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Influencing factors of the leadership competency of primary-level health emergency administrators from the perspective of infectious disease prevention and control: a cross-sectional survey
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Lili ZHU1, Xiaoning HAO2, Zhi LIU2, Jiale SUN3, Jianqiang XU1, Juan ZHENG1, Fen LI1, Xinru HUANG1, Luxi ZOU1
Chinese Journal of Public Health | 2026, 42(5) : 599 - 605
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Chinese Journal of Public Health | 2026, 42(5): 599-605
• Survey and Report •
Influencing factors of the leadership competency of primary-level health emergency administrators from the perspective of infectious disease prevention and control: a cross-sectional survey
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Lili ZHU1, Xiaoning HAO2, Zhi LIU2, Jiale SUN3, Jianqiang XU1, Juan ZHENG1, Fen LI1, Xinru HUANG1, Luxi ZOU1
Affiliations
  • 1School of Management, Xuzhou Medical University, Xuzhou 221004, China
  • 2China National Health Development Research Center, Beijing 100044, China
  • 3Department of Tuberculosis Prevention and Control, Xuzhou Center for Disease Control and Prevention, Xuzhou 221002, China
Published: 2026-05-10 doi: 10.11847/zgggws1148828
Outline
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Objective

To systematically analyze the factors influencing the leadership competency of primary-level health emergency administrators in the field of infectious disease prevention and control, as well as their underlying mechanisms, thereby providing evidence-based references for enhancing the leadership competency of primary-level health emergency administrators.

Methods

From November 2019 to March 2021, this study adopted a multi-stage stratified random sampling method to randomly select 152 primary-level health emergency administrators from Jiangsu province, Hubei province, Hunan province, Guangdong province, Anhui province, and Inner Mongolia Autonomous Region, as the research subjects. Structural equation modeling (SEM) combined with the bootstrap method was utilized to analyze and validate the paths and mediating effects of these influencing factors.

Results

Through the survey of 152 primary-level health emergency administrators, this study found that human resource support had a positive impact on organizational climate (β = 0.461, P < 0.001). Organizational climate (β = 0.712, P < 0.001) and material resources support (β = 0.248, P = 0.004) had positive impacts on external social support. External social support had a positive impact on leadership competency (β = 0.519, P < 0.001). Through the mediating effect test, two mediating paths were identified. Mediating path 1 was material resources support → external social support → leadership competency (with an effect value of 0.129; 95%CI: 0.005–0.258), and mediating path 2 was human resource support → organizational climate → external social support → leadership competency (with an effect value of 0.170; 95%CI: 0.094–0.303).

Conclusions

The characteristics of infectious disease prevention and control reinforce the inevitability of the indirect transmission of the mechanisms influencing health emergency leadership competency. Leadership competency is formed through complex interactions between individuals and their environment. The sustainable improvement of leadership competency among primary-level health emergency administrators needs to be achieved by optimizing resource allocation and organizational climate, as well as improving the social support network.

leadership competency  /  prevention and control of infectious diseases  /  public health  /  primary-level health emergency management  /  structural equation model
朱丽丽, 郝晓宁, 刘志, 孙佳乐, 许建强, 郑娟, 李芬, 黄心如, 邹陆曦. 传染病防控视域下基层卫生应急管理者领导力影响因素分析: 一项横断面调查. 中国公共卫生, 2026 , 42 (5) : 599 -605 . DOI: 10.11847/zgggws1148828
Lili ZHU, Xiaoning HAO, Zhi LIU, Jiale SUN, Jianqiang XU, Juan ZHENG, Fen LI, Xinru HUANG, Luxi ZOU. Influencing factors of the leadership competency of primary-level health emergency administrators from the perspective of infectious disease prevention and control: a cross-sectional survey[J]. Chinese Journal of Public Health, 2026 , 42 (5) : 599 -605 . DOI: 10.11847/zgggws1148828
Year 2026 volume 42 Issue 5
72
33
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Article Info
doi: 10.11847/zgggws1148828
  • Receive Date:2025-09-04
  • Online Date:2026-10-23
  • Published:2026-05-10
Article Data
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History
  • Received:2025-09-04
  • Revised:2025-11-08
  • Accepted:2026-01-19
Affiliations
    1School of Management, Xuzhou Medical University, Xuzhou 221004, China
    2China National Health Development Research Center, Beijing 100044, China
    3Department of Tuberculosis Prevention and Control, Xuzhou Center for Disease Control and Prevention, Xuzhou 221002, China

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ZHU Lili, E-mail:
HAO Xiaoning, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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