rn organism of health is the leadership. "There are many elements to a campaign. Leadership is number one. Everything else is number two. "(Anthony T. Dadovano -Bernd Brecher." Bernd Brecher on Leadership). The successes and the failures of each constituted social structure (associations, enterprises, states) are attributed at a very significant percentage in their leadership. This fact makes the leadership one of the most important parameters that determine the good operation and the development of each social organization small or big.
Successful organizations are those which have leaders smart, creative to think quickly, have training in administration, fluent in speaking, persuasive, knowledgeable about group task and have a vision to work and communicate effectively. Effective leadership is essential if a health services organization is to provide high-quality care and succeed financially. "Effective leadership is a key ingredient in modernizing today's health services. Better leadership means better patient care and improved working practices for NHS staff." (NHS Modernization Agency, 2004a). Leadership ensures that the organization works successfully and accomplishes the desired goals. The functionals in the sector of health seek from a side the benefit of medical care and from other side trying for restraint the cost.
In the NHS there is lack of leadership skills and developing methods but it has been recognized and their development is a high priority. Leaders are the key to the delivery of quality care in an organization.
Burns (1987) was the first who reported in two innovative type of leadership, which can be corresponded successfully in the requirements of NHS. This type of leadership is the Transactional Leadership and the Transformational Leadership. The Transactional Leadership is based on exchange theory that includes performance bonus and compensation with exchange the successful execution of the work which assigned to the group." Here there is two standards of action: the contingent reward and the management by exception."(Kurz 1998). According to Bass (1985) the four main characteristics of transactional leadership are: charisma, inspiration, spiritual momentum, individualized approach. This type of leadership tends to maintain the current operational status of the organization. The leader seeks to maintain the overall structure of the system through the control and partial upgrading of structures and processes. For example, in a university hospital whatever changes could be done in personnel and equipment, it would be remained university oriented in research and education.
The transformational leadership according to Burns (1978) happen when one or more people involved and cooperate with their manner in order to the leaders and colleagues to push each other to ever higher levels of motivation and incentive for greater efficiency. The main difference from the transactional leadership is that the leader here seeks to change the entire organizational culture and structures of organism. According to Bass (1984) the transformational leadership has three characteristics: The transformational leadership might be lead to most successful and sustainable solutions if it combined with the already existing process of transactional leadership. The Vision of transformational leader to have success in the future is to secure the consent of all the factors of organism, and makes the environment more receptive to the introduction of innovative methods and modes of action.
Leadership an
