Mondal Shinjini, Rego Kian, Talwar Kapoor Garima, Wodnik Breanna K, Law Madelyn P, Di Ruggiero Erica
Author Affiliations: Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (Dr Mondal, Ms Talwar Kapoor, and Dr Di Ruggiero); Niagara Health Knowledge Institute, Niagara Health, St. Catharines, Ontario, Canada (Ms Rego); Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (Ms Wodnik and Dr Di Ruggiero) and Department of Health Sciences, Brock University, St. Catharines, Ontario, Canada (Dr Law).
J Public Health Manag Pract. 2025;31(5):795-805. doi: 10.1097/PHH.0000000000002169. Epub 2025 Jul 17.
Organizational leadership is essential for adequate and stable financing, strong governance across jurisdictions and sectors, and a competent public health workforce for effective and resilient public health systems. While there have been some efforts to characterize leadership competencies at the individual level, more focus is needed to understand effective governance of public health organizations and systems through the lens of leadership competencies at the organizational level.
To identify organizational level leadership competencies for effective and equitable public health governance.
This scoping review included published academic literature from Scopus, Web of Science, Medline, and ProQuest and grey literature from Google Scholar, Canadian Government websites, Trove, FedSys, and Open Grey, published between 2004 and 2023. The search strategy focused on the concepts of governance, leadership, and pub-lic health organizations. An inductive-deductive approach informed the analysis using reflexive thematic analysis and a framework outlining the six functions of public health governance.
A total of 35 records were included for analysis; 22 academic and 13 grey literature records. This review identified 9 themes describing organizational leadership competencies for public health governance: 1) Systems thinking 2) Public policy development, implementation and evaluation, 3) Partnership and collaboration, 4) Equity and justice 5) Organizational learning, 6) Oversight, 7) Resource stewardship, 8) Legal authority, 9) Organizational ethics.
This scoping review contributes to our understanding of the leadership competencies needed to enact and sustain effective governance at an organizational level. These identified themes and associated competencies can facilitate the creation of organizational culture and values that align with effective governance tenets in public health. Additional research is needed to further apply and contextualize these competencies in different countries and public health settings.
组织领导力对于充足且稳定的资金筹措、跨辖区和部门的有力治理以及具备胜任能力的公共卫生工作队伍以建立有效且有韧性的公共卫生系统而言至关重要。虽然已经有一些努力来界定个体层面的领导能力，但还需要更多关注，以便从组织层面的领导能力角度理解公共卫生组织和系统的有效治理。
确定实现有效且公平的公共卫生治理所需的组织层面领导能力。
本范围综述纳入了2004年至2023年间发表于Scopus、科学网、医学期刊数据库和ProQuest的学术文献，以及来自谷歌学术、加拿大政府网站、澳大利亚国家图书馆数字图书馆、联邦系统和开放灰色文献库的灰色文献。检索策略聚焦于治理、领导力和公共卫生组织的概念。采用归纳 - 演绎方法，运用反思性主题分析和概述公共卫生治理六项职能的框架进行分析。
共纳入35条记录进行分析；其中22条学术文献记录和13条灰色文献记录。本综述确定了9个描述公共卫生治理组织领导能力的主题：1）系统思维；2）公共政策制定、实施与评估；3）伙伴关系与协作；4）公平与正义；5）组织学习；6）监督；7）资源管理；8）法律权威；9）组织伦理。
本范围综述有助于我们理解在组织层面制定和维持有效治理所需的领导能力。这些确定的主题及相关能力有助于创建与公共卫生有效治理原则相一致的组织文化和价值观。还需要进一步开展研究，以便在不同国家和公共卫生环境中进一步应用这些能力并使其符合实际情况。
