Managers’ Views Regarding the Implementation of the Succession System Using a Competency Approach among the Managers of Hospitals Affiliated to Isfahan University of Medical Sciences, Isfahan, Iran

Considering the necessity of selecting and appointing hospital managers as one of the important goals of the health system, this study aimed to investigate the feasibility of establishing a surrogacy system with regard to meritocracy among the managers of hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in year 2019.

The present study was descriptive survey. 102 managers of educational treatment centers, hospitals, and health-treatment networks, and human resources managers were selected using convenient sampling method. The research instrument was a researcher-made questionnaire. The validity and reliability (Cronbach's alpha > 0.7) of the questionnaires were confirmed. Data was analyzed using one-sample t-test.

The possibility of establishing a surrogacy system with competency approach in terms of existence and recognition of required competencies, the status of training and improvement, and performance evaluation and compensation was moderate among hospital managers. It was not possible to establish a surrogacy system with a competency approach from the perspective of planning and development, recruitment method, and the status of welfare services and maintenance among hospital managers.

According to these results, it is necessary for health system policymakers to pay attention to competencies in hospital substitute managers in order to increase efficiency and effectiveness in hospitals.