本研究利用activity competency 模型 (ACM)去探討在醫療產業中擔任醫院最高階主管（院長，副院長與執行長）的管理活動重要性以及所需要的才能。本研究是以ACM為基準的研究工具來蒐集資料，資料蒐集整理後的內容包括初始的二十項管理活動,及能有效呈現這二十項管理活動的十四項管理才能，並藉由研究中的文獻探討，工作分析，以及與相關領域專家不斷反覆的面談及問卷之中，為這些活動訂下清楚的定義及分類。研究結果除了可應用在醫療產業的管理發展，才能訓練，以及管理者的職涯規畫外，並可將其視為未來任用醫療產業高階主管的一套準則。

This study utilized an activity competency model (ACM) to investigate the perceived importance of managerial activities and skills/knowledge required of chief executive officer (CEO) from the healthcare industry. A survey instrument was designed based on the ACM for data collection that encompasses twenty initial managerial activities and fourteen managerial competences required to effectively perform these management activities. These activities were identified through a literature review, job analysis, and iterative personal interviews with domain experts. The results from this study have implications for healthcare management development, training, and management career planning. These results can also serve as guideline for recruiting the right healthcare CEO.

CONTENT
1.Introduction............................................................................................................................1
2.Conceptual model and research hypotheses................................................................3
3.Research methodology and design.................................................................................8
3.1.Instrument development..................................................................................................8
3.2.Sampling...........................................................................................................................14
4.Data analysis.......................................................................................................................17
4.1.Factor analysis.................................................................................................................17
4.2.Descriptive statistics of management activities.........................................................19
4.3.Testing of the hypotheses..............................................................................................21
4.3.1.Analysis of importance of management activities..................................................21
4.3.2.Analysis of relationship between managerial activities and competencies.....23
5.Recommendations and conclusions..............................................................................25
References...............................................................................................................................30
Appendix....................................................................................................................................33

LIST OF TABLES
Table 1. Critical management activities and competencies...........................................12
Table 2. Minimum values of CVR.........................................................................................13
Table 3. The modified activity items.....................................................................................14
Table 4. Basic data of CEOs.................................................................................................15
Table 5. Hospital and health system size and activity......................................................16
Table 6. The factor matrix of 17 managerial activities......................................................18
Table 7. t-test of perceived importance of management activity by management
Levels........................................................................................................................................22
Table 8. Managerial activities and the needed competencies by CEOs......................24
Table 9. Portfolios of healthcare CEOs management activities and competencies.26

LIST OF FIGURES
Fig.1 Activity competency model..............................................................................................4
Fig.2 Descriptive statistics of important managerial activities........................................20

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