Developing senior hospital managers: does 'one size fit all'? - evidence from the evolving Chinese health system

Liang, Zhanming, Howard, Peter, Wang, Jian, Xu, Min, and Zhao, Mei (2020) Developing senior hospital managers: does 'one size fit all'? - evidence from the evolving Chinese health system. BMC Health Services Research, 20 (1). 281.

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Background: To improve the effectiveness and efficiency of health service provision in China, the National Health Commission has emphasised that training of all health service managers is essential. However, the implementation of that policy has proven challenging for various reasons, one of which is the lack of understanding of the competency requirements and gaps. The aims of the study were to develop an understanding of the characteristics and training experience of hospital managers in one major Chinese city, explore the difficulties they experience and relate them to their perceived importance of management competencies and the perceived level of their management competency.

Methods: A cross-sectional, descriptive study with a three-component survey including the use of a validated management competency assessment tool was conducted with three senior executive groups (n = 498) from three categories of hospital in Jinan, Shandong Province, China.

Results: The survey confirmed that formal and informal management training amongst participants before commencing their management positions was inadequate. The core competencies identified in the Australia context were applicable to the management roles in Chinese hospitals. In addition, the senior executives had low levels of confidence in their management competence. Furthermore, the data showed significant differences between hospital categories and management levels in terms of their commitment to formal and informal training and self-perceived management competence.

Conclusions: The study suggests that management training and support should be provided using a systematic approach with specific consideration to hospital types and management levels and positions. Such an approach should include clear competency requirements to guide management position recruitment and performance management.

Item ID: 68167
Item Type: Article (Research - C1)
ISSN: 1472-6963
Keywords: Chinese health system, Hospital managers, Management competency, Management training and development
Copyright Information: © The Author(s). 2020Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License,which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtainpermission directly from the copyright holder. To view a copy of this licence, visit Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Date Deposited: 16 Jul 2021 03:22
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420309 Health management @ 40%
42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 30%
42 HEALTH SCIENCES > 4203 Health services and systems > 420306 Health care administration @ 30%
SEO Codes: 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280112 Expanding knowledge in the health sciences @ 100%
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