关键词: 负责任医疗机构, 行政管理人员, 领导力, 人才培养, 综述

Abstract: With the shift of the focus of medical strategy to the development of community general practice，the complexity of medical environment and the higher requirements of community population health management pose a greater challenge to the leadership of managers in primary medical institutions. However，compared with foreign countries，the theoretical and practical research on the leadership of managers in primary medical institutions in China is very scarce. Based on the contradiction between actual needs and actual lacks，this paper expounds the development process of medical administrators' leadership at home and abroad，summarizes the research ideas and effects of domestic and foreign medical institution managers' leadership，also this paper focuses on the progress and shortcomings of the research on the leadership of medical managers in China，and analyzes the necessity of carrying out the leadership research of managers in general departments at present，which put forwards policy recommendations and theoretical support for the future leadership development and research in primary medical institutions.

Key words: Accountable care organizations, Administrative personnel, Leadership, Personnel training, Review