
From Balance to Harmony: Reframing the Work–Life Interface for Healthier People and High-Performing Organizations, with Lessons for Sri Lanka
Abstract
The traditional concept of "balancing" two separate spheres of work and life no longer captures the reality of modern healthcare delivery, where flexible schedules, digital connectivity, and diverse life-stage demands intersect. A more relevant question is whether the overall pattern of work and life feels coherent and sustainable—whether it enables recovery, focus, and meaning—rather than whether hours are perfectly divided each day. Meta-analysis evidence demonstrates that extended off-hours availability undermines individual recovery and well-being, while organizational studies link well-crafted work–life arrangements to stronger recruitment, attendance, retention, and motivation, particularly when leaders model healthy boundaries and prioritize outcomes over hours worked. In Sri Lanka's health sector, pandemic and economic pressures have intensified workload and administrative demands. Local research documents high burnout and psychological strain, making harmony-driven policy design a priority for quality care, patient safety, and workforce sustainability [1–4].
© 2026 R. Jayawardhana, P. Karunarathne, published by College of Medical Administrators of Sri Lanka
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