Construction of a core competency evaluation indicator system for health managers_West China Medical Journal

Authors：

LI Qian’er ¹ , LAN Xiaokai ² , FENG Chenchen ¹ ,  JIA Dan ¹ , WU Bo ² ,  ZHAO Shuzhen ¹

1. Outpatient Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. West China Med Co.Ltd, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

JIA Dan, Email: 417522774@qq.com; ZHAO Shuzhen, Email: ssszszzsz@126.com

Keywords：

Health managers; iceberg model; core competency; Delphi method; evaluation indicator

DOI：

10.7507/1002-0179.202508245

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Objective To construct a core competency evaluation indicator system for health managers. Methods Literature review, research group discussion, and Delphi method were used to establish the core competency indicators for health managers. Results A total of 8 experts completed 2 rounds of inquiries, and 8 questionnaires were distributed in both rounds, all of which were effectively collected. The judgment coefficient of the first round of inquiry was 0.936, the familiarity level was 0.933, the coefficient of expert authority was 0.935, and the Kendall harmony coefficient was 0.216 (P<0.05). The judgment coefficient of the second round of inquiry was 0.925, the familiarity level was 0.950, the coefficient of expert authority was 0.938, and the Kendall harmony coefficient was 0.438 (P<0.05). The final determination of the core competency evaluation indicators for health managers included 4 primary evaluation indicators (ranked in descending order of score as full process health management skills, organizational management ability, professional ethics, and comprehensive knowledge of health management) and 55 secondary indicators. Conclusion The core competency evaluation indicator system for health managers has good scientificity, systematicity, and completeness, which can provide references for defining, evaluating, and training the responsibilities of health managers.

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1. 傅卫. 推进健康中国建设促进健康经济发展. 中国卫生, 2017(11): 38-39.
2. 熊梅, 伍佳, 刘利霞, 等. 国外整合医疗典型模式对我国健康管理联合体建设的启示. 中国全科医学, 2020, 23(22): 2741-2748, 2756.
3. 唐钧, 李军. 健康社会学视角下的整体健康观和健康管理. 中国社会科学, 2019(8): 130-148.
4. McClelland DC. Testing for competence rather than for “intelligence”. Am Psychol, 1973, 28(1): 1-14.
5. Spencer S, Spencer LM. Competence at work: models for superior performance. New York: John Wiley&Sons Inc. , 1993: 222-226.
6. Hamric AB, Spross JA, Hanson CM. Advanced practice nursing: an integrative approach. Lois Missouri: Elsevier Sanders, 2005: 140-379.
7. Humphrey-Murto S, de Wit M. The Delphi method-more research please. J Clin Epidemiol, 2019, 106: 136-139.
8. 林音, 祝雪花, 陈英. 社区护士应对突发公共卫生事件救援能力评价指标的构建. 中华护理杂志, 2021, 56(8): 1158-1164.
9. 郝洁, 乔丽娟, 黄惠涛, 等. 基于德尔菲法和层次分析法构建医院药师工作满意度量表. 中国医院药学杂志, 2021, 41(2): 200-206.
10. 潘锋. 现代信息技术提升卒中诊疗与康复管理水平. 中国医药导报, 2021, 18(30): 1-3.
11. 陈尔, 余菲菲, 彭穗娟, 等. 个案健康管理师主导的分层院外健康管理对慢性病人群健康行为能力的影响. 现代临床护理, 2025, 24(4): 22-29.
12. Jeon J, Park S. Self-directed learning versus problem-based learning in Korean nurse education: a quasi-experimental study. Healthcare (Basel), 2021, 9(12): 1763.
13. 张红玲. 南丁格尔职业精神概念框架的构建研究. 湖州: 湖州师范学院, 2022.
14. 全伊萍, 陈霞, 胡琼丹. 脑心健康管理师核心胜任力评价指标体系的构建. 护理学报, 2024, 31(9): 5-9.
15. 王郁, 阮满真, 王永红. 健康管理师核心胜任力评价指标体系的构建研究. 中国全科医学, 2015(25): 3010-3015.
16. Demirkasimoğlu N. Defining “teacher professionalism” from different perspectives. Procedia Soc Behav Sci, 2010, 9: 2047-2051.
17. 全伊萍. 脑心健康管理师核心能力评价指标体系的构建. 合肥: 安徽中医药大学, 2024.
18. 戴红梅, 李莹, 吴红艳. 护理人员道德勇气与道德困境的相关性研究. 护理学杂志, 2022, 37(21): 53-57.
19. 翟凌飞. 团队驱动管理体系对护士职业认同感的影响. 中国卫生产业, 2024, 21(22): 155-158.
20. 王郁, 阮满真. 健康管理师核心胜任力评价指标体系的实证研究. 重庆医学, 2016, 45(17): 2427-2429.
21. 钱金平, 吴丹, 郭小玲. 脑心健康管理师核心胜任力评价指标体系的构建研究. 中国卒中杂志, 2024, 19(2): 181-189.

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