Subgroup analysis of Brazilian participants of a medical leadership competencies instrument: a cross-sectional survey study of the Latin American Cooperative Oncology Group (LACOG) and the Academy of Leadership Sciences Switzerland (ALSS)

ABSTRACT

Introduction: We previously published the results of a medical leadership (ML) competencies instrument applied to Latin-American (LA) physicians with a leadership position, which disclosed meaningful differences in the valuation of specific ML competencies by LA physicians as compared to a similar survey applied to healthcare professionals from North America and Europe (NA/EU). Because the most pronounced differences in the responses were in terms of country of medical practice, we felt that an analysis focused on the Brazilian participants (a culturally more homogeneous population) could provide further insights into understanding other subgroup differences.

Objectives: We aimed to: 1) compare the responses from the Brazilian participants with those of the NA/EU survey and 2) perform subgroup analyses within the Brazilian participants. Design and Setting: Cross-sectional survey study applied only once.

Material and Methods: Between November 13^th and December 12^th, 2018, we collected 217 responses. Results: There were (n=135/63%) Brazilian participants. The valuation of a set of ML competencies by Brazilian physician-leaders roughly match those of the main study (task management remaining the most valued set of competencies versus 3rd in the NA/EU survey). However, significant differences in the responses were seen in some subgroups, especially in terms of the impact of seniority (which no longer appears to affect the responses) and gender (with women no longer placing a higher value on innovation competencies).

Conclusion: This analysis reinforces the existence of significant cultural differences within the LA participants, and that these cultural variations can significantly affect the valuation of specific ML competencies.

RESUMO

Introdução: Publicamos anteriormente os resultados de um instrumento de competências de liderança médica (LM) aplicado a médicos latino-americanos (LA) com posição de liderança, que revelou diferenças significativas na avaliação de competências específicas em LM por médicos LA em comparação com uma pesquisa semelhante aplicado a profissionais de saúde da América do Norte e Europa (AN/UE). Como as diferenças mais pronunciadas nas respostas foram em termos de país de prática médica, sentimos que uma análise focada nos participantes brasileiros (uma população culturalmente mais homogênea) poderia fornecer mais informações sobre a compreensão das diferenças de outros subgrupos.

Objetivos: Nossos objetivos foram: 1) comparar as respostas dos participantes brasileiros com as da pesquisa AN/UE e 2) realizar análises de subgrupos entre os participantes brasileiros.

Desenho e Contexto: Estudo de levantamento transversal aplicado apenas uma vez. Material e Métodos: Entre 13 de novembro e 12 de dezembro de 2018, coletamos 217 respostas.

Resultados: Houve (n=135/63%) participantes brasileiros. A avaliação de um conjunto de competências de LM pelos líderes médicos brasileiros corresponde aproximadamente às do estudo principal (o gerenciamento de tarefas continua sendo o conjunto de competências mais valorizado versus o 3° na pesquisa AN/UE). No entanto, diferenças significativas nas respostas foram observadas em alguns subgrupos, especialmente em termos de impacto da senioridade (que já não parece afetar as respostas) e gênero (com as mulheres não mais valorizando as competências de inovação).

Conclusão: Esta análise reforça a existência de diferenças culturais significativas entre os participantes da LA e que essas variações culturais podem afetar significativamente a valorização de competências específicas da LM.

Keywords:

Competency-based education - Leadership and governance capacity - Health facility administration

Descritores:

Educação baseada em competências - Capacidade de liderança e governança - Administração de unidades de saúde

Publikationsverlauf

Eingereicht: 01. Oktober 2022

Angenommen: 28. Oktober 2022

Artikel online veröffentlicht:
01. Dezember 2022

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