卫生系统绩效评估中的弹性维度, 欧盟
Milena Vainieri1, Alessia Caputo1, Alessandro Vinci1
1Management and Health Laboratory, Institute of Management, Scuola Superiore Sant'Anna, Via S. Zeno, 2, 56127, Pisa, Italy.
欧盟国家对卫生系统的弹性有不同的定义,重点关注服务连续性,弱势群体和COVID-19后的数字健康等方面. 这些不同的方法对绩效评估产生了影响.
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
- 医疗保健系统比较研究
背景情况:
- 对于卫生系统绩效评估来说,弹性越来越重要,尤其是在COVID-19大流行之后.
- 了解弹性如何定义和运作是评估和加强卫生系统的关键.
研究的目的:
- 探索整个欧盟 (欧盟) 国家的卫生系统绩效评估中的弹性定义和运行.
- 确定复原力如何被概念化和衡量的共同模式和变化.
主要方法:
- 进行了多项实证案例研究分析.
- 通过文献综述 (2014-2023) 和雪球技术,确定了有关卫生系统绩效评估中的弹性相关文件.
- 对来自六个欧盟国家 (比利时,克罗地亚,捷克,爱沙尼亚,爱尔兰,意大利) 的数据进行了内容分析.
主要成果:
- 六个不同的弹性定义出现,与关键绩效指标相关联.
- 各国优先考虑了COVID-19后的弹性方面的不同方面,包括服务维护,弱势群体保护,管理能力,员工准备,数字健康和初级保健加强.
- 定义的变化反映了不同的政策反应和选择的指标.
结论:
- 将弹性整合到欧盟健康资料中之前在国家绩效评估中使用了弹性,在COVID-19之后获得了突出地位.
- 在绩效评估中对弹性进行不同的解释强调了需要标准化的方法和明确的政策调整的需要.
- 未来的评估应考虑复原能力的各种运营方式,以捕捉综合卫生系统的强度.
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