ارزیابی الگوی شایستگی های مدیران بخش سلامت: رویکرد مدل سازی معادلات ساختاری

Background and purpose: The role of health system managers has always been emphasized in the efficient running of system of hygienic and remedial services and much attention is paid to the selection of the best persons to do that. The main purpose of this study was to design the managers' competency model of health sector and evaluate them from the standpoint of middle managers of health system. Material and methods: The study population included all the health system managers in Iran. The questionnaires were distributed among 385 people. The data were collected through the researcher's questionnaire which was used to assess the model proposed by applying library and field studies (interviewing with 30 person of health system managers of Iran). The questionnaire contains 8 main categories in competency criteria of managers and includes 63 questions. It was validated in terms of construct validity and Cronbach' alpha was used to ensure its internal consistency reliability. (more than 0.79 for each category). Inferential statistics (confirmatory factor analysis and structural equations model by specifying T-Value) and "LISREL" software was used to analyze the data collected from the questionnaire. Results: 280 filled out questionnaires of the participants (75.1%) were analyzed in this study. Based on the collected data, T. values for knowledge of and professional awareness competencies, behavioral and intellectual, personal traits, service, responsibility, and considering the ideological and moral (ethical) values equal 11.90, 11.06, 8.39, 10.68, 6.55, 9.31, 3.43, and 2.17 Conclusion: Considering and applying the presented criteria in proposed competency model of health system managers which are ranked by the middle managers can be one of the way of improving the quality of management in the health system of Iran.