A health care revolution is under way, and doctors must be part of it.
But many are deeply anxious and angry about the transformation, fearing
loss of autonomy, respect, and income. Given their resistance, how can
health system leaders engage them in redesigning care? In this article,
Dr. Thomas H. Lee, Press Ganey's chief medical officer, and Dr. Toby
Cosgrove, the CEO of the Cleveland Clinic, describe a framework they've
developed for encouraging buy-in. Adapting Max Weber's "typology of
motives," and applying behavioral economics and other motivational
principles, they describe four tactics leadership must apply in concert:
engaging doctors in a noble shared purpose; addressing their economic
self-interest; leveraging their desire for respect; and appealing to
their sense of tradition. Drawing from experiences at the Mayo Clinic,
Geisinger Health System, Partners Healthcare, the Cleveland Clinic,
Ascension Health, and others, the authors show how the four motivational
levers work together to bring this critical group of stakeholders on
board.