Export file:


  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text


  • Citation Only
  • Citation and Abstract

A Leadership and Managerial Competency Framework for Public Hospital Managers in Vietnam

Department of Hospital Management, Health Management Training Institute, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem district, Hanoi, Vietnam

Objective: The aim of this paper was to develop a leadership and managerial competency framework for public hospital managers in Vietnam. Methods: This mixed-method study used a four-step approach. The first step was a position description content analysis to identify the tasks hospital managers are required to carry out. The resulting data were used to identify the leadership and managerial competency factors and items in the second step. In the third step, a workshop was organized to reach consensus about the validity of these competency factors and items. Finally, a quantitative survey was conducted across a sample of 891 hospital managers who are working in the selected hospitals in seven geographical regions in Vietnam to validate the competency scales using exploratory factor analysis (EFA) and Cronbach’s alpha. Results: The study identified a number of tasks required for public hospital managers and confirmed the competencies for implementing these tasks effectively. Four dimensions with 14 components and 81 items of leadership and managerial competencies were identified. These components exhibited 83.8% of variance and Cronbach’s alpha were at good level of 0.9. Conclusions: These competencies are required for public hospital managers which provide guidance to the further development of the competency-based training for the current management taskforce and preparing future hospital managers.
  Article Metrics

Keywords Leadership and managerial competency; competency framework; hospital managers

Citation: Phan Van Tuong, Nguyen Duc Thanh. A Leadership and Managerial Competency Framework for Public Hospital Managers in Vietnam. AIMS Public Health , 2017, 4(4): 418-429. doi: 10.3934/publichealth.2017.4.418


  • 1. Ministry of Health-Vietnam 1 (2012) JOINT ANNUAL HEALTH REVIEW 2012 Improving quality of medical services.
  • 2. Government Vietnam (2015) Decree stipulating the mechanism for exercising the autonomy of public administrative units.
  • 3. Fine DJ (2002) Establishing competencies for healthcare managers. Healthc Exec 17: 66-67.
  • 4. Wallick WG (2002) Healthcare managers' roles, competencies, and outputs in organizational performance improvement. J Healthc Manag 47: 390-390.
  • 5. Ministry of Health-Vietnam 2 (2011) JOINT ANNUAL HEALTH REVIEW 2009 Human Resources for Health in Vietnam.
  • 6. Liang Z, Leggat Sg Fau - Howard PF, Howard Pf Fau - Koh L, et al. (2013) What makes a hospital manager competent at the middle and senior levels? Aust Health Rev 37: 566-573.    
  • 7. Stefl ME (2008) Common competencies for all healthcare managers: the Healthcare Leadership Alliance model. J Healthc Manag 53: 360.
  • 8. Shewchuk RM, O'Connor SJ, Fine DJ, et al. (2005) Building an Understanding of the Competencies Needed for Health Administration Practice. J Healthc Manag 50: 32-47.
  • 9. Rosenfeld P, Pyc LS, Rosati RJ, et al. (2011) Developing a Competency Tool for Home Health Care Nurse Managers. Home Health Care ManagPract 24: 5-12.
  • 10. Centre Committee of the Communist Party of Vietnam (2013) Resolution on "Fundamental and comprehensive innovation in education, serving industralization and modernization in a socialist-oriented market economy during international integration" ratified in the 8th session.
  • 11. Ministry of Health-Vietnam 4 (2015) CIRCULARS: Regulation on standards for directors and deputy directors of health departments of the people's committees of the provinces and municipalities of the central region.
  • 12. Liang Z, Howard PF, Koh LC, et al. (2013) Competency requirements for middle and senior managers in community health services. Aust J Prim Health 19: 256-263.    
  • 13. Millar S (2011) Rural and remote health workforce innovation and reform strategy: draft background paper. Canberra: Health Workforce Australia.
  • 14. Barati O, Sadeghi A, Khammarnia M, et al. (2016) A Qualitative Study to Identify Skills and Competency Required for Hospital Managers. Electron Phys 8: 2458-2465.    
  • 15. Hudak RP, Brooke PPJr., Finstuen K (2000) Identifying management competencies for health care executives: review of a series of Delphi studies. J Health Adm Educ 18: 213-243.
  • 16. Lalloo D, Demou E, Kiran S, et al. (2016) Core competencies for UK occupational health nurses: a Delphi study. Occup Med (Lond).
  • 17. Kitreerawutiwong K, Sriruecha C, Laohasiriwong W (2015) Development of the competency scale for primary care managers in Thailand: Scale development. BMC Fam Pract 16: 174.    
  • 18. Ministry of Health - Vietnam (1997) Hospital regulation.
  • 19. Bartlett MS (1954) A note on the multiplying factors for various chi square approximations. J Royal Stat Soc 16: 296-298.
  • 20. Kaiser H (1974) An index of factorial simplicity. Psychom 39: 31-36.    
  • 21. Longmire CVF, Knight BG (2010) Confirmatory factor analysis of the Center for Epidemiologic Studies–Depression Scale in Black and White dementia caregivers. Aging Ment Health 14: 962-970.    
  • 22. Pillay R (2008) Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors. Hum Resour Health 6: 4.    
  • 23. Dung P T, Thanh N D, Tuong P V (2006) Tranining needs assessment for hospital managers: Hanoi University of Public Health, Vietnam.
  • 24. Sorbal J, De Forge BR, Ferentz HL (1990) Physicians responses to fee- for-service and capitation payment. Inquiry 29: 416-425.
  • 25. Robertson R, Cockley D (2004) Competencies for rural health administrators. J Health Adm Educ 21: 329-341.
  • 26. Calhoun JG, Dollett L, Sinioris ME, et al. (2008) Development of an interprofessional competency model for healthcare leadership. J Health Manag 53: 375-391.
  • 27. Garman AN, Tyler L, Darnall JS, et al. (2004) Development and validation of a 360-degree instrument for healthcare administrators. J Health Manag 49: 307-327.
  • 28. McCarthy G FJ (2009) Development of competency framework for nurse managers in Ireland. JContin Educ Nurs 40: 346-350.    
  • 29. Epstein RM, Hundert EM (2002) Defining and assessing professional competence. JAMA 287: 226-235.    
  • 30. Ministry of health-Vietnam 5 (2016) Quality criteria of hospital in Vietnam (version 2). Issued together with Decision No. 6858 / QD-BYT of November 18, 2016 of the Minister of Health.


This article has been cited by

  • 1. Paul Turner, , Leadership in Healthcare, 2019, Chapter 10, 263, 10.1007/978-3-030-04387-2_10
  • 2. Seyed Ali Hozni, Mohammmad Hakkak, Hojat Vahdati, Amir Hooshang Nazarpouri, How physicians acquire leadership competencies: A systematic review, Research and Development in Medical Education, 2019, 8, 1, 3, 10.15171/rdme.2019.002
  • 3. Edris Kakemam, Zhanming Liang, Ali Janati, Morteza Arab-Zozani, Bahram Mohaghegh, Masoumeh Gholizadeh, 

    Leadership and Management Competencies for Hospital Managers: A Systematic Review and Best-Fit Framework Synthesis

    , Journal of Healthcare Leadership, 2020, Volume 12, 59, 10.2147/JHL.S265825

Reader Comments

your name: *   your email: *  

Copyright Info: 2017, Nguyen Duc Thanh, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

Download full text in PDF

Export Citation

Copyright © AIMS Press All Rights Reserved