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Related Experiment Videos

Performance: a multi-disciplinary and conceptual model.

T R Lied1, V A Kazandjian

  • 1Center for Performance Sciences, Inc., Maryland, USA.

Journal of Evaluation in Clinical Practice
|December 1, 1999
PubMed
Summary
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A new performance model integrates quality, cost, access, and satisfaction to measure healthcare performance. This scientifically testable model aids in understanding and comparing healthcare organizations for improved reporting.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Psychology

Background:

  • The scientific study of performance necessitates a robust model or paradigm.
  • Existing performance measurement in healthcare lacks a unified, mathematically-based framework.
  • Integration of health sciences and psychology offers potential for improved performance assessment.

Purpose of the Study:

  • To propose a novel, mathematically-based performance model for healthcare.
  • To provide a scientifically testable framework for performance measurement.
  • To facilitate understanding and comparison of healthcare organizations.

Main Methods:

  • Developed a performance model integrating concepts from health sciences and psychology.
  • Defined the model with four primary elements: quality of care, cost of care, access to care, and satisfaction.

Related Experiment Videos

  • Defined satisfaction as a function of perceived and expected outcomes and inputs.

    • Main Results:

    • The proposed model is well-defined with explicit assumptions.
    • The model is designed to be heuristic and scientifically testable.
    • The model integrates multiple dimensions of healthcare performance.

    Conclusions:

    • The performance model offers a tool for understanding healthcare performance.
    • The model serves as a vehicle for comparing performance within and between healthcare organizations.
    • The model can inform the development of performance profile reports and report cards.