A call for leadership and management competency development for directors of medical services—evidence from the Chinese public hospital system

Liang, Zhanming, Howard, Peter, Wang, Jian, and Xu, Min (2020) A call for leadership and management competency development for directors of medical services—evidence from the Chinese public hospital system. International Journal of Environmental Research and Public Health, 17 (18). 6913.

[img]
Preview
PDF (Published Version) - Published Version
Available under License Creative Commons Attribution.

Download (539kB) | Preview
View at Publisher Website: https://doi.org/10.3390/ijerph17186913
 
1
36


Abstract

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.

Item ID: 68164
Item Type: Article (Research - C1)
ISSN: 1660-4601
Keywords: Health service management, Management competency, Chinese hospitals, Management workforce development, Medical directors
Copyright Information: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open accessarticle distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0
Date Deposited: 20 Jul 2021 02:45
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420309 Health management @ 50%
42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 50%
SEO Codes: 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280112 Expanding knowledge in the health sciences @ 100%
Downloads: Total: 36
Last 12 Months: 36
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page