Transformational, transactional and laissez‐faire leadership among physician executives
- 31 October 2008
- journal article
- research article
- Published by Emerald in Journal of Health Organization and Management
- Vol. 22 (6), 599-613
- https://doi.org/10.1108/14777260810916579
Abstract
Purpose – The purpose of this paper is to examine the empirical validity of transformational, transactional and laissez-faire leadership and their sub-scales among physician managers. Design/methodology/approach – A nation-wide, anonymous mail survey was carried out in the United States, requesting community health center executive directors to provide ratings of their medical director's leadership behaviors (34 items) and effectiveness (nine items), using the Multifactor Leadership Questionnaire 5X-Short, on a five-point Likert scale. The survey response rate was 40.9 percent, for a total 269 responses. Exploratory factor analysis was done, using principal factor extraction, followed by promax rotation). Findings – The data yielded a three-factor structure, generally aligned with Bass and Avolio's constructs of transformational, transactional and laissez-faire leadership. Data do not support the factorial independence of their subscales (idealized influence, inspirational motivation, individualized consideration, and intellectual stimulation under transformational leadership; contingent reward, management-by-exception active, and management-by-exception passive under transactional leadership). Two contingent reward items loaded on transformational leadership, and all items of management-by-exception passive loaded on laissez-faire. Research limitations/implications – A key limitation is that supervisors were surveyed for ratings of the medical directors' leadership style. Although past research in other fields has shown that supervisor ratings are strongly correlated with subordinate ratings, further research is needed to validate the findings by surveying physician and other clinical subordinates. Such research will also help to develop appropriate content of leadership training for clinical leaders. Originality/value – This study represents an important step towards establishing the empirical evidence for the full range of leadership constructs among physician leaders.Keywords
This publication has 26 references indexed in Scilit:
- Physician Leadership Styles and Effectiveness: An Empirical StudyMedical Care Research and Review, 2005
- The development of a new Transformational Leadership QuestionnaireJournal of Occupational and Organizational Psychology, 2001
- Transformational Leadership or Effective Managerial Practices?Group & Organization Management, 1998
- Effects of Transformational Leadership and Anonymity on Idea Generation in Computer-Mediated GroupsGroup & Organization Management, 1997
- A Step-by-Step Approach to Using the SAS® System for Factor Analysis and Structural Equation ModelingTechnometrics, 1996
- Presidential Guest SpeakerSpine, 1996
- Preserving the physician-patient relationship in the era of managed careJAMA, 1995
- Error in medicinePublished by American Medical Association (AMA) ,1994
- Transformational Leadership in the Hospitality IndustryHospitality Research Journal, 1994
- Hospital/Physician Relationships: A Constraint To Health ReformHealth Affairs, 1993