Assessing the interaction between leadership and management competencies and health services accreditation

• Autor(a) principal: Lopes, Luana Neves
• Data de Publicação: 2019
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10071/19567
• topic: Healthcare management; Performance; Competências -- Skills; Gestão da saúde; Acreditação -- Accreditation; Serviço de saúde; Liderança; Desempenho organizacional

The healthcare environment is complex, subjected to many changes, and a variety of factors have an impact on the performance of individuals, institutions and organizations in this industry. Because of its complexity, lately there has been a shift in the focus of the literature on healthcare management and organizational performance from a task and profession-oriented perspective to a competency-based one. The accreditation of healthcare services is present all over the world and is regarded by governments, organizations, patients and the general public as a certificate of quality, efficiency and performance. Despite its importance, there are no studies in the literature directed specifically at identifying which competencies drive the achievement of accredited status and support the process leading to accreditation certification. The objectives of this study are to assess Leadership and Management Competencies from the point of view of healthcare managers from accredited institutions and identify their influence on achieving accredited status and to assess if the accreditation process is linked to the improvement and acquirement of competencies. The Global Healthcare Management Competency Directory, which is supported by a variety of international Healthcare Management societies and organizations was used as a tool for the interviews. Results showed that 72 out of 80 of the competencies listed were considered supportive by more than 80% of the participants and that 71,42% have agreed the accreditation process facilitates the improvement and acquirement of competencies in at least one domain. Results also suggest that different competencies are needed according to an individual's position in the organization. Accreditation seems to be one of the goals that mobilize organizations toward a change process and as a complex intervention mobilize various competencies and is also associated with competency learning, acquirement and improvement.