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Article Synopsis
  • Since the 1990s, healthcare systems, particularly in Italy, have seen major reforms leading to the emergence of "doctor-manager" roles, combining clinical and managerial duties, but these roles face challenges due to a lack of proper managerial training.
  • The study aimed to create a new assessment tool, updating existing frameworks to better reflect the evolving roles of mid-level healthcare managers and to evaluate their necessary managerial competencies.
  • The final Competencies Scale for Middle Managers of Health includes 61 validated items identified through literature review and expert consensus, demonstrating its reliability and relevance to current healthcare management needs.
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