Investigation On Professionalism Present Status And Training Demand For Management Team Of Hospital In Henan Province

ObjectiveBy comparing the cognition about the hospital management professionalism and professional training demands between secondary and tertiary public hospitals,and between middle and senior managers in Henan province,to explore the present status of professional training and find the demands in training time,training form,training teachers and training contents.Suggestions are given to provide references for the professionalism development of public hospital management team in Henan province.MethodThe questionnaires are designed by literature research,focus group discussion.T he middle and senior managers of hospitals are surveyed by multi-stage stratified rand om cluster sampling method.The questionnaires are recycled and the database is esta blished by EpiData3.1.The data are input under double checking.The descriptive and chi-square test analysis are conducted by using SPSS21.0.Result1.Basic condition742 questionnaires were distributed and 708 questionnaires were recycled.673 questionnaires were effective,which come from 594 middle managers and 79 senior managers,and contain 322 questionnaires in secondary hospitals and 351 questionnaires in tertiary hospitals.For age,most of senior managers are over 50 years old,and most of middle managers are in the 40 to 50 age group.There are differences in age between middle and senior managers,and between secondary and tertiary hospitals.Most of managers have bachelor degree or above,accounting for 83.8%.Secondary and tertiary hospitals have differences in the first degree and final degree.Middle and senior managers have differences in the learned major.Management knowledge and skills come mainly from “work experience”,“amateur self-study” and “short-term job training”,accounting for 82.3%,69.6% and 54.4% for senior managers and 80.0%,48.8% and 39.1% for middle managers,respectively.2.Cognition condition26.9% of middle managers and 50.6% of senior managers,and 28.5% of managers in secondary hospitals and 30.7% of managers in tertiary hospitals “understand” and “very well understand” professionalism.89.1% of middle managers and 88.6% of senior managers,and 92.2% of managers in secondary hospitals and 86.0% of managers in tertiary hospitals think it is “necessary” and “very necessary” to implement professionalism.77.0% of middle managers and 63.3% of senior managers,and 75.8% of managers in secondary hospitals and 74.9% of managers in tertiary hospitals choose “feasible” and “very feasible” for professionalism.Middle and senior managers have differences in the understanding degree and feasibility.Secondary and tertiary hospitals have differences in the understanding of necessity.3.Training situation19.9% of middle managers and 46.8% of senior managers,and 22.7% of managers in secondary hospitals and 23.4% of managers in tertiary hospitals receive management training for more than a week.There are differences between middle and senior managers.73.2% of middle managers and 78.4% of senior managers,and 72.7% of managers in secondary hospitals and 80.5% of managers in tertiary hospitals choose “urgently” and “very urgently” for training.97.7% of middle managers and 96.9% of senior managers,and 96.0% of managers in secondary hospitals and 98.5% of managers in tertiary hospitals “partially need” and “very need” professional training.Secondary and tertiary hospitals have differences in the demand degree.4.Training demandFor training time,“Once a quarter” accounts for the largest percentage overall,i.e.33.9%.For training form,73.4% and 75.9% of managers choose “case analysis” and “experience exchange” overall,respectively.Managers in secondary hospitals choose the two options accounting for 67.7% and 79.5%,respectively.Managers in tertiary hospitals choose the two options accounting for 72.9% and 72.6%,respectively.For training teachers,89.9% of managers choose “professional staff in related field” overall.90.1% of managers in secondary hospitals and 89.7% of managers in tertiary hospitals choose this option.For training contents,97.5% and 88.6% of senior managers,and 81.6% and 66.5% of middle managers choose “hospital management and strategic management” and “leadership and execution”,respectively.Conclusion1.Senior managers have more mature age structure than middle managers.The proportion of management specialty increases.Managers' knowledge and skills still mainly come from “work experience”.2.The cognition of managers to professionalism is good,but it needs to strengthen policy guidance in the understanding of feasibility of professionalism.The number of professional training received by managers is less,but they show higher attention to professional training.3.The determination of training time for managers should be hierarchical and time-segmented.Training form should be diversified and innovative.Training teachers should be diversified and it is needed to strengthen the learning of management knowledge for internal teachers of hospitals.Training contents should be separately set according to the different needs among managers of different levels.4.Government departments should formulate policy on professional training and pay attention to the professional training of both senior and middle managers.The training should be hierarchical for managers.Measures should be taken from training time,training form,training teachers and training contents,to maximize the effect of training.