Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, China.
Medicine (Baltimore). 2020 Dec 18;99(51):e23516. doi: 10.1097/MD.0000000000023516.
The clinical management assistant (CMA) is an innovative and practical way to help manage a hospital, so the selection of CMA is important. This research is to find the influencing factors on the competency of CMA and help to select proper candidate of CMA.Based on the items of competency theory using the structural equation model, the data of 600 hospital managers from Shanghai, Guangzhou and Wuhan were identified by exploratory factor analysis and confirmatory factor analysis. In further analysis, the interactions among the factors were evaluated.A total of 20 items were identified as critical to CMA capability, which were further tested and divided into 3 factors: (1) personal characteristics; (2) competence; (3) thinking. The subsequent analysis showed that all factors had significant impact on CMA's ability, and competence contributed the most to the formation of CMA's ability, while the intermediary role of personal characteristics and thinking could not be ignored in practice. The results showed that the competency model contained these 3 factors and had the same structure as the classic competency model.This study presented a tentative approach for assessing CMA's competency, as well as provided the criteria to find and evaluate a CMA.
临床管理助理（CMA）是一种创新且实用的管理医院的方法，因此 CMA 的选择很重要。本研究旨在寻找影响 CMA 能力的因素，以帮助选择合适的 CMA 候选人。
本研究基于能力理论的项目，采用结构方程模型，通过探索性因子分析和验证性因子分析，对来自上海、广州和武汉的 600 名医院管理人员的数据进行了识别。在进一步的分析中，评估了因素之间的相互作用。
共确定了 20 项对 CMA 能力至关重要的项目，这些项目进一步经过测试和分类，分为 3 个因素：（1）个人特征；（2）能力；（3）思维。随后的分析表明，所有因素对 CMA 的能力都有显著影响，而能力对 CMA 能力的形成贡献最大，而个人特征和思维的中介作用在实践中不容忽视。结果表明，该能力模型包含这 3 个因素，与经典能力模型具有相同的结构。
本研究提出了一种评估 CMA 能力的试探性方法，为寻找和评估 CMA 提供了标准。
