Prioritization and Presentation of an Ethical Competency Model for Managers in Various Competency Frameworks (Case Study: Ministry of Health and Medical Education)

Introduction: Ethical competencies of managers represent a fundamental element in enhancing the quality of governance, transparency, accountability, and administrative integrity in public organizations. Given the extensive and sensitive responsibilities of managers within the Ministry of Health, prioritizing the components of ethical competency can improve managerial processes and enhance the quality of healthcare services. The objective of the present study is to propose an ethical competency model for managers within various competency frameworks. Material and Methods: This applied research employed a mixed-methods design. In the qualitative phase, the study population consisted of managers, faculty members, and senior experts in the field of health management, among whom ۱۵ experts were selected through purposive sampling. The data collection tool was Delphi questionnaire, and data were analyzed using the Delphi technique. In the quantitative phase, the study population comprised senior managers, middle managers, experts, and employees of the Ministry of Health and Medical Education. Using cluster sampling, ۲۶۵ individuals were selected as the sample. A researcher-made questionnaire was used for data collection. In data analysis, the Friedman test was applied for prioritization, and structural equation modeling (AMOS) was used for model assessment. Results: The results indicated that ethical competencies can be explained across three categories: behavioral, structural, and contextual. The mean rank scores showed that components such as job responsibility, ethical capability, managerial discipline, and rule adherence hold the highest priority. Structural equation modeling further demonstrated that all three categories of competencies have a direct and significant effect on managers’ ethical competency. The findings revealed that strengthening ethical competency requires simultaneous attention to individual skills, organizational infrastructures, and cultural contexts within the Ministry of Health. Conclusion: The final model provides a comprehensive depiction of prioritized competencies essential for achieving ethics-oriented management in the healthcare system.

کلیدواژه ها:

Ethics ، Managers’ Ethical Competency ، Health Care ، Medical Education