Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study-Reference-Cited by-同舟云学术

Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study

Published:2023-10-23 Issue:1 Volume:23 Page:
ISSN:1472-6963
Container-title:BMC Health Services Research
language:en
Short-container-title:BMC Health Serv Res

Author:

Gao Jia,Tian Meirong,Liu Jun,Chen Jingjing,Zhang Lei,Wang Xiaodong,Yan Ling,Liu Qiwang,Wen Jin

Abstract

Abstract Background Hospital operation assistant (HOA) plays an important role in promoting the operation effectiveness and efficiency of hospital. China, as a resource-poor country, urgently needs to train HOA talent. The purpose of this study is to construct and validate a competency model for HOA, which can be used as a tool to select and train HOAs. Methods Basic competency items were first constructed through literature review combined with the job analysis of HOA. Then, a questionnaire survey conducted on more than 300 hospital operation management-related staff was used to assess the importance of competency items. Exploratory factor analysis, structural equation model and second-order confirmatory factor analysis were used to construct and validate the competency model of HOA. Results A total of 23 items were identified as critical to HOA capability, which were further divided into three factors: professional skills, professional knowledge and personality traits. The structural equation model showed that the standardized path coefficients of the three factors were 0.86, 0.82 and 0.98. The competency model passed strict fitting effect tests in several aspects, including root-mean-square error of approximation (RMSEA) = 0.077 (< 0.080), standardized root mean square residual (SRMR) = 0.062 (< 0.080), comparative fit index (CFI) = 0.927 (> 0.900) and Tucker-Lewis index (TLI) = 0.918 (> 0.900), which showed that the fitting validity of the model was ideal. The composite reliability (CR), average variance extracted (AVE) and correlation coefficients of all factors were within the standard range, which showed that the construction validity and discrimination validity of the model were ideal. Conclusion Our study indicates that the competency model of HOA is an instrument with appropriate fit validity, construct validity and discriminant validity, which can provide criteria for selecting and training HOAs.

Funder

Scientific research project of Sichuan Society of Health Economics

National Natural Science Foundation of China

Publisher

Springer Science and Business Media LLC

Subject

Health Policy

Link

https://link.springer.com/content/pdf/10.1186/s12913-023-10139-w.pdf

Reference33 articles.

1. General Office of the State Council of the People’s Republic of China. Opinions of the General Office of the State Council on promoting the high-quality development of public hospitals. http://www.gov.cn/zhengce/content/2021-06/04/content_5615473.htm. Accessed 20 Nov 2022.

2. National Health Commission of the People’s Republic of China. Guideline on strengthening the public hospitals operation management. 2021. http://www.nhc.gov.cn/caiwusi/s7785t/202012/253d87a373194074b43ce57932b08e60.shtml. Accessed 20 Nov 2022.

3. Xi L, Chaoqun J. Design of hospital operation management system based on business-finance integration. Comput Intel Neurosc. 2022;2022:8426044. https://doi.org/10.1155/2022/8426044.

4. Junwen N, Xianji W, Zhong Y, Yajuan L, Ying P, Lingping H. Exploration and reflection on the setting of operation assistants for clinical departments in public hospitals. Chin Hosp Manag. 2019;39:78–80.

5. Rui C, Liai Z, Jing F, Ke T, Chongwei X, Junxue S, Zhao L. Exploration and research on the settlement of specialized business assistant in public hospitals. Chin Health Eco. 2013;32:73–5.