Naghshi Maryam, Janati Ali, Raoofi Samira, Khodayari-Zarnaq Rahim
Department of Health Policy and Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran.
Ethiop J Health Sci. 2024 Nov;34(6):429-439. doi: 10.4314/ejhs.v34i6.2.
The health system needs competent managers to ensure and improve the health of people and manage resources, if managers are chosen correctly. The Managers' Competency Assessment Center is a popular and effective method for selecting, promoting, and developing management competencies. The present study aimed to explain the challenges of implementing an Assessment center in the health sector.
The present study was conducted with a qualitative and phenomenological approach in 2023 at Tabriz University of Medical Sciences. Interview data were collected through semi-structured interviews with 33 key informants including official assessors of the center, assessed managers by Assessment Centers, senior managers, and executive officers of the center for assessment of the competence of managers. then analyzed by the content analysis method through the software MAXQDA-18.
The results of the present study were categorized into two main themes and nine sub-themes, which are internal challenges, including challenges related to assessed managers, assessors, competency assessment tools, assessment process, and Challenges of training courses for the development of managers and the external challenges including extra_ organizational, organizational, cultural, and political challenges.
The establishment of Assessment Centers within the health system is relatively recent. However, their implementation faces both external and internal challenges. To address this, policymakers should systematically analyze these challenges, prioritize them based on significance and feasibility, and then collaborate with other national centers and draw from international experiences.
如果管理者选拔得当，卫生系统需要称职的管理者来保障和改善民众健康并管理资源。管理者能力评估中心是选拔、晋升和培养管理能力的一种常用且有效的方法。本研究旨在阐述在卫生部门实施评估中心所面临的挑战。
本研究于2023年在大不里士医科大学采用定性和现象学方法进行。通过与33名关键信息提供者进行半结构化访谈收集访谈数据，这些关键信息提供者包括该中心的官方评估人员、评估中心评估的管理者、高级管理者以及管理者能力评估中心的执行官。然后通过MAXQDA - 18软件采用内容分析法进行分析。
本研究结果分为两个主要主题和九个子主题，即内部挑战，包括与被评估管理者、评估人员、能力评估工具、评估过程相关的挑战以及管理者发展培训课程的挑战；外部挑战，包括组织外、组织、文化和政治挑战。
卫生系统内评估中心的设立相对较新。然而，其实施面临外部和内部挑战。为解决这一问题，政策制定者应系统分析这些挑战，根据重要性和可行性对其进行优先排序，然后与其他国家中心合作并借鉴国际经验。
