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A Call for Leadership and Management Competency Development for Directors of Medical Services—Evidence from the Chinese Public Hospital System

机译:关于医疗服务董事的领导和管理能力发展的呼吁 - 中国公立医院系统的证据

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摘要

Background: A competent medical leadership and management workforce is key to the effectiveness and efficiency of health service provision and to leading and managing the health system reform agenda in China. However, the traditional recruitment and promotion approach of relying on clinical performance and seniority provides limited incentive for competency development and improvement. Methods: A three-component survey including the use of a validated management competency assessment tool was conducted with Directors of Medical Services (n = 143) and Deputy Directors of Medical Services (n = 152) from three categories of hospital in Jinan, Shandong Province, China. Results: The survey identified the inadequacy of formal and informal management training received by hospital medical leaders before commencing their management positions and confirms that the low self-perceived competency level across two medical management level and three hospitals was beyond acceptable. The study also indicates that the informal and formal education provided to Chinese medical leaders have not been effective in developing the required management competencies. Conclusions: The study suggests two system level approaches (health and higher education systems) and one organization level approach to formulate overall medical leadership and management workforce development strategies to encourages continuous management competency development and self-improvement among clinical leaders in China.
机译:背景:卫生服务条款有效性和效率的关键和管理卫生服务的有效性和效率的关键。但是,依托临床表现和资历的传统招聘和促进方法为能力发展和改进提供了有限的激励。方法:采用医疗服务董事(N = 143)和医疗服务董事(N = 143)和医疗服务副董事(N = 152),来自山东省济南三类医院的医疗服务(N = 152)的三分调查, 中国。结果:该调查确定了医院医疗领导人在开始管理职位之前收到的正规和非正式管理培训的不足,并确认两个医疗管理水平和三家医院的低自我认识的能力水平超出可接受的。该研究还表明,向中国医疗领导人提供的非正式和正规教育在制定所需的管理能力方面并无无效。结论:该研究表明,两种系统级别方法(健康和高等教育系统)和一个组织级别方法,制定整体医学领导和管理劳动力发展战略,以鼓励中国临床领导人的持续管理能力发展和自我改善。

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