Identifying organizational leadership competencies for public health governance in Canada: A modified Delphi study.

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-28 DOI:10.17269/s41997-026-01200-2

Shinjini Mondal, Kian Rego, Garima Talwar Kapoor, Madelyn P Law, Erica Di Ruggiero

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引用次数: 0

Abstract

Objectives: This research aimed to generate consensus from Canadian public health experts on organizational leadership competencies for public health governance in Canada.

Methods: A three-step modified Delphi technique was used to build consensus. It included (1) identifying the list of competencies for organization leadership for public health governance based on a literature review and interviews, (2) conducting a consensus two-round modified Delphi survey with public health experts across Canada, and (3) holding an online deliberative dialogue to finalize the list of competencies and generate pathways for the uptake of competencies. Qualitative responses were analyzed using thematic analysis for Round 1.

Results: Sixty-two survey participants participated in Round 1, with a 72.58% retention rate in the second round of the Delphi. Round 3 had 12 public health experts participating in the online consensus dialogue. The Delphi technique generated 20 competencies that were identified across eight domains of systems thinking: policy development, implementation, evaluation; partnership and collaboration; equity and justice; organizational learning; oversight; resource stewardship; and legal authority.

Conclusion: This is the first-ever study in Canada to develop organizational leadership competencies for public health governance using a consensus-based approach. The results are relevant to public health and health care organizations interested in adopting or implementing organizational-level competencies. Future research needs to explore implementation and adaptation strategies of these competencies across various public health organizations.

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确定加拿大公共卫生治理的组织领导能力：一项修正的德尔菲研究。

目的：本研究旨在使加拿大公共卫生专家就加拿大公共卫生治理的组织领导能力达成共识。方法：采用改进的三步德尔菲法建立共识。它包括(1)在文献回顾和访谈的基础上确定公共卫生治理组织领导的能力清单，(2)与加拿大各地的公共卫生专家进行共识的两轮修正德尔菲调查，以及(3)举行在线审议对话，最终确定能力清单并产生吸收能力的途径。使用第一轮的专题分析对定性反应进行分析。结果：第一轮共有62名调查对象参与，第二轮德尔菲的保留率为72.58%。第三轮有12名公共卫生专家参加了在线共识对话。德尔菲技术产生了20种能力，这些能力跨越了系统思维的八个领域：政策制定、实施、评估；伙伴关系和协作；公平正义；组织学习;监督;资源管理;以及法律权威。结论：这是加拿大首次使用基于共识的方法开发公共卫生治理的组织领导能力的研究。研究结果与有意采用或实施组织级能力的公共卫生和卫生保健组织有关。未来的研究需要探索在各个公共卫生组织中实施和适应这些能力的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.