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Leadership for Christian Healthcare

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Title: Leadership for Christian Healthcare


1
Leadership for Christian Healthcare
  • A case study of Bulgaria 2004
  • Matthew 28 18-20

2
The Great Commission, Matthew 28 18-20
  • A Commission for Global Transformation
  • Christians change agents of God (Salt and light)
  • Transformation through relational networks (love
    God and love your neighbor as yourself)
  • Covers all areas of life (all authority
    heaven/earth)
  • Signs of the Kingdom signaling Christs victory
    on the Cross, also in the health field our
    responsibility ? work is ministry
  • Not heaven on earth / no Utopia / no triumphalism
    / no mere horizontal activism

3
Seven Characteristics of Christs Commission
  1. Authoritative exousia dignity, authorization,
    glory
  2. Mobilizing poreuthentes literally having
    gone / as you go
  3. Discipling / Mentoring - mathiteusate ? multiply
    leaders
  4. Incorporating baptism presupposes evangelism
    and intercession
  5. Cross-cultural - panta ta ethni
  6. Educative didasko teach all things
  7. Encouraging I am with you all the days

4
Christian leadership
  • Leadership influence focus
  • Leadership development is a lifetime learning
    process that goes through various phases
  • Six development phases
  • Phase I- Sovereign foundations
  • Phase II- Inner-life Growth
  • Phase III- Ministry maturing
  • Phase IV-Life maturing
  • Phase V-Convergence
  • Phase VI-Afterglow or celebration

5
Phase I Sovereign foundations
  • God is developing the leader by laying
    foundations in his life, this is a sovereign
    operation.
  • God works through
  • Family / tribe / people / nation even if your
    family/tribe/people/nation was not perfect /
    Christian / rich etc
  • Environment even if some think it was wrong
    environment
  • Historical events God wants to use whatever
    happens to us to shape us as leaders.
  • The potential leader
  • has little control
  • should learn to respond positively
  • take advantage of what God has laid in these
    foundations.
  • Prayer of surrender and acceptance of the
    foundations God has sovereignly laid in your life

6
Phase II Inner life Growth
  • Getting to know God better
  • Learning the importance of prayer and obedience
  • Growing in discernment and understanding
  • Getting involved in ministry and learning by
    doing ? new inner-life lessons.
  • Being put to the test repeatedly. God wants to
    use testing experiences to develop character
  • Good response ? learn the fundamental lessons God
    is teaching you. Result expanded ministry and
    greater responsibility.
  • Poor response ? waiting till another time to be
    tested again in the same areas.

7
Phase III Ministry maturing
  • Ministry is the big focus.
  • Experimenting with gifts and talents.
  • May get training to be more effective.
  • Also reaching out others.
  • God is developing the leader in two ways
  • Through ministry the leader identifies gifts,
    talents and skills and learns how to use them
    with increasing effectiveness
  • Learns more about relationships in the Body of
    Christ. These relationship experiences teach both
    negative and positive lessons. The negative
    experiences in our relationships with co-workers
    are critical to our maturing. The lessons bring
    personal inadequacies to the surface so that God
    can deal with them

8
What is the focus of first three phases?
  • God is working primarily in the leader, and not
    through him or her.
  • Many emerging leaders dont recognize this and
    become frustrated. They are constantly evaluating
    their ministry through productivity and activity
    while God is quietly evaluating their leadership
    potential and working character in their lives
    for He wants to teach us how to minister out of
    what we are in Christ
  • Ministry activity and fruitfulness are not the
    focus of these three phases, although we can be
    very busy in ministry all the way

9
Phase IV Life maturing
  • Uses talents / spiritual gifts in a satisfying
    and effective ministry
  • Has prioritized the best use of talents / gifts
    because learning what not to do is as important
    as learning what to do.
  • Result mature fruitfulness
  • Isolation, crisis and conflict are valuable
    learning experiences
  • The principle that ministry flows out of being
    has new significance as the leaders character
    mellows and matures.
  • Leaders experiential understanding of God is
    being developed.
  • Communion with God becomes foundational it is
    more important than success in ministry.
  • Through this change, the ministry itself takes on
    an increased relevance and fruitfulness.
  • The key to development during this phase is a
    positive response to the experiences God ordains.
    This response will deepen communion with God
    that will become the base for lasting and
    effective ministry.

10
Phase V Convergence
  • Convergence of life maturing and ministry
    maturing
  • God moves leader into role that matches gift-mix
    and experience so that ministry is maximized.
  • Many leaders do not experience convergence
    because
  • hindered by own lack of personal development,
  • organization keeps leader in a limiting position
    where gifts/talents are not optimally utilized
  • The major development task is to guide leader
    into a role and place where he can have maximum
    effectiveness.
  • Leader to trust Gods guidance, rest in faith and
    watch as God moves him toward a ministry that
    embodies all the development of preceding phases.

11
Phase VI Afterglow / celebration
  • The fruit of a lifetime of ministry and growth
    culminate in an era of recognition and indirect
    influence at broad levels.
  • Leaders in afterglow have built up a lifetime of
    contacts and continue to exert influence in these
    relationships.
  • Others will seek them out because of their
    consistent track record in following God.
  • Their storehouse of wisdom gathered over a
    lifetime of leadership will continue to bless and
    benefit many.

12
Checkpoint Where are you?
  • Phase I Sovereign foundations
  • Phase II Inner-life Growth
  • Phase III Ministry maturing
  • Phase IV Life maturing
  • Phase V Convergence
  • Phase VI Afterglow or celebration

13
What is Christian Healthcare?
  • Before we seek to answer that question, let us
    first take a closer look at the relationship
    between world view and healthcare

14
World view (basic beliefs) healthcare
Healthcare practice
Vision of healthcare
Health/Disease/Death
Truth/Science/Research
Ethics/Values/Norms
Human being
God
15
Christian healthcare TPC
  • God Theism for Christian Christ-centred
  • Human imager ? 10-facetted whole
  • Ethics authoritative framework re good/evil
  • Spirituality In relation to God through Christ
  • Health 10-facetted shalom
  • Healthcare focused 10-facetted ministry
  • Aim specific contribution to shalom
  • Driving force agape-love
  • Care-giver called professional steward

16
Total health Optimal shalom in all of life
  1. Faith
  2. Ethical
  3. Judicial
  4. Aesthetic
  5. Economic
  6. Social
  7. Linguistic
  8. Cultural/technical
  9. Psychological
  10. Somatic

Minimum
Maximum
WHO Only 4 of 10
17
A national healthcare system
Levels ? Elements ? Macro (national / global) Meso (institutional) Micro (interpersonal)
Policy
Technology
Structure
Finance
People
18
Bulgarian healthcare ? developments
  1. Some new very modern specialized clinics
  2. Specialists well-trained
  3. Many new / modern medicines available
  4. New / modern technologies have become available

19
Special problems in Bulgaria
  • Staff discouraged
  • Financial problems
  • Lack of finances ? bad situation in many
    hospitals
  • Low income some categories of healthcare workers
  • Many without health insurance (unemployed,
    students)
  • Management problems
  • Corruption
  • Inadequate healthcare reform program
  • Care delivery problems
  • Disappointment with official medicine ? flow
    towards alternative practices

20
How to solve Bulgarian healthcare problems?
  • Secular approaches
  • Usually begins with policy, structure, technology
  • Healthcare managed system for healthcare
    delivery
  • Major problem 1 not enough money
  • Major problem 2 the people
  • Christian approach
  • Begins with people in the Great Commission
    context
  • Healthcare complex matrix of relational
    networks
  • Major problem 1 Dualistic Christianity
  • Major problem 2 Reductionistic Christianity
  • Major problem 3 Great Omission Christians

21
Your answers How to solve
  1. Do not know what to do

22
In what areas can our organization help transform
the healthcare system?
Levels ? Elements ? Macro (national / global) Meso (institutional) Micro (interpersonal)
Policy
Technology
Structure
Finance
People
X
X
Appointed authority
X
X
X
X
X
Which two areas can we start with?
23
What can our organization do at a Micro level?
  • Get to know one another, exchange info
  • In work be faithful learn from non-Christians
  • Problems
  • Trying to solve problems in own strength without
    God
  • Staff exploited junior doctors, nurses,
  • Action
  • Build relationship with the Lord / Prayer for
    wisdom to solve problems
  • Take initiative for comprehensive approach
  • Fight for truth / rights / Obtain legal advice to
    counter exploitation

24
What do at meso level?
  • Make effective network of Christian doctors
  • Make list of Christian specialists
  • Build relationships between them
  • Interpersonal
  • Inter-practice / inter-clinic
  • Meetings
  • Action
  • Better PR/FR of CMA
  • Better link CMA local churches
  • Christian doctors free outreach ministries
  • Christian hospices

25
What do at macro level?
  • CMA organization needs to improve
  • Prayer mtg q 1/12 (Anni) prayer coordinators in
    big towns
  • Organization structure renewed regional / local
  • Better PR/FR churches, media, professional
    journals
  • Ethical concept for CMA
  • Relationships medical workers patients
  • Contact parliament / ministry / other
    institutions internet etc presentations to govt
    and other officials
  • Networking with other organizations / NGOs
    (Christian and non-Christian

26
Things to do
  • National committee to encourage
  • Working group anti-exploitation AA
  • Christian h/c workers networks in Sofia, Plovdiv
    and Assenovgrad, Varna start with list name
    profession e-mail or tel
  • PR/FR action group
  • National policy group privatization of
    hospitals bankruptcy
  • National networking group
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