Related Experiment Videos
Rapid evaluation methods (REM) of health services performance: methodological observations
M Anker1, R J Guidotti, S Orzeszyna
1Division of Epidemiological Surveillance and Health Situation, World Health Organization, Geneva, Switzerland.
Bulletin of the World Health Organization
|January 1, 1993
Summary
The World Health Organization developed the Rapid Evaluation Method (REM) to assess healthcare quality and performance in developing countries. This method uses observations and surveys to provide timely data for decision-making and program improvement.
Area of Science:
- Public Health
- Health Services Research
- Health Management
Background:
- Healthcare quality assessment is crucial for effective service delivery.
- Developing countries face unique challenges in monitoring and improving health services.
- The World Health Organization (WHO) sought a standardized method for rapid health system evaluation.
Purpose of the Study:
- To introduce and describe the Rapid Evaluation Method (REM) developed by WHO.
- To detail the methodology and application of REM in diverse healthcare settings.
- To demonstrate REM's utility in generating actionable information for health system improvement.
Main Methods:
- REM employs a combination of observation and survey-based diagnostic activities within healthcare facilities.
- Key methodological aspects include objective setting, issue-information matrix utilization, and survey instrument design.
- Data collection and analysis are supported by software like Epi Info, with rigorous fieldwork and quality control.
Main Results:
- REM was successfully tested in five developing countries between 1988 and 1991.
- The method effectively identified operational problems and assessed healthcare performance and quality.
- REM provided crucial data for program proposals, situation analyses, and post-training staff performance evaluations.
Conclusions:
- The Rapid Evaluation Method (REM) offers a prompt and relevant approach to gathering essential information for health planners and decision-makers.
- REM facilitates evidence-based decision-making for external funding proposals, baseline assessments, and curriculum development.
- REM is a valuable tool for enhancing the quality and performance of health care services, particularly in resource-limited settings.