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| Construction of a competency evaluation model for health managers based on grounded theory |
| LONG Xin1, WANG Xiaoxiao2, SI Jianping1,2, GUO Qing3
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1. School of Public Health, Hangzhou Normal University,Hangzhou, Zhejiang 311121, China;
2. School of Management, Henan University of Chinese Medicine, Zhengzhou, Henan 450046, China;
3. Institute of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310000, China |
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Abstract Objective To construct a competency evaluation model for health managers based on the grounded theory, so as to provide insights into the training and evaluation of health managers. Methods From December 2022 to March 2023, health managers with three years and more of working from health management center of a tertiary hospital, a health management enterprise and a university with a top-tier ranking for the major of "Health Services and Management" were invited, and a semi-structured interview on competency was conducted based on grounded theory. Coding techniques were applied to analyze the interview data, including open coding, axial coding, selective coding and theoretical saturation testing using NVivo12 software. Based on the coding results and drawing inspiration from McClelland's "Iceberg Competency Model Structure", a competency evaluation model for health managers was formulated. Results Twenty-one health managers participated in the study, including 8 participants from the hospital, 7 participants from the enterprise and 6 participants from the university, 14 females, 17 participants with 3-10 years of working, and 6 participants with the rank of associate senior professional title or above. The interview yielded 5 main categories, from which the competency evaluation model for health managers was developed with five dimensions: professional development, health management capability, communication and coordination, humanistic care, and personal traits. professional development and health management capability constituted the overt competencies of health managers, while communication and coordination, humanistic care, and personal traits formed their implicit competencies. Conclusion The competency evaluation model for health managers constructed in this study includes explicit competency and implicit competency, which is expected to serve as a reference for the effective selection and cultivation of health managers.
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Received: 25 June 2023
Revised: 22 August 2023
Published: 10 October 2023
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[1] MCCLELLAND D C.Testing for competence rather than for“intelligence”[J].Am Psychol,1973,28(1):1-14.
[2] SINGH H K,KENNEDY G A,STUPANS I.Competencies and training of health professionals engaged in health coaching:a systematic review[J].Chronic Illn,2022,18(1):58-85.
[3] MORSE J M,BOWERS B J,CHARMAZ K,et al.Developing grounded theory:the second generation revisited[M].California:Left Coast Press,2020:35.
[4] 王晓晓,郭清.社区居家医养结合服务公私合作模式的影响因素:基于H市的扎根理论研究[J].中国卫生政策研究,2022,15(9):27-33.
[5] 金鑫,王锡苓.跨越逻辑、方法与范式:计算扎根理论作为创新性研究方法的特征、意义与应用[J].新闻界,2023(6):83-96.
[6] 任桑桑,陈智.优秀临床教师何以可能:基于一线临床教师的实证研究[J].四川大学学报(医学版),2023,54(3):517-521.
[7] 张枭霄,高祖梅,耿敬,等.脑心健康管理师岗位胜任力模型构建的质性研究[J].全科护理,2023,21(6):832-836.
[8] 张玮. 智能化环境下健康管理师胜任力评价指标体系构建研究[D].武汉:华中科技大学,2020.
[9] SULIMAN M,ALJEZAWI M,TAWALBEH L,et al.Assessing professional competencies among undergraduate nurses:an exploratory study[J].Nurs Educ Perspect,2023,44(3):10-14.
[10] 贾旭东,衡量.扎根理论的“丛林”、过往与进路[J].科研管理,2020,41(5):151-163.
[11] SCHERGER J E.Preparing the personal physician for practice(P4):essential skills for new family physicians and how residency programs may provide them[J].J Am Board Fam Med,2007,20(4):348-355.
[12] 黄友初. 教师专业素养内涵结构和群体认同差异的调查研究[J].湖南师范大学教育科学学报,2019,18(1):95-101.
[13] 张廷峰,田梓璇,宋华忠,等.呼和浩特市基层公共卫生服务人员执业技能培训需求调查[J].预防医学,2023,35(6):485-490.
[14] BECKER E R B,CHAHINE T,SHEGOG R.Public health entrepreneurship:a novel path for training future public health professionals[J/OL].Front Public Health,2019,7[2023-08-22].https://doi.org/10.3389/fpubh.2019.00089.
[15] 陈君石,黄建始,李明,等.健康管理师国家职业标准[J].中华健康管理学杂志,2007,1(2):74-77.
[16] HOWELL C R,HARADA C N,FONTAINE K R,et al.Perspective:acknowledging a hierarchy of social needs in diabetes clinical care and prevention[J].Diabetes Metab Syndr Obes,2023,16:161-166.
[17] 吴红艳,王洁玉,刘义兰,等.我国养老护理人文关怀的文献计量学分析[J].医学与社会,2019,32(12):68-71.
[18] 马志强,郭乐,李钊,等.签约服务情境下基于扎根理论的全科医生胜任力模型构建研究[J].中国全科医学,2023,26(4):460-466,485. |
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