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Healthcare as a system.

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Sunday, February 29, 2004
> Transformational Change requires Personal Transformation

There is a really interesting book by Robert E. Quinn, Deep Change. Figure 14.1 on page 123 is very interesting. Read the book to see Quinn's insights on these three paradigms. It sure puts a lot of things into understandable context. The bold highlights are mine.

Individual Contributor: Manager: Leader:
Three Paradigms of Organizational Life: Technical paradigm Transactional paradigm Transformational paradigm
First objective Personal survival Personal survival Vision realization
Nature of organization Technical system Political system Moral system
Source of power Technical competence Effective transactions Core values
Source of credibility Technical standards Organizational position Behavioral integrity
Orientation to authority Cynical Responsive Self-authorizing
Orientation to elite Rational confrontation Compromise Complex confrontation
Orientation to planning Rational-tactical Rational-strategic Action learning
Communication patterens Factual Conceptual Symbolic
Strategic complexity Simple Complex Highly complex
Behavior patterns Conventional Conventional Unconventional
Ease of understanding Comprehensible Comprehensible Nearly incomprehensible
Source of paradigm Professional training Administrative socialization Personal rebirth

Please understand that transactional paradigm includes the technical paradigm and that the transformational paradigm includes both the technical and transactional. Developmentally the technical paradigm comes first and is not necessarily accompanied by the transactional or transformational wisdoms.

If deep or transformational change requires commitment to realizing a vision (that does not exist in reality yet), if it requires "action learning" (something poorly understood generally), if it requires highly complex strategy (when highly simplistic strategy is the best one commonly sees), and if it requires "personal rebirth" something usually left to religious and spiritual realms... well there is work to do.


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