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公共组织中的管理能力:医疗保健专业人员的视角。

Managerial competences in public organisations: the healthcare professionals' perspective.

机构信息

Department of Economics and Management, University of Parma, Via J. F. Kennedy, 6 - Parma, Italy.

出版信息

BMC Health Serv Res. 2020 Apr 15;20(1):303. doi: 10.1186/s12913-020-05179-5.

Abstract

BACKGROUND

Human resources play a critical role in encouraging efficient performance within organisations, especially for public healthcare organisations, where competences of staff are key aspects of the quality of services provided. In this context, the enhancement of competences are strategic objectives for Human Resources Management (HRM) in order to achieve excellent and lasting results. However, competences of healthcare professionals are both clinical and managerial. This study identifies specific managerial competences perceived as crucial by healthcare professionals in order to improve their performance and develop suitable HRM practices.

METHODS

The research methodology was divided into three main phases using mixed methods, commencing with literature review to identify the initial framework about managerial competences. Focus groups were then used to discuss evidence from the literature. Feedback from focus groups was used to draft the final questionnaire. Finally, the answers to the questionnaire were analysed through statistical software.

RESULTS

The results show that managers and professionals share a view of what specific managerial competences for healthcare organisations should be. Main competences are: quality evaluation based on outcomes; enhancement of professional competences; programming based on process management; project cost assessment; informal communication style; and participatory leadership.

CONCLUSIONS

Although the issue of managerial skills in healthcare is widely discussed in literature, findings are often fragmentary. Our work includes a systematic literature review useful for more empirical studies. Furthermore, our results can support public managers who want to set up positive HRM practices for healthcare professionals.

摘要

背景

人力资源在激励组织内的高效表现方面起着至关重要的作用,特别是对于公共医疗保健组织而言,员工的能力是提供服务质量的关键方面。在这种情况下,增强能力是人力资源管理(HRM)的战略目标,以实现卓越和持久的成果。然而,医疗保健专业人员的能力既有临床方面的,也有管理方面的。本研究确定了医疗保健专业人员认为对提高绩效和发展合适的 HRM 实践至关重要的特定管理能力。

方法

研究方法分为三个主要阶段,使用混合方法,首先是文献综述,以确定关于管理能力的初始框架。然后使用焦点小组讨论文献中的证据。从焦点小组获得的反馈用于起草最终问卷。最后,通过统计软件分析问卷的答案。

结果

结果表明,管理人员和专业人员对医疗保健组织应具备的特定管理能力有共同的看法。主要能力包括:基于结果的质量评估;提高专业能力;基于流程管理的规划;项目成本评估;非正式沟通方式;以及参与式领导。

结论

尽管文献中广泛讨论了医疗保健中的管理技能问题,但研究结果往往是零散的。我们的工作包括了对更具实证性研究有用的系统文献综述。此外,我们的研究结果可以为希望为医疗保健专业人员制定积极的 HRM 实践的公共管理人员提供支持。

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