Document Type : Original Article

Authors

1 Assistant Professor, Faculty of Humanities and Social Sciences, Department of Management, Economics and Accounting, Ardakan University, Yazd, Iran

2 PhD Student of Accounting, Faculty of Accounting, Yazd Branch, Islamic Azad University, Yazd, Iran

3 Master of Educational Technology, Faculty of Management and Accounting, Islamic Azad University, Yazd, Iran

4 Bachelor of Accounting, Faculty of Management and Accounting, University of Science and Art, Yazd, Iran

10.30476/smsj.2025.99574.1431

Abstract

Introduction: The appointment of managers is one of the most critical decisions in any organization, and it should be based on the competencies of the managers. Managerial competencies at different levels in hospitals offer numerous benefits, including gaining a competitive advantage, strengthening teamwork behavior, and improving financial performance. This study aimed to investigate the role of managerial competencies in enhancing the financial performance of public hospitals in Yazd Province.
Methods: This study was applied-developmental in terms of purpose and deductive in terms of approach. In terms of strategy, it was a descriptive-analytical study of the exploratory type, situated within the positivist paradigm. Data were collected using a questionnaire, and the study population comprised managers and supervisors of public hospitals in Yazd Province. Given the limited number of participants, the questionnaire was distributed to all members of the population. Out of 180 distributed questionnaires, 152 valid responses were collected. Data analysis was conducted using Smart PLS3 and SPSS 25 software.
Results: The results indicated that managerial competencies, specifically in the individual, technical, and interactive dimensions, had a direct and significant effect on the financial performance of hospitals.
Conclusion: Selecting competent managers for decision-making related to resource allocation, control, and the efficient utilization of resources can enhance the financial performance of hospitals. Furthermore, it could improve managerial accountability in performance evaluation and help achieve objectives in line with the accreditation standards of public hospitals in Yazd Province.

Keywords

  1. Ribeiro A, Amaral A, Barros T. Project Manager Competencies in the context of the Industry 4.0. Procedia computer science. 2021;181:803-10. doi: 10.1016/j.procs.2021.01.233.
  2. Shum C, Gatling A, Shoemaker S. A model of hospitality leadership competency for frontline and director-level managers: which competencies matter more? International Journal of Hospitality Management. 2018;74:57-66. doi: 10.1016/j.ijhm.2018.03.002.
  3. Jokar A, Falah V, Safarian S. Investigating the impact of managers’ competence on organizational development (case study). Educational Leadership & 2017;12(1):41-54.
  4. Ndayishimiye C, Sowada C, Dyjach P, Stasiak A, Middleton J, Lopes H, et al. Associations between the COVID-19 Pandemic and Hospital Infrastructure Adaptation and Planning-A Scoping Review. Int J Environ Res Public Health. 2022;19(13).
  5. Durán A, Wright S. Understanding hospitals in changing health systems: Springer; doi: 10.1007/978-3-030-28172-4.
  6. Ndayishimiye C, Dubas-Jakobczyk K, Holubenko A, Domagala A. Competencies of hospital managers - A systematic scoping review. Front Public Health. 2023;11:1130136.
  7. Mohammadi M. Corporate Governance and Financial Information Disclosure in a Developing Country. Universiti Teknologi Malaysia Degree of Doctor Philosophy. 2017.
  8. Asamani JA, Naab F, Ofei AMA. Leadership styles in nursing management: implications for staff outcomes. Journal of Health Sciences. 2016;6(1):23-36. doi: 10.17532/jhsci.2016.266.
  9. Garcia AG, Pinto-Carral A, Villorejo JS, Marques-Sanchez P. Nurse Manager Core Competencies: A Proposal in the Spanish Health System. Int J Environ Res Public Health. 2020;17(9).
  10. Ranjbar HR, Moeinaddin M, Heirani F. Identifying dimensions and components affecting the financial knowledge and skills required by hospital managers by using the phenomenological approach. The Journal of Tolooebehdasht. 2023;22(1):104-19. doi: 10.18502/tbj.v22i1.12783.
  11. Naranjee N, Ngxongo TSP, Sibiya MN. Financial management roles of nurse managers in selected public hospitals in KwaZulu-Natal province, South Africa. Afr J Prim Health Care Fam Med. 2019;11(1):e1-e8.
  12. Rezaei G. Study Of The Financial Management Knowledge And Skills Of Nurse Managers: Evidence From The Comparison Of Fars, And Sistan And Baluchestan Provinces. Nursing and Midwifery Journal. 2021;19(1):29-40.
  13. Masoudian Y. Competence of hospital managers as a necessity for optimal and effective management of the Iranian health system; Letter to the Editor. Journal of Hospital. 2021;20(3):79-80.
  14. Purwanto A, Sudargini Y. Partial least squares structural squation modeling (PLS-SEM) analysis for social and management research: a literature review. Journal of Industrial Engineering & Management Research. 2021;2(4):114-23.
  15. Kumar A, Arora M, Saini M. Influence of mathematics on the academic performance of mechanical engineering students: a PLS-SEM approach. International Journal of System Assurance Engineering and Management. 2023;14(1):367-76. doi: 10.1007/s13198-022-01803-1.
  16. Agrawal P, Narain R. Analysis of enablers for the digitalization of supply chain using an interpretive structural modelling approach. International Journal of Productivity and Performance Management. 2023;72(2):410-39 doi: 10.1108/IJPPM-09-2020-0481.
  17. Ofori EK, Aram SA, Saalidong BM, Gyimah J, Niyonzima P, Mintah C, et al. Exploring new antecedent metrics for safety performance in Ghana’s oil and gas industry using partial least squares structural equation modelling (PLS-SEM). Resources Policy. 2023;81:103368. doii: 10.1016/j.resourpol.2023.103368
  18. Danaeifard H, Alvani SM, Azar A. Qualitative research methodology in management: a comprehensive approach. Tehran: Saffar Pub. 2004. [Persian].
  19. Azizi Kh. Examining the relationship between e-commerce and the financial performance of government departments, Master’s thesis. Mahabad: Mahabad Azad University. 2011. [Persian].
  20. Danaei Fard H, Rajabzadeh A, Hasiri A. Improving intra-organizational trust in the public sector: Investigating the role of managerial competence of managers, second year. Management research. 2009;4:59-90.
  21. Wetzels M, Odekerken-Schröder G, Van Oppen C. Using PLS path modeling for assessing hierarchical construct models: Guidelines and empirical illustration. MIS quarterly. 2009:177-95. doi: 10.2307/20650284
  22. Gunawan J, Aungsuroch Y, Fisher ML, McDaniel AM, Liu Y. Competence-based human resource management to improve managerial competence of first-line nurse managers: A scale development. Int J Nurs Pract. 2022;28(1):e12936.
  23. Fatemi SN, Vahdat S, Hesam S. Designing a Performance Evaluation Model for Outsourcing Services of Shahid Dr. Labafinejad Hospital Using BSC. Journal of healthcare management. 2019;10(1):7-17.
  24. Vathanophas V. Competency requirements for effective job performance in Thai public sector. Contemporary management research. 2007;3(1):45. doi: 10.7903/cmr.49.
  25. Cohen A, Alhuraish I, Robledo C, Kobi A. A statistical analysis of critical quality tools and companies’ performance. Journal of Cleaner Production. 2020;255:120221. doi: 10.1016/j.jclepro.2020.120221.