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The context of health care continues to evolve, with changes most marked in the following areas: demographic transition, epidemiologic transition, concepts of health and disease, models of health care, health technology, health care funding, community expectations about health services, optimal mix of health professionals, and settings for health care provision. This unit provides participants with information on the implications of key challenges for strategic health leadership and management, and the skills to effectively anticipate and manage structural changes in health industries. The unit distinguishes between Management, described as the production of acceptable results within known constraints and conditions; and Leadership, described as harnessing individual and organisational capacity, collaboration and character to facilitate strategic and productive changes within health organisations.