In the area of public health, where I have been working for a long time, we have suffered a profound crisis of leadership. Although all positions of responsibility are well filled and more and more management positions are being designed, paradoxically it is rare to find managers or professionals who lead teams towards specific objectives or missions that open new paths.
The usual path is the protocol, not to get out of the established, to avoid changes and innovation and not to leave the office or the consultation to skip hazards.
This attitude in management staff is being imitated by ordinary professionals who follow their instructions. The overload of care and institutional neglect cause family doctors to barely leave their offices to implement some community activities, nurses and social workers the same and in hospitals everything is considered within the service interacting as little as possible with primary care services or other agents.