在次国家级绩效管理中使用结果指标:什么时候,在什么情况下?
Pushkar Silwal1, Tim Tenbensel2, Daniel Exeter2
1School of Population Health, The University of Auckland, Auckland, New Zealand; School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand.
Health policy (Amsterdam, Netherlands)
|November 10, 2024
概括
儿童的门诊敏感住院治疗比适应性死亡率更好地衡量次国家级卫生系统的表现. 这个结果指标有助于决策和利益相关者接受改善卫生系统.
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
- 健康管理健康管理
背景情况:
- 越来越多的人对以结果为基础的次国家级卫生系统绩效管理措施感兴趣.
- 人口健康指标在次国家层面的应用正在增加,特别是在高收入国家.
研究的目的:
- 评估基于结果的人口健康措施在次国家级卫生系统绩效管理中的应用.
- 评估为决策所选择的健康指标的技术有效性和功能合法性.
主要方法:
- 综合实证基于人口的数据与卫生系统专家的观点.
- 评估了可接受的死亡率和儿童门诊敏感住院指标.
- 评估性能信息的技术有效性和利益相关者的实用性.
主要成果:
- 儿童的门诊敏感住院治疗,一个中间结果,显示出比可接受死亡率更大的实用性,一个最终结果,用于识别区级绩效变化.
- 来自儿童门诊敏感住院的绩效信息更适合改善决策.
结论:
- 儿童门诊敏感住院治疗是次国家卫生系统绩效管理的更合适和接受的措施.
- 该指标支持战略决策和利益相关者参与改善卫生系统的努力.
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