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评估领导动态:麦地那初级医疗中心的全面横断面研究

Evaluating Leadership Dynamics: A Comprehensive Cross-Sectional Study of Madinah's Primary Healthcare Centers.

作者信息

Abuljood Muhannad A, Almatrafi Mohammed, Alsolami Ali, Aloufi Yousef, Abualkhair Ahmed

机构信息

Preventive Medicine Program for Postgraduate Studies, Ministry of Health, Madinah, SAU.

Preventive Medicine, General Directorate of Health Affairs of Medina, Madinah, SAU.

出版信息

Cureus. 2024 Aug 19;16(8):e67199. doi: 10.7759/cureus.67199. eCollection 2024 Aug.

DOI:10.7759/cureus.67199
PMID:39295700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409939/
Abstract

OBJECTIVES

This study focuses on the effectiveness of healthcare leadership in primary healthcare centers in Madinah, Saudi Arabia, examining the interplay between leadership styles, emotional intelligence, and their impact on leadership effectiveness. Emphasizing the critical role of primary healthcare as outlined by the World Health Organization, the research addresses the gap in understanding leadership dynamics within the Saudi healthcare context.

METHODS

A cross-sectional design was used, involving 89 managers and deputies from 48 primary healthcare centers in Madinah City, Saudi Arabia in 2023. The methodology included a comprehensive questionnaire assessing leadership effectiveness, emotional intelligence, and socio-demographic variables. Data analysis was performed using SPSS version 26 (Armonk, NY: IBM Corp), incorporating chi-square tests, t-tests, analysis of variance (ANOVA), Pearson correlation, and binary logistic regression for statistical evaluation.

RESULTS

The findings revealed a high level of leadership effectiveness (79.8%; 95% CI: 62.7±10.2) among the study participants. Emotional intelligence emerged as a significant factor in effective leadership, evidenced by a strong positive correlation (r=0.75; p=0.001) between emotional intelligence and leadership effectiveness. The study also observed a predominant preference for democratic leadership styles among participants, with no significant variance in leadership effectiveness across different styles. A notable area for improvement identified was self-awareness among healthcare leaders.

CONCLUSION

The research concludes that effective healthcare leadership, significantly influenced by emotional intelligence, is essential for reaching high-quality primary healthcare. It advocates for the integration of emotional intelligence training, especially focusing on self-awareness, in leadership development programs for healthcare professionals.

摘要

目的

本研究聚焦于沙特阿拉伯麦地那初级医疗中心的医疗保健领导力有效性,考察领导风格、情商及其对领导有效性的影响之间的相互作用。鉴于世界卫生组织所概述的初级医疗的关键作用,该研究填补了沙特医疗背景下对领导动态理解的空白。

方法

采用横断面设计,于2023年纳入了沙特阿拉伯麦地那市48个初级医疗中心的89名管理人员和副手。该方法包括一份全面的问卷,用于评估领导有效性、情商和社会人口统计学变量。使用SPSS 26版(纽约州阿蒙克:IBM公司)进行数据分析,纳入卡方检验、t检验、方差分析(ANOVA)、皮尔逊相关性分析以及二元逻辑回归进行统计评估。

结果

研究结果显示,研究参与者的领导有效性水平较高(79.8%;95%置信区间:62.7±10.2)。情商成为有效领导的一个重要因素,情商与领导有效性之间存在强正相关(r = 0.75;p = 0.001)证明了这一点。该研究还观察到参与者中对民主领导风格的主要偏好,不同风格的领导有效性没有显著差异。确定的一个显著改进领域是医疗保健领导者的自我意识。

结论

该研究得出结论,受情商显著影响的有效医疗保健领导力对于实现高质量的初级医疗至关重要。它主张在医疗专业人员的领导力发展计划中纳入情商培训,尤其注重自我意识。

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本文引用的文献

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Healthcare leadership effectiveness among managers in Public Health institutions of Addis Ababa, Central Ethiopia: a mixed methods study.埃塞俄比亚亚的斯亚贝巴公共卫生机构管理人员的医疗保健领导力有效性:一项混合方法研究。
BMC Health Serv Res. 2022 Apr 22;22(1):540. doi: 10.1186/s12913-022-07879-6.
2
The leadership styles of primary healthcare center managers and center performance outcomes in Riyadh, Saudi Arabia: A correlational study.沙特阿拉伯利雅得地区初级医疗保健中心管理者的领导风格与中心绩效结果:一项相关性研究。
J Family Community Med. 2022 Jan-Apr;29(1):56-61. doi: 10.4103/jfcm.jfcm_400_21. Epub 2022 Jan 19.
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Primary healthcare professionals' perspective on vertical integration of healthcare system in China: a qualitative study.基层医疗保健专业人员对中国医疗体系垂直整合的看法:一项定性研究。
BMJ Open. 2022 Feb 1;12(2):e057063. doi: 10.1136/bmjopen-2021-057063.
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Primary health care reform in Saudi Arabia: progress, challenges and prospects.沙特阿拉伯的初级卫生保健改革:进展、挑战与展望。
East Mediterr Health J. 2021 Oct 27;27(10):1016-1026. doi: 10.26719/emhj.21.042.
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Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.领导、治理和管理以提高地区能力和绩效:以美国国际开发署的“转型:初级卫生保健”为例。
BMC Fam Pract. 2020 Dec 4;21(1):252. doi: 10.1186/s12875-020-01337-0.
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Leadership for the Team Physician.团队医生的领导力。
Curr Sports Med Rep. 2020 Mar;19(3):119-123. doi: 10.1249/JSR.0000000000000696.
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Clinical leadership and integrated primary care: A systematic literature review.临床领导力与综合初级保健:系统文献回顾。
Eur J Gen Pract. 2019 Jan;25(1):7-18. doi: 10.1080/13814788.2018.1515907. Epub 2018 Nov 26.
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Self-perception of leadership styles and behaviour in primary health care.初级卫生保健中领导风格与行为的自我认知
BMC Health Serv Res. 2016 Oct 12;16(1):572. doi: 10.1186/s12913-016-1819-2.
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Primary health care in saudi arabia: its development and future prospectives.沙特阿拉伯的初级卫生保健:其发展与未来展望。
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