开发伊朗次国家级初级医疗保健测量框架:一种混合方法研究
Ramin Rezapour1, Ardeshir Khosravi2, Mostafa Farahbakhsh3
1Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
概括
这项研究开发了具有100个KPI的伊朗次国家初级医疗保健 (PHC) 测量框架 (PHCMF). 这种全面的工具有助于决策者评估和改进亚国家级的PHC绩效.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 强大的初级卫生保健 (PHC) 对于实现所需的健康结果至关重要.
- 对于PHC改革的有效决策需要强大的科学工具.
- 本研究探讨了需要一个分国家级的卫生保健中心绩效测量框架的需求.
研究的目的:
- 开发一个国家以下的框架,以衡量伊朗的初级医疗保健 (PHC) 绩效.
- 将世界卫生组织 (WHO) 对PHC测量的概念框架适应于次国家背景.
- 为指导PHC政策和改革提供科学工具.
主要方法:
- 采用了混合方法和定性方法.
- 框架的制定涉及文献审查,国家文件分析和专家咨询.
- 德尔菲技术被用于最终确定关键绩效指标 (KPIs).
主要成果:
- 伊朗的亚国家级PHC测量框架 (PHCMF) 已经完成,包括100个关键关键指标.
- 主要关键指标分为三个组成部分:卫生系统决定因素,服务交付和卫生系统目标.
- 大多数KPI都集中在输出领域 (24个KPI),更少的是输入和流程 (9个KPI).
结论:
- 开发的PHCMF是评估PHC系统的全面工具.
- 它涵盖了所有运营杆和PHC业绩的关键方面.
- 该框架作为评估和加强伊朗次国家医疗保健的实际工具.
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