Seeking consensus on physician leadership development in rural and remote Indonesian primary care settings: a Delphi study
ISSN: 1751-1879
Article publication date: 27 November 2024
Issue publication date: 2 January 2025
Abstract
Purpose
This study aims to formulate a consensus on primary care physicians’ leadership competencies tailored to Indonesia’s rural and remote health systems using the LEADS framework. Effective physician leaders are essential in these settings; however, many physicians lack the necessary leadership qualifications due to insufficient training. From a medical education perspective, this issue is further compounded by the lack of consensus on leadership course content.
Design/methodology/approach
The study used a mixed-method approach with a concurrent triangulation strategy. Concurrently, a two-round Delphi study and qualitative interviews were conducted. The Delphi study involved academics, rural and remote primary care physicians, intern doctors (similar to house officers), clerks and medical students and used descriptive analysis. Semi-structured interviews, guided by an interview guide, were analysed using inductive thematic analysis.
Findings
From the initial 62 LEADS framework statements, the authors identified 52 physician leadership attributes in round 1 and 41 attributes in round 2. Qualitative interviews revealed three main themes: the significance of physician leadership, the physician leadership curriculum and its potential and impact.
Originality/value
The study established consensus and provided scholarly insights into the leadership development necessary for primary care physicians in rural and remote areas. This is essential for developing Indonesia’s medical leadership curriculum, with the ultimate goal of improving health outcomes in these settings.
Keywords
Acknowledgements
The authors wish to thank the participants who participated in this study. They also acknowledge the use of AI-assisted tools in the writing process. FM, the principal investigator, is not a native English speaker and used an AI-assisted tool, namely DeepL, to assist in the translation and editing process. The tool was used for translating from Indonesian to English, and vice versa. JB and FS then proofread to ensure readability and maintain contextual coherence.
Citation
Maulina, F., Hasanbasri, M., Scheele, F. and Busari, J.O. (2025), "Seeking consensus on physician leadership development in rural and remote Indonesian primary care settings: a Delphi study", Leadership in Health Services, Vol. 38 No. 1, pp. 101-135. https://doi.org/10.1108/LHS-03-2024-0027
Publisher
:Emerald Publishing Limited
Copyright © 2024, Emerald Publishing Limited