Managerial perspectives on health care service delivery

Abstract

The purpose of this study was to garner expert opinion from health care (HC) (n = 68) and non-HC (n = 15) managers on the issues likely to impact the work of entry level physical therapists and qualities for employment success. Students enrolled in a professional phase physical therapy (PT) course conducted 83 manager interviews. The authors arrived at consensus regarding manager opinions on important HC issues and qualities for employment success with a modified Delphi technique. The Chi-square test was used to determine if HC issues and employment qualities differed among the managers' professions and settings. PT managers (n = 50) found ancillary staff use to be a more important HC issue than did other HC managers (n = 18), 68.0% versus 27.8%, respectively (p = 0.009). Otherwise, PT managers were similar to other HC managers in their opinions on the pertinent HC issues. HC managers reported business skills to be not as essential for career success as non-HC managers did (n = 15), 22.1% versus 66.7%, respectively (p = 0.001). Managers in outpatient settings indicated a strong work ethic to be of greater importance than did managers in other HC settings (p = 0.052). These findings support the use of innovative instructional strategies that offer students multiple perspectives on the realities of HC to optimize employment success.