Search

Competencies have emerged as being important to develop health professionals, including managers in healthcare. Professional institutions adopted specific competency frameworks to guide designing professional development opportunities for health service managers, in particularly managers working in the area of health informatics. The fast-growing nature of healthcare settings means that the required competencies continue to evolve. OBJECTIVE: The aim of this protocol is to outline a reflexive thematic analysis process, including using an automated content analysis approach and identify what is missing in existing health service management competency empirical studies in relation to health informatics competencies. METHODS: A rapid literature review has been performed using a PRISMA approach for eligibility screening, with 185 publications meeting the inclusion criteria. The Leximancer natural language processing software was used to transform a large corpus of literature from natural language into semantic themes and concepts. A reflexive thematic analysis was then undertaken using the text mining automated content analysis approach to identify predominant concepts and the co-occurrence between them. RESULTS: A search strategy was developed using three primary electronic databases: 1) Scopus; 2) ProQuest; and 3) the Cumulative Index to Nursing and Allied Health Literature (CINAHL); and five secondary electronic databases: 1) Web of Science 2) PubMed; 3) ACM Digital Library; 4) Open Access Theses and Dissertations Database; and 5) Google Scholar. The initial search undertaken on 10 November 2020 resulted in 1,212 publications. The results of the reflexive thematic analysis will be submitted for publication by November 2021. CONCLUSIONS: New understanding and knowledge in the area of health management competencies, specifically relating to informatics will be developed. Health informatics competencies will be defined for Australian health service managers. Further, this study helps inform the discourse regarding automated content analysis for the healthcare and informatics industry, healthcare organisations and university course requirements. [ABSTRACT FROM AUTHOR]

Introduction: Health informatics and digital health, two rapidly growing disciplines, are becoming increasingly important to the sustainability of health service provision, highlighted especially through the COVID-19 pandemic. To maximise the benefits of the adoption and growth of health informatics and digital health, health service managers play a critical role in leading and managing the implementation and transformation of the system, both strategically and operationally, whilst still needing to manage 'business as usual'.Objectives: The objectives of the paper are to present and discuss the findings from a scoping review identifying: 1) competencies required for health service managers leading the implementation and transformation of informatics and digital technology in the health sector; and 2) factors that are critical to building the management workforce capacity in the era of health informatics and digital health.Methods: A scoping review of the literature was conducted in 2020 focussing on identifying empirical articles published in the English language since the year 2000 using a number of keywords such as 'health informatics', 'digital health', 'electronic health', 'competencies', 'capability', 'proficiency', 'qualification', 'certification', 'health manager', 'health executive' and 'health administrator'. The literature search was guided by a PRISMA approach searching within eight databases: Scopus, ProQuest, Web of Science, ACM Digital Library, CINAHL, PubMed, Google Scholar and ProQuest Dissertations.Results: After duplicates were removed, 941 publications were included for title screening as the result of an initial review. Title screening selected 185 articles to be included for abstract screening by two reviewers confirming 19 papers relevant to the focus of the current paper which were included in data extraction and content analysis. The analysis identified the additional competency of 'information and data management' be included as a core competency for health service managers. The analysis also confirmed additional elements for the following four core management competencies that are important to health service managers working in the digital health context, including: 1) leadership; 2) operational and resource management; 3) personal, interpersonal and professional qualities, and 4) understanding the industry and environment. Factors that are critical to developing the system and organization capacity in the use of health informatics and digital health technology, and leading and managing the adoption in the healthcare organizations were identified in three categories: 1) policy/system; 2) organizational structure and processes; and 3) people factors.Conclusions: This paper has taken an important step in confirming the competency requirements for health services managers that are relevant to leading and managing in the health informatics and digital health space, consequently indicating the directions for developing a competent workforce in meeting the existing and emerging healthcare delivery challenges, both now and in the future. [ABSTRACT FROM AUTHOR]