What does this research mean for the field?

Post-pandemic Canadian hospital governance has shifted toward more integrated, collaborative leadership among the Board, CEO, and Chief of Staff, though significant gaps remain in performance management and succession planning. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To examine evolving internal governance dynamics and evaluate the triangular leadership relationship among hospital Boards of Directors, Chief Executive Officers, and Chiefs of Staff.

September 4, 2026Healthcare Management ForumOpen Access

Leadership in Canadian Healthcare: Navigating Change Through Effective Governance

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To examine evolving internal governance dynamics and evaluate the triangular leadership relationship among hospital Boards of Directors, Chief Executive Officers, and Chiefs of Staff.
Conducted a qualitative governance assessment across seven healthcare institutions in eastern Ontario, Canada.
Evaluated decision-making dynamics, accountability structures, and interaction models among the Board Chair, Chief Executive Officer, and Chief of Staff.
Identified three distinct governance interaction models, observing a post-pandemic acceleration toward integrated and collaborative leadership.
Identified persistent administrative deficiencies in non-financial delegated authorities, Chief of Staff performance evaluations, and formalized succession planning.
Demonstrated that foundational mutual trust and transparency across the executive triad are primary drivers of overall governance effectiveness.

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Implication

Qualitative multi-site study reveals an accelerated shift toward collaborative leadership in Canadian hospitals, highlighting persistent gaps in succession planning and delegated authority.

Cite This Study

Légaré et al. (2026) studied this question.

synapsesocial.com/papers/6a9a85d25d9e33f25c6312ef https://doi.org/10.1177/08404704261476679

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Implication

Qualitative multi-site study reveals an accelerated shift toward collaborative leadership in Canadian hospitals, highlighting persistent gaps in succession planning and delegated authority.

Leadership in Canadian Healthcare: Navigating Change Through Effective Governance

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Discussion

Implication

Cite This Study

Leadership in Canadian Healthcare: Navigating Change Through Effective Governance

Key Points

Discussion

Implication

Cite This Study

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