Skills, Capabilities, and Requirements of Hospital Managers: A Qualitative Study



Introduction: The hospital, as the most important organization in the delivery of health care services, requires effective and efficient management more than other organizations. Therefore, the skills and capabilities of hospital managers are important issues. The aim of this study was to determine the skills, capabilities, and requirements of hospital managers.

Method: This qualitative study was conducted in Shiraz University of Medical Sciences, Shiraz, Iran, in 2015. The study population was composed of teaching hospital managers, senior managers, faculty members, and postgraduate students of Shiraz University of Medical Sciences. Sampling was conducted through purposive sampling method and continued until data saturation. In this study, interview and focus group discussion were used for data collection, and data analysis was performed using content analysis method.

Results: The skills and capabilities of hospital manager were classified into 7 themes (communication, work experience, managerial knowledge, knowledge of the hospital, motivation and interest, systemic thinking and problem solving, individual characteristics and integrity) and 24 sub-themes. For the enhancement of these skills and capabilities, 2 themes (empowerment before and after obtaining the managerial post) and 8 sub-themes were identified.

Conclusion: Hospital management requires specific skills and capabilities. Decision makers and policy makers in the health sector should select hospital manager based on these skills.


1- Amin A, Roaya M, Yarmohammadiian MH, Ehsanpour S, Hassan zadeh A. Educational Needs Assessment of the Staff Managers in Isfahan University of Medical Sciences. Journal of health administration 2005; 8(20): 60-7. [In Persian]. 2- Jafari,T. study effectiveness of group counseling with approach job compatibility on increase employment motivation state inspector general. islamic azad university, Tehran,1381. [In Persian]. 3- Tabibi SJ, Nasiripoor AA, Zahiri abyaneh Z. Relationship Between Managers Communication Skill and Staff Motivation in Modarres Hospital of Tehran. Hospital Journal 2013; 12(2): 73-80. [In Persian]. 4- Ahanchian ,A. Study relation effectiveness management organizational health guidance and high school. Zanjan: training and eduction research council; 2002. [In Persian]. 5- Gafarian V. Managerial competencies, 1st ed. Industrial organization publication: Tehran, 2000. 6- Supic Z.T, Bjegovic V, Marinkovic J, Milicevic M. S, Vasic V. Hospital management training and improvement in managerial skills: Serbian experience. Health Policy 2010; 96(1):80-89. 7- Viitala R .Perceived development needs of managers compared to an integrated management competency model .Journal of Workplace Learning 2005; 17(7): 436- 451. 8- Rivkani F. Assessment of Required Management Information of Hospital Managers of Ministry of Health and Medical Education in Tehran in 2000 [Thesis]. Tehran: Tehran University of Medical Education; 2001. [In Persian]. 9- Salarianzadeh MH, Jafari Sirizi M, Yarmohammadian MH, Maher A. Competency-Based Training of Managers in the Iranian Ministry of Health and Medical Education. Health Information Management 2012;8(8): 1038. [In Persian]. 10- Jamshidi A, Yarmohamadian MH, Arjomandi F, Asgari H, Raeisi AH. The investigation of the managers’ need to learn management skills and principles in health care networks in Esfahan province. Journal of health information management 2004; 1(1): 1-4. [In Persian]. 11- Fars News Agency; No. 13930224000838. 1393. Available from: 12- Marzban S. Indicators for selection of hospital managers. Excellence center of clinical services: Vice chancellor for treatment, Shahid Beheshti University of Medical Sciences, 2009. [In Persian]. 13- Khadka DK1, Gurung M, Chaulagain N. Managerial competencies. A survey of hospital managers’ working in Kathmandu valley, Nepal. Journal of Hospital Administration, 2014, Vol. 3, No. 1,: 62-72. 14- Farhangi A, Bazargan A, Tabibi S, Navipoor H. Moral and personal characteristics of hospital managers in interpersonal relationships: a qualitative approach. IJME. 2010; 4 (0):42-55. [In Persian]. 15- Farzianpour F, Zarei E, Pouragha B, Abbasi Borogeni P, Mohammadzadeh M. Managers’ Development Needs Assessment: Perspective of Middle Managers of Public Hospitals of Tehran. Jhosp. 2014; 13 (2):29-36. [In Persian]. 16- Amini M, Bakhtiari L, Dargahi H, Karimi O, Moammai H, Janbozorgi M et al . Measurement Of Systemic Thinking Among TUMS Senior Managers Using Goldman Strategic Model. Payavarde Salamat 2013; 7 (3):188-196. [In Persian]. 17- Salsali M. Qualitative research methods. Tehran: Bashari Publications; 2003. [In Persian]. 18- Martin MN. Sampling for qualitative research.Fam Pract. 1996; 13(6): 522-5. 19- Forman J, Damschroder L. Qualitave content analysis. Empirical Research for Bioethics: A Primer. Oxford: Elsevier Publishing 2008. 20- Beigzadeh A, Okhovati M, Mehrolhasani MH, Shokoohi M, Bazrafshan A. Challenges of the Bachelor Program of Health Services Management: A Qualitative Study. Journal of Health Management. 2014, 17 (55): 29-42. [In Persian]. 21- Stefl ME. Common Competencies for All Healthcare Managers:The Healthcare Leadership Alliance Model. Journal of Healthcare Management 2008; 52(6): 360-74. 22- Pillay R. The skills gap in hospital management: a comparative analysis of hospital managers in the public and private sectors in South Africa. Health Serv Manage Res. 2010; 23(1):306. 23- Chase LK. Nurse manager competencies.[Ph.D Thesis]. United States, University of Iowa 2010. 24- MacKinnon NJ, Chow C, Kennedy PL, Persaud DD, Metge CJ, Sketris I. Management competencies for Canadian health executive: view from the field. Health Manage Forum. 2004; 17(4):15-20, 40-5. 25- Keshtkaran A, Heidari A, Bastani P. Study Of Managers' Communication Skills Based On The Staff's View In Shiraz University Of Medical Sciences. Payavarde Salamat 2012; 5 (4) :41-48. [In Persian]. 26- Filerman GL. Closing the management competence gap. Hum Resour Health. 2003; 1(1):7. 27- Sadeghi A, Khammarnia M. Professional ethics in the health management underlying the rights of patients. The iranian journal of medical ethics 2013; 7(24): 163-75. [In Persian]. 28- Moghimi SM. Organization and management research approach. Tehran: Termeh Publication; 2011:30-50. [In Persian]. 29- Mortazavi S, Nazmi SH & Jafaryani H. Relationship between strategic thinking and performance [Thesis in Persian]. Mashhad: Ferdosi University; 2008. [In Persian]. 30- Aghayi Fishani T, Jafreh M. Systemic thinking and Improving staff performance. Journal of Business Administration 2011; 3(11): 1-21. [In Persian]. 31- Aiken L, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: cross-national findings. Int J Quality in Health Care 2002; 14:5-13.