HEALTH-CARE ADMINISTRATION IN THE YEAR 2000 - PRACTITIONERS VIEWS OF FUTURE-ISSUES AND JOB REQUIREMENTS

This research identifies the most important domains in health care adm inistration (HCA) from now to the year 2000 and differentiates job ski ll, knowledge, and ability requirements necessary for successful manag ement. Fellows of the American College of Healthcare Executives from a bout half of the United States responded to two iterations of a Delphi mail inquiry. Fellows identified 102 issues that were content-analyze d into nine domains by an HCA expert panel. Domains, in order of ranke d importance, were cost/finance, leadership, professional staff intera ctions, health care delivery concepts, accessibility, ethics, quality/ risk management, technology, and marketing. In the second Delphi itera tion, Fellows reviewed domain results and rated job requirements on re quired job importance. Results indicated that while a business orienta tion is needed for organizational survival, an equal emphasis on perso n-oriented skills, knowledge, and abilities is required.