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

Video：

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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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14.	全伊萍, 陳霞, 胡瓊丹. 腦心健康管理師核心勝任力評價指標體系的構建. 護理學報, 2024, 31(9): 5-9.
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18.	戴紅梅, 李瑩, 吳紅艷. 護理人員道德勇氣與道德困境的相關性研究. 護理學雜志, 2022, 37(21): 53-57.
19.	翟凌飛. 團隊驅動管理體系對護士職業認同感的影響. 中國衛生產業, 2024, 21(22): 155-158.
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1. 傅衛. 推進健康中國建設促進健康經濟發展. 中國衛生, 2017(11): 38-39.
2. 熊梅, 伍佳, 劉利霞, 等. 國外整合醫療典型模式對我國健康管理聯合體建設的啟示. 中國全科醫學, 2020, 23(22): 2741-2748, 2756.
3. 唐鈞, 李軍. 健康社會學視角下的整體健康觀和健康管理. 中國社會科學, 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, 陳英. 社區護士應對突發公共衛生事件救援能力評價指標的構建. 中華護理雜志, 2021, 56(8): 1158-1164.
9. 郝潔, 喬麗娟, 黃惠濤, 等. 基于德爾菲法和層次分析法構建醫院藥師工作滿意度量表. 中國醫院藥學雜志, 2021, 41(2): 200-206.
10. 潘鋒. 現代信息技術提升卒中診療與康復管理水平. 中國醫藥導報, 2021, 18(30): 1-3.
11. 陳爾, 余菲菲, 彭穗娟, 等. 個案健康管理師主導的分層院外健康管理對慢性病人群健康行為能力的影響. 現代臨床護理, 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. 張紅玲. 南丁格爾職業精神概念框架的構建研究. 湖州: 湖州師范學院, 2022.
14. 全伊萍, 陳霞, 胡瓊丹. 腦心健康管理師核心勝任力評價指標體系的構建. 護理學報, 2024, 31(9): 5-9.
15. 王郁, 阮滿真, 王永紅. 健康管理師核心勝任力評價指標體系的構建研究. 中國全科醫學, 2015(25): 3010-3015.
16. Demirkasimo?lu N. Defining “teacher professionalism” from different perspectives. Procedia Soc Behav Sci, 2010, 9: 2047-2051.
17. 全伊萍. 腦心健康管理師核心能力評價指標體系的構建. 合肥: 安徽中醫藥大學, 2024.
18. 戴紅梅, 李瑩, 吳紅艷. 護理人員道德勇氣與道德困境的相關性研究. 護理學雜志, 2022, 37(21): 53-57.
19. 翟凌飛. 團隊驅動管理體系對護士職業認同感的影響. 中國衛生產業, 2024, 21(22): 155-158.
20. 王郁, 阮滿真. 健康管理師核心勝任力評價指標體系的實證研究. 重慶醫學, 2016, 45(17): 2427-2429.
21. 錢金平, 吳丹, 郭小玲. 腦心健康管理師核心勝任力評價指標體系的構建研究. 中國卒中雜志, 2024, 19(2): 181-189.

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