Management competencies of clinical and hospital managers in the eastern cape department of health: implications for further management training

Healthcare has been identified as a basic need and one of the key economic drivers in South Africa (Pravin Gordhan, 2017). With the majority of South Africans reliant on the public health sector for the management, the prevention and cure of all their healthcare issues and needs come the dire requirement of exceptional skills from healthcare professionals. Hospital and clinical managers play the dual role of clinician and manager, often without proper management training. With the impending introduction of the National Health Insurance (NHI) and ever-challenging constraints of medico-legal litigation on healthcare, it is imperative that healthcare professionals are adequately equipped with the core management competencies. The aim of the study is to identify management competencies of Clinical and Hospital managers and establish an implication/indication for further management training. This study used competencies identified in healthcare management courses currently offered in South Africa in conjunction with literature reviewed. A sample population of Clinical and Hospital managers in the public sector of the Eastern Cape was used using a non-random purposive/judgement probability sampling technique–the “snowball” sampling technique. The questionnaire link (Questionpro) was distributed to all respondents via email and WhatsApp distribution followed from the Eastern Cape Department of Health Head Office to the Chief Executive Officers of hospitals in the Eastern Cape and the Human Resources Director of the Eastern Cape Department of Health. The online link was made available for completion; thereafter data was collated and analysed using the STATISTICA programme. Based on a literature review, the theoretical model proposed six core competencies-leadership, risk management, financial management, corporate governance and ethics, people/human resources management and quality and evidence-based management. Of the six competencies, Clinical and Hospital Managers exhibited Leadership, Corporate Governance and Ethics and Quality and Evidence-based Management in high levels. The qualitative analysis demonstrated respondents’ intentions to study further, often in management fields and shared a unanimous need for management training for better job efficacy and performance. The researcher has made recommendations to aid in improving management skills as well as areas for further research such as short courses and mentorship programmes and further comparative studies between the private and public sector. The study concluded that management competencies are significant for Clinical and Hospital Managers and should be addressed in the future to aid in better clinical outcomes