College of Business, Government and Law, Flinders University, Adelaide 5042, Australia.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville 4811, Australia.
Int J Environ Res Public Health. 2022 Oct 25;19(21):13843. doi: 10.3390/ijerph192113843.
The COVID-19 pandemic has sped up digital health transformation across the health sectors to enable innovative health service delivery. Such transformation relies on competent managers with the capacity to lead and manage. However, the health system has not adopted a holistic approach in addressing the health management workforce development needs, with many hurdles to overcome. The objectives of this paper are to present the findings of a three-step approach in understanding the current hurdles in developing a health management workforce that can enable and maximize the benefits of digital health transformation, and to explore ways of overcoming such hurdles.
A three-step, systematic approach was undertaken, including an Australian digital health policy documentary analysis, an Australian health service management postgraduate program analysis, and a scoping review of international literatures.
The main findings of the three-step approach confirmed the strategies required in developing a digitally enabled health management workforce and efforts in enabling managers in leading and managing in the digital health space.
With the ever-changing landscape of digital health, leading and managing in times of system transformation requires a holistic approach to develop the necessary health management workforce capabilities and system-wide capacity. The proposed framework, for overall health management workforce development in the digital health era, suggests that national collaboration is necessary to articulate a more coordinated, consistent, and coherent set of policy guidelines and the system, policy, educational, and professional organizational enablers that drive a digital health focused approach across all the healthcare sectors, in a coordinated and contextual manner.
COVID-19 大流行加速了医疗领域的数字健康转型，以实现创新的医疗服务提供。这种转型依赖于有能力领导和管理的有能力的管理者。然而，卫生系统并没有采取整体方法来解决卫生管理劳动力发展需求，面临许多障碍需要克服。本文的目的是展示理解当前开发能够实现和最大化数字健康转型效益的卫生管理劳动力的障碍的三步方法的结果，并探讨克服这些障碍的方法。
采用了三步、系统的方法，包括澳大利亚数字健康政策文献分析、澳大利亚卫生服务管理研究生课程分析以及对国际文献的范围综述。
三步方法的主要发现证实了开发具备数字能力的卫生管理劳动力所需的战略，并努力使管理者能够在数字健康领域中领导和管理。
随着数字健康的不断变化，在系统转型时期领导和管理需要采取整体方法来发展必要的卫生管理劳动力能力和全系统能力。拟议的框架建议在数字健康时代进行全面的卫生管理劳动力发展，需要国家合作来阐明更协调、一致和连贯的一套政策指导方针以及推动所有医疗保健部门以协调和有背景的方式采取数字健康为重点的方法的系统、政策、教育和专业组织推动者。
