The quality of leadership is usually assessed in terms of business performance, which is reflected in expenditure and revenue figures. Although cost efficiency becomes an ever more important factor in healthcare, financial revenue is not the only defining factor for quality of leadership in a business where the consequence of failure may be deadly in the true sense of the word. Moreover, since "health" and "well-being" are both complex issues involving a variety of psychological variables, customer satisfaction in this field is not always strictly related to the quality of the delivered care. This difficulty in the definition of an accomplished leader in healthcare may have added to the negligence in developing leadership in this field.

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