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Performance assessment in the context of multiple objectives: a multivariate multilevel analysis.

Katharina Hauck1, Andrew Street

  • 1Centre for Health Economics, Monash University, Clayton, Vic. 3800, Australia. katharina.hauck@buseco.monash.edu.au

Journal of Health Economics
|March 28, 2006
PubMed
Summary

Public sector organizations face challenges in performance assessment due to multiple objectives. Analyzing objectives together reveals correlations, improving performance evaluation accuracy for public health organizations.

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Area of Science:

  • Public Administration
  • Health Services Research
  • Econometrics

Background:

  • Public sector organizations often pursue multiple, potentially conflicting objectives, complicating performance assessment.
  • Evaluating objectives in isolation overlooks interdependencies, while single performance indices require subjective weighting.
  • Accurate performance measurement is crucial for accountability and resource allocation in public services.

Purpose of the Study:

  • To develop and apply a method for assessing the performance of public sector organizations with multiple objectives.
  • To explicitly account for correlations between different performance objectives.
  • To compare the results of a multivariate multilevel modeling approach with traditional methods.

Main Methods:

  • Utilized a multivariate system of equations to analyze 13 performance objectives simultaneously.
  • Employed hierarchical data structure, nesting electoral wards within health authorities.
  • Applied multivariate multilevel models and compared estimates with ordinary least squares (OLS) and standard multilevel models.

Main Results:

  • Evidence of significant correlations between performance objectives was found, indicating complementary and trade-off relationships.
  • Multivariate multilevel models produced different performance estimates compared to OLS and standard multilevel models.
  • The magnitude of performance differences varied across objectives and individual health authorities.

Conclusions:

  • Multivariate multilevel modeling provides a more comprehensive approach to assessing public sector performance by considering objective interdependencies.
  • Ignoring correlations between objectives can lead to inaccurate performance evaluations.
  • The findings highlight the importance of using appropriate statistical methods for performance analysis in complex public service environments.