<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2020000400526</article-id>
<article-id pub-id-type="doi">10.24875/ciru.19001413</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Problemas de liderazgo en la alta dirección de instituciones de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Leadership problems in the management of health institutions]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Contreras-Carreto]]></surname>
<given-names><![CDATA[Nilson A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Montiel]]></surname>
<given-names><![CDATA[Martha L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Dirección General de Calidad y Educación en Salud ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad Ixtapaluca Clínica de la Mujer ]]></institution>
<addr-line><![CDATA[Ixtapaluca Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>4</numero>
<fpage>526</fpage>
<lpage>532</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000400526&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000400526&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000400526&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En las instituciones de salud es frecuente que los médicos u otros profesionales de la salud ocupen altos cargos directivos, habitualmente sin ninguna experiencia administrativa, de tal modo que un excelente clínico se puede convertir en un pésimo líder y administrador. En este artículo se abordan las consecuencias administrativas y organizativas de un mal ejercicio del liderazgo, interpretando el fenómeno desde las teorías clásicas y contemporáneas del liderazgo y exponiendo los problemas que la alta dirección en salud enfrenta frecuentemente en los hospitales. El liderazgo no es innato, es una habilidad que puede ser desarrollada. Liderar y administrar instituciones de salud es una ciencia y un arte que bien debiese aprenderse desde el pregrado y perfeccionarse en el posgrado, puesto que, a menos que el profesional de la salud posea una sólida carrera administrativa y política, el ocupar altos cargos de responsabilidad es un asunto fortuito.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In health institutions, physicians or other health professionals frequently occupy senior management positions, usually without any administrative expertise. In such a way that an excellent clinician can become a lousy leader and administrator. In this article, the administrative and organizational consequences of a bad exercise of leadership are displayed, interpreting the phenomenon from the classical and contemporary theories of leadership and exposing the problems that top management in health frequently faces in hospitals. Leadership is not innate; it is a skill that can be developed. Leading and managing health institutions is a science and an art that should be learned from undergraduate and perfected in the postgraduate course. Unless the health professional has a solid administrative and political career, holding senior positions in the hospital is a fortuitous matter.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Administración]]></kwd>
<kwd lng="es"><![CDATA[Dirección hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[Liderazgo]]></kwd>
<kwd lng="en"><![CDATA[Administration]]></kwd>
<kwd lng="en"><![CDATA[Hospital management]]></kwd>
<kwd lng="en"><![CDATA[Leadership]]></kwd>
</kwd-group>
</article-meta>
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