管理和衡量健康预防服务的绩效:基于模拟的方法
Guido Noto1, Francesca De Domenico1, Sandra C Buttigieg2,3
1Department of Economics, University of Messina, Messina, Italy.
Journal of health organization and management
|May 28, 2025
概括
本研究介绍了系统动态 (SD) 以改善健康预防中的绩效管理 (PM). 可持续发展建模有助于应对衡量长期结果的挑战,并为整个社区的健康效益负责.
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
- 系统科学 系统科学
背景情况:
- 医疗保健中的绩效管理 (PM) 在预防服务中面临着独特的挑战,原因是整个社区的好处和延迟的结果.
- 由于外部因素和多个利益相关方,衡量和确保预防举措的问责是复杂的.
研究的目的:
- 提出和展示系统动态 (SD) 模拟技术的应用,以提高PM在健康预防中的作用.
- 解决预防服务中管理,测量和实现对结果的问责制方面的困难.
主要方法:
- 利用系统动力学 (SD),用于建模和模拟复杂系统的方法.
- 开发了一个说明性的案例研究,重点关注医疗保健系统内慢性疾病的初级和二级预防.
- 采用SD的系统视角和概念工具来构建系统结构和行为.
主要成果:
- SD使决策者能够将即时输出与长期健康结果联系起来.
- 促进了对替代政策选择和无法测试的情景的评估.
- 克服疾病潜伏和预防行动延迟影响所带来的局限性.
结论:
- 开发的SD模型为PM在健康预防中提供了一种新的方法.
- 提供了一种方法来克服预防领域的测量和问责制障碍.
- 增强对医疗保健组织和系统的理解和战略决策.
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