By definition, healthcare management is the provision of leadership and direction in the delivery process of personal health services by the corresponding organization. No one learns to be a manager through a school or a book but it is through experiencing challenges and opportunities in the managerial position. It is therefore necessary that the future leaders in health-care management be able to integrate the theory of management and the practical experience so that they can be flexible in terms of management.

Depending on the level of development of a country, the healthcare sector ranges from 8%-15% of the economy and hence its one among the major industries. Statistics show that in developed countries, one among every ten people works in the health sector and hence the sector is at a risk of political influence. Most health care facilities are financed by the government in collaboration with the public in form of groups and hence the managers have problems in implementing changes since a lot of consultation has to be done. Dealing with the social environment is also a challenge that future managers need to understand. The health sector is always on the media for both right and wrong reasons and hence they face a lot scrutiny.writing a book review This turbulent kind of an environment with intense social and political environment leads the leaders into underperformance.

Demographic changes are a challenge to those in the healthcare management currently and will be a challenge to the future managers. The life expectancy levels has risen giving rise to an ageing population due to reduction in mortality rates. Such groups of people make a lot of use of the healthcare system and thus strain the facilities. Old aged people often face complex chronic conditions lasting from a few months to lifetime conditions. The large numbers of people demanding medical attention is hence a problem that every future manager should learn to cope with.

Many new diseases have developed and the viruses causing them have gained resistance to the available medication. The world health organization reported that incidences of chronic diseases have doubled in last decade and are expected to continue rising. The integration of complexity of chronic diseases and the high numbers of people suffering from the chronic diseases is a complex matrix that the future managers have to deal with to make the health sector effective. People have also raised their expectations of treatment and expect a better kind of treatment their parents got. Increased levels of educations have made the public more informed on modern treatments. This articulations therefore brings more pressure on managers to be in pace with technology and at the same time fight with the economic constraints.

Leaders in the healthcare sector are pushing for infrastructure and governance towards the implementation of the value based performance model. While the market is heading towards pay-for-performance purchasing, the management will be at crossroads on how to prepare for the future without avoiding an adverse financial burden in the short term.

In conclusion, the future health care managers have pressure from the social, political and economic contexts and must be in a position to deal with them.

1. Rajeev Bali and Ashish Dwivedi, Healthcare Knowledge Management Issues, Advances, and Successes (New York: Springer, 2007), 38.

2. Ivan Barrick, Transforming Health Care Management: Integrating Technology Strategies (Sudbury, Mass: Jones and Bartlett Publishers, 2009), 25.

3. Jordan Epping, Pruitt R. Bengoa and Wagner H. Edwin. ‘‘Improving the Quality of Health Care for Chronic Conditions,’’ QSHC 13, no.4 (2004): 299-305,. Epping, Bengoa and Edwin note that the rate of chronic diseases have doubled in the last decade.

4. Kieran Walshe and Judith Smith, Healthcare Management, (Maidenhead. McGraw-Hill: Open University Press, 2011), 72.

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