung
Affiliations

The Affordable Care Act and Its Effects on Physician Leadership: A Qualitative Systematic Review

Jennifer M Sterbenz et al. Qual Manag Health Care. 2017 Oct/Dec.

Abstract

Objectives: The Affordable Care Act (ACA) shifted the focus in medical care from quantity to quality. This qualitative systematic review aimed to determine the key skills necessary for effective physician leaders after the implementation of the ACA, and to compare them with key skills identified prior to its implementation.

Methods: A qualitative systematic review was conducted. A systematic literature search on leadership skills for physicians returned 26 articles published between 2009 and 2016. Thematic analysis was used to categorize the data presented in each article. The results from the thematic analysis were then compared with a similar article published before the implementation of the ACA.

Results: Teamwork and team-building, communication, and self-awareness skills were mentioned most often. The percentage of articles mentioning teamwork and team-building skills (61.5%) was significantly greater than the percentage (25%) reported before the implementation of the ACA (P ≤ .04).

Conclusion: With the shift toward quality of patient care, health care workers at all levels should strive to work as a team to provide the best quality of care at all stages of patient care.

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Figures

Figure 1
Figure 1
A search strategy flow diagram.
Figure 2
Figure 2
A conceptual model showing the percentage of skills falling under each overarching skill group. The interpersonal skill group was larger than all other groups, not including “other,” with p<0.01.
Figure 3
Figure 3
A bar graph depicting the number of papers mentioning skills within each group. Significant relationships were shown between the largest three categories and the next largest category to be significantly smaller. The “other” category was not included in the statistical analysis.
Figure 4
Figure 4
A bar graph comparing the number of papers mentioning skills in each of the core domains outlined by Stoller in 2008.
Figure 5
Figure 5
A graph showing the proportion of skills mentioned that fall into each of the overarching skill groups found in our thematic analysis.
See this image and copyright information in PMC

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