An empirical study on the application of leadership evaluation indicator system for managers in primary medical institutions
10.3760/cma.j.cn114798-20230914-00159
- VernacularTitle:基层医疗机构管理者领导力评价指标体系应用的实证研究
- Author:
Hua JIN
1
;
Sen YANG
;
Huining ZHOU
;
Jianwei SHI
;
Chen CHEN
;
Qiangqiang FU
;
Dehua YU
Author Information
1. 同济大学附属杨浦医院全科医学科 上海市全科医学与社区卫生发展研究中心 同济大学医学院全科医学研究中心，上海 200090
- Keywords:
Leadership;
Primary healthcare institutions;
Managers;
Reliability;
Validity
- From:
Chinese Journal of General Practitioners
2024;23(3):237-243
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the reliability and validity of a questionnaire assessing the leadership qualities of primary healthcare institution managers, and to further clarify the current state of leadership development among management teams of community health service centers in Shanghai.Methods:The study was a cross-sectional survey. It was conducted from August to December 2021, and used a stratified sampling method. Using a self-developed questionnaire for primary healthcare institution managers, we surveyed 279 individuals from 10 community health service centers in Shanghai, including management teams, middle-level cadres, general practitioners, and staff from health administrative departments in their respective districts. Leadership qualities were evaluated on five dimensions: inspiration, decisiveness, control, influence, and foresight. Cronbach′s α coefficient and split half coefficient were used to analyze the reliability of the questionnaire, and confirmatory factor analysis was used to assess the structural validity of the scale.Results:The overall Cronbach′s α reliability of the questionnaire for the comprehensive management of community health service centers was 0.96, and the Spearman-Brown split-half coefficient was 0.94. The validity analysis yielded a KMO value of 0.975, the RMSEA for factor analysis was 0.085, and the adaptation indexes all met the model adaptation conditions. Of the 279 participants, 174 were female (62.4%), 257 held a mid-level or higher professional title (92.1%). The overall leadership score of the community health service center management teams was (4.43±0.59), with the dimensions ranked from highest to lowest as follows: inspiration (4.52±0.55), decisiveness (4.46±0.62), control (4.44±0.60), influence (4.42±0.63), and foresight (4.32±0.69). The foresight score was significantly lower than the other four dimensions (all P<0.05). Conclusions:The questionnaire used to assess the leadership qualities of primary healthcare institution managers is reliable and valid. The development of leadership qualities among management teams of community health service centers in Shanghai is unbalanced, with foresight being the weakest dimension.
