如何评估医生经理的管理态度:来自e-Delphi过程的结果
Americo Cicchetti1,2, Federica Morandi1,2, Ilaria Valentini3
1Segesta Department, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, Roma, 00168, Italy.
BMC health services research
|November 20, 2024
概括
医疗保健改革造成了医生经理面临角色冲突. 这项研究更新了Cicchetti's Scale,开发了一个新的61项工具来评估这些专业人员的基本管理能力.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 医学教育 医学教育
背景情况:
- 自20世纪90年代以来,包括意大利在内的西方医疗保健系统发生了重大改革.
- 新的医生-经理角色出现,混合临床和管理职责.
- 医生经理往往缺乏正式培训,并面临临临床和经济目标之间的冲突.
研究的目的:
- 定义管理态度的新评估维度.
- 为了增强现有的西切蒂尺度.
- 开发一种新的工具来评估意大利医生经理所需的管理能力.
主要方法:
- 更新了Cicchetti的2005年规模,以应对当代医疗保健挑战.
- 对24篇关键文章进行了范围审查.
- 使用NVivo进行了主题分析,确定了171个项目.
- 将这些项目精制成一个由61项组成的健康中级经理能力表.
- 通过Delphi面板电子调查和Cronbach的alpha对可靠性进行了评估.
主要成果:
- 为中层卫生管理人员制定了61项能力表.
- 德尔菲小组验证了尺度的相关性和意义.
- 该尺度显示可接受的可靠性,由克伦巴赫的alpha证实.
- 新的表格涵盖了医疗保健中层管理人员的基本能力.
结论:
- 这项研究提供了关于医生与管理者的态度的见解.
- 为更新西切蒂尺度做出了贡献.
- 开发了一种新工具,用于评估当代医生经理对管理态度的基本组成部分.
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