en تخصصي Special Original Article <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><span style="line-height:107%"><b><span style="line-height:107%">Introduction</span></b><span style="line-height:107%">: Ethical competencies of managers represent a fundamental element in enhancing the quality of governance, transparency, accountability, and administrative integrity in public organizations. Given the extensive and sensitive responsibilities of managers within the Ministry of Health, prioritizing the components of ethical competency can improve managerial processes and enhance the quality of healthcare services. The objective of the present study is to propose an ethical competency model for managers within various competency frameworks.</span></span><br> <span style="line-height:107%"><b><span style="line-height:107%">Material and Methods</span></b><span style="line-height:107%">: This applied research employed a mixed-methods design. In the qualitative phase, the study population consisted of managers, faculty members, and senior experts in the field of health management, among whom 15 experts were selected through purposive sampling. The data collection tool was Delphi questionnaire, and data were analyzed using the Delphi technique. In the quantitative phase, the study population comprised senior managers, middle managers, experts, and employees of the Ministry of Health and Medical Education. Using cluster sampling, 265 individuals were selected as the sample. A researcher-made questionnaire was used for data collection. In data analysis, the Friedman test was applied for prioritization, and structural equation modeling (AMOS) was used for model assessment.</span></span><br> <span style="line-height:107%"><b><span style="line-height:107%">Results</span></b><span style="line-height:107%">: The results indicated that ethical competencies can be explained across three categories: behavioral, structural, and contextual. The mean rank scores showed that components such as job responsibility, ethical capability, managerial discipline, and rule adherence hold the highest priority. Structural equation modeling further demonstrated that all three categories of competencies have a direct and significant effect on managers&rsquo; ethical competency. The findings revealed that strengthening ethical competency requires simultaneous attention to individual skills, organizational infrastructures, and cultural contexts within the Ministry of Health.</span></span><br> <b><span style="line-height:107%">Conclusion</span></b><span style="line-height:107%">: The final model provides a comprehensive depiction of prioritized competencies essential for achieving ethics-oriented management in the healthcare system.</span></span></span></div> Ethics, Managers’ Ethical Competency, Health Care, Medical Education 0 0 http://ijethics.com/browse.php?a_code=A-10-418-1&slc_lang=en&sid=1 Abolfazl Ashtari 0621818534@iau.ac.ir 10031947532846003849 0009-0008-4610-4315 No Ph.D Student, Department of Management, Sav. C., Islamic Azad University, Saveh, Iran Morteza Ghasemi mortezaghasemi.dr@gmail.com 10031947532846003850 10031947532846003850 Yes Department of Management, ST. C., Islamic Azad University, Tehran, Iran Alireza Nobari alireza.nobari@iau.ac.ir 10031947532846003851 10031947532846003851 No Department of Management, Sav. C., Islamic Azad University, Saveh, Iran Gholamreza Amjadi amjadi@iau-saveh.ac.ir 10031947532846003852 10031947532846003852 No Department of Management, Sav. C., Islamic Azad University, Saveh, Iran