Hudak R P, Brooke P P, Finstuen K, Trounson J
USUHS, Bethesda, MD 20814, USA.
J Health Adm Educ. 1997 Fall;15(4):219-39.
The purpose of this study was to obtain a consensus of opinion from a large and diverse population of experienced ambulatory health care administrators regarding the essential ambulatory health care management competencies, and their related skills, knowledge and abilities (SKA) requirements, that will be required for successful management performance in ambulatory health care delivery settings in the next five years. A literature review suggests limited research in this essential and rapidly developing area for the health care community. The research design and methods employed the Delphi technique. Three hundred and twenty (320) Fellows of the American College of Medical Practice Executives (ACMPE) were asked to respond to two rounds of a Delphi mail survey. The results indicate that the essential ambulatory management competencies could be discretely grouped into six Management Domains, each with related SKAs. The respondents rated leadership and strategic management as the most important Management Domains. The highest rated SKA emphasized interpersonal skills with the next highest SKA relating to ethical and moral dimensions. Patient care management, as well as two SKAs relating to computer skills, were rated lowest.
本研究的目的是从大量不同的经验丰富的门诊医疗管理人员群体中获取关于门诊医疗管理核心能力及其相关技能、知识和能力（SKA）要求的共识，这些是未来五年在门诊医疗服务环境中成功进行管理所必需的。文献综述表明，在这个对医疗保健界至关重要且快速发展的领域，相关研究有限。研究设计和方法采用了德尔菲技术。美国医学实践高管学院（ACMPE）的320名会员被要求回复两轮德尔菲邮件调查。结果表明，门诊医疗管理核心能力可分为六个管理领域，每个领域都有相关的SKA。受访者将领导力和战略管理评为最重要的管理领域。评分最高的SKA强调人际技能，其次是与道德维度相关的SKA。患者护理管理以及与计算机技能相关的两个SKA评分最低。
