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A methodology to design a performance management system in preventive care.
Federico Rotondo1, Lucia Giovanelli2, Nicoletta Fadda2
1Department of Humanities and Social Sciences, University of Sassari, Via Roma, 151, 07100, Sassari, SS, Italy. frotondo@uniss.it.
BMC Health Services Research
|December 31, 2018
Summary
Developing a performance management system (PMS) for preventive care requires collaboration between academics, physicians, and policymakers. Addressing general process and specific preventive care issues is crucial for effective healthcare planning and evaluation.
Area of Science:
- Healthcare Management
- Public Health Policy
- Health Services Research
Background:
- Preventive care is increasingly vital for global health reforms, aiming to reduce disease burden and healthcare costs.
- A significant gap exists in reliable systems for measuring and evaluating preventive care performance to guide decision-making and improve outcomes.
- This study addresses the need for robust performance management systems in preventive healthcare.
Purpose of the Study:
- To define a methodology for designing a performance management system (PMS) for preventive care.
- To effectively support the planning, control, and evaluation of preventive care services.
- To identify critical factors influencing the development and implementation of such a PMS.
Main Methods:
- Employed a participatory action research approach, fostering collaboration between researchers and healthcare practitioners.
- The study involved four distinct phases.
- Conducted within an Italian regional healthcare system undergoing significant reorganization.
Main Results:
- Identified two categories of critical factors affecting preventive care performance management: general process issues and specific preventive care issues.
- General factors include interactions among academics, physicians, and policymakers; workload and bureaucracy impacting employee involvement; and institutional change dynamics.
- Specific factors encompass the heterogeneity of preventive activities, extensive regulations, and incomplete information systems.
Conclusions:
- Collaborative methods involving academics, professionals, and policymakers are essential for developing effective PMS for preventive care.
- Clearly defined roles and responsibilities, alongside improved organizational transparency and communication, are vital for professional engagement.
- Recommendations are provided to policymakers for enhancing the maintenance and utilization of information systems in preventive care.
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