Are Management and Leadership one and the same thing?
Burns (1978) related to the difficulty in differentiation between management and leadership and claimed that the differences are in characteristics and behaviours.
Not all leaders are managers and not all managers are leaders holds true to the word. Leaders inspire, creating a vision, building a team and help overcome obstacles, having both internal and external focus, concentrating on issues both inside as well as outside the organisation, while managers mainly strategise, working on plans and monitor outcomes and performance and focus internally within the organisation.
Hierarchy and bureaucracy still exists and has become an integral part of Healthcare system in India, but to integrate both leadership and hierarchy will only do harm to an organisation and hamper its progress. Bureaucracy is one other hurdle which prevents the staff and professionals from expressing the pressures they face at workplace due to fear of losing a job, position, investment or being subjected to cold shoulders or suppression.
Hence it is important to encourage managerial skills and qualities of leadership within every person along the echelon who is the part of the organisation so as to achieve set goals of compassionate quality care and also gain competitive advantage. It is important as Johnson, Whittington and Scholes (2008) conclude that, “it is better to work with, rather than against, the messiness of the organisation”, encompassing the politics, history, culture as well as the economics of strategy while the managers make the decisions. The virtue is in recognising the complexities and imperfections rather than turning a blind eye to them.