Personal Urgency Narrative


The challenge is to make long-term health care more personal instead of one-size-fits-all. To do this, we need to allow teams and employees to do their own decision-making and to improve human relations. Unfortunately, in my organization, my successor is reversing my measures to stimulate learning and development.


Health care must change because of the problem of affordability. This requires that the whole system changes. The challenge is to get all stakeholders to change. “It’s all about working with checklists of who is good and who is not.”People in the sector that I know are worried about the labor market and the demand for high-level manpower. I am concerned about whether the changes will succeed in the sector.


The challenge is to get the sector away from checklists and to start trusting each other again. This implies focusing on quality care and outcomes instead of accountability. The way to do this is to start more experiments in rule-free environments. We need all actors to contribute in all areas, including inspection, care agency, the politics, and management of healthcare organizations. “For me it is a culture of distrust. And this is part of the Anglo-Saxon model of control and supervision and if we don’t stop it now, nothing is going to change.”


The challenge is to create co-responsibility to deliver quality care with all parties in the field. The challenge for leaders is to stand up in the rat race of the long-term healthcare to support this co-responsibility and change, which can be challenging, especially in big organizations.