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Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Research

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

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

Published in: BMC Health Services Research | Issue 1/2023

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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.
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Metadata
Title
Construction and validation of a competency model for hospital operation assistant of public hospitals in China: a cross‑sectional study
Authors
Jia Gao
Meirong Tian
Jun Liu
Jingjing Chen
Lei Zhang
Xiaodong Wang
Ling Yan
Qiwang Liu
Jin Wen
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-10139-w

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