School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
Global Health. 2019 Feb 6;15(1):11. doi: 10.1186/s12992-019-0452-3.
Globally, health service leaders and managers have a critical role in strengthening health systems. Competency frameworks for health service managers are usually designed to describe expectations of good performance of a health manager within a country-specific health sector context. However, a growing number of health service management roles operate beyond a country-specific level, with managers requiring a global perspective and the skills and knowledge to work effectively across a range of countries and contexts. This study provides an exploratory analysis of the most relevant qualities perceived to facilitate health service managers to be effective when working in such roles.
A qualitative, descriptive, and exploratory multi-centre study was undertaken. Semi-structured individual interviews were conducted between August and November 2017 with 15 health service managers or leaders at a range of levels from seven countries [Australia (5), China (2), Indonesia (3), Oman (1), Papua New Guinea (1), United Kingdom (1) and United States of America (2)].
Five themes emerged relating to the qualities required from health leaders in order to be effective when working in a global context: i) Managing and Making Change, ii) Collaborative Managers and Compassionate Leaders, iii) Continuous Learning, iv) Balancing Management Theory and Practice, and v) Leadership Skills.
Our findings highlight underpinning themes relating to making and managing change and collaboration, reflecting the changing needs of health services to deliver high quality care. These themes were identified in addition to some of the common qualities required of healthcare leaders and managers that are identified that reflect many country-specific frameworks.
在全球范围内，卫生服务领导者和管理者在加强卫生系统方面发挥着关键作用。卫生服务管理者的能力框架通常旨在描述特定国家卫生部门内卫生管理者良好绩效的期望。然而，越来越多的卫生服务管理角色超越了特定国家的层面，管理者需要全球视野以及在一系列国家和背景下有效工作的技能和知识。本研究对促进卫生服务管理者在这种角色中有效工作的最相关素质进行了探索性分析。
进行了一项定性、描述性和探索性的多中心研究。2017 年 8 月至 11 月，在来自七个国家（澳大利亚[5]、中国[2]、印度尼西亚[3]、阿曼[1]、巴布亚新几内亚[1]、英国[1]和美国[2]）的不同级别，对 15 名卫生服务管理者或领导者进行了半结构化的个人访谈。
出现了五个与在全球背景下工作时需要的卫生领导者素质相关的主题：i）管理和变革，ii）协作管理者和富有同情心的领导者，iii）持续学习，iv）平衡管理理论与实践，和 v）领导技能。
我们的研究结果突出了与变革和协作管理相关的基础主题，反映了卫生服务提供高质量护理的不断变化的需求。这些主题是在反映许多特定国家框架的医疗保健领导者和管理者所需的一些共同素质之外确定的。
