Hudak R P, Brooke P P, Finstuen K
Army Medical Department Center and School, Ft. Sam Houston, TX 78234-6100.
Mil Med. 1994 Jul;159(7):494-500.
This paper reports results from a Delphi study conducted among the Commanders and Deputy Commanders for Administration of 37 Army medical treatment facilities (MTFs), who identified the most important issues challenging their institutions for the remainder of this decade, and the skills, knowledge, and abilities required by MTF leaders to deal successfully with those challenges. A Delphi mail-out was conducted in two iterations. Respondents identified 187 health care issues which were divided by content into nine domains by a panel of health care experts. The domains, ranked by importance, were cost-finance, health care delivery, access to care, quality and risk management, technology, professional staff relations, leadership, marketing, and ethics. In the second Delphi iteration, MTF leaders agreed upon the necessary skills, knowledge, and abilities of future leaders. Results indicated that future leadership will require enhanced financial, quantitative, and technical skills, as well as competence in a broad array of interpersonal and communication skills. Implications for military medical leader development initiatives are discussed.
本文报告了一项针对37家陆军医疗设施（MTF）的指挥官和行政副指挥官开展的德尔菲研究结果。这些人员确定了在本十年剩余时间里对其机构构成挑战的最重要问题，以及MTF领导者成功应对这些挑战所需的技能、知识和能力。德尔菲问卷调查分两轮进行。受访者列出了187个医疗保健问题，一个医疗保健专家小组按内容将这些问题分为九个领域。按重要性排序的领域依次为成本财务、医疗保健服务、医疗服务可及性、质量与风险管理、技术、专业人员关系、领导力、市场营销和伦理。在德尔菲第二轮调查中，MTF领导者就未来领导者所需的必要技能、知识和能力达成了一致。结果表明，未来的领导力将需要增强财务、定量和技术技能，以及在广泛的人际和沟通技能方面的能力。文中还讨论了对军事医疗领导者发展计划的影响。
