Wednesday 7 November 2012

The five heads every health director should be familiar to

The Moral Law causes the people to be in complete accord with their ruler, so that they will follow him regardless of their lives, undismayed by any danger.

Heaven signifies night and day, cold and heat, times and seasons.

Earth comprises distances, great and small; danger and security; open ground and narrow passes; the chances of life and death.

The Commander stands for the virtues of wisdom, sincerity, benevolence, courage and strictness.

By method and discipline are to be understood the marshaling of the army in its proper subdivisions, the graduations of rank among the officers, the maintenance of roads by which supplies may reach the army, and the control of military expenditure.

These five heads should be familiar to every general: he who knows them will be victorious; he who knows them not will fail.



Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

The expression "Moral Law" requires some creative interpretation. We are no longer living in a world under the rule of virtue so it must be rewritten to fit a democratic context. However it would be still relevant that the rule should be in accordance to the people's needs and therefore observed by the people. Other translations are rather straight forward, just seeking the equivalent of military expressions in the healthcare context.

Translation:

The legislation asks the people to comply with the rules, which have been enacted in democratic processes so that everyone should follow it.

Environment signifies hours of sunshine, cold and heat, weather and seasonal variations.

Geography comprises distances of facilities, population, health risks, security, density of residence and life expectations.

Professionalism stands for the virtues of wisdom, sincerity, supportiveness, courage and strictness.

By method and discipline are to be understood the marshalling of the healthcare organisation in its proper subdivisions, the divisions of duties among the practitioners, the maintenance of facilities by which services are delivered to the customers, and the control of healthcare expenditure.

These five heads should be familiar to every health director: he who knows them will be successful; he who knows them not will fail.

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