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Abstract：
Health systems are known for being complex. Yet, there is a paucity of evidence about programs that successfully develop competent frontline managers to navigate these complex systems. There is even less evidence about developing frontline managers in areas of contextual complexity such as geographically remote and isolated health services. This study used a customised management development program containing continuous quality improvement (CQI) approaches to determine whether additional levels of evaluation could provide evidence for program impact. Generalisability is limited by the small sample size; however, the findings suggest that continuous improvement approaches, such as action learning workplace-based CQI projects not only provide for real-world application of the manager\'s learning; they can potentially produce the type of data needed to conduct evaluations for organisational impact and cost-benefits. The case study contributes to the literature in an area where there is a scarcity of empirical research. Further, this study proposes a pragmatic method for using CQI approaches with existing management development programs to generate the type of data needed for multi-level evaluation.
摘要：
众所周知，卫生系统是复杂的。然而，关于成功开发称职的前线经理来驾驭这些复杂系统的项目的证据很少。在地理位置偏远和孤立的卫生服务等背景复杂领域发展一线管理人员的证据甚至更少。这项研究使用了包含持续质量改进（CQI）方法的定制管理开发计划，以确定其他评估级别是否可以为计划影响提供证据。通用性受到样本量小的限制；然而，研究结果表明，持续改进的方法，例如基于行动学习工作场所的CQI项目不仅提供了管理者学习的实际应用；它们可能会产生进行组织影响和成本效益评估所需的数据类型。案例研究有助于在缺乏实证研究的地区提供文献。Further,本研究提出了一种实用的方法，用于将CQI方法与现有的管理开发计划一起使用，以生成多级评估所需的数据类型。
