为社区卫生计划设计数字化绩效管理和激励干预措施需要什么:来自埃塞俄比亚的教训
Alemnesh Hailemariam Mirkuzie1,2,3, Yared Kifle1, Gizachew Tadele Tiruneh1
1John Snow Inc Training and Research (JSI), Addis Ababa, Ethiopia.
PLOS digital health
|July 3, 2025
概括
埃塞俄比亚 埃塞俄比亚 埃塞俄比亚
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 数字健康干预措施 数字健康干预措施
背景情况:
- 埃塞俄比亚的健康扩展计划 (HEP) 面临着健康扩展工作者 (HEW) 动机和绩效的挑战,影响生殖,孕产妇,新生儿和儿童健康 (RMNCH) 的结果.
- 随着HEW性能下降,需要创新的解决方案来改善服务提供和健康结果.
研究的目的:
- 为埃塞俄比亚的HEP设计和开发数字化支持的绩效管理 (PM) 和基于绩效的激励 (PBI) 干预措施.
- 将这些干预措施集成到电子社区健康信息系统 (eCHIS) 中,以提高HEW的性能和RMNCH的结果.
主要方法:
- 一个多方位的设计过程,包括景观审查,以人为中心的设计 (HCD) 和与国家和地区利益相关者参与的共同设计研讨会.
- 开发一个混合框架,结合目标管理 (MBO) 和DESC (数字化启用,装备,监督,补偿) 模型.
- 增强eCHIS应用程序套件,包括实时监控仪表板,数字目标设定,自动监督和国家仪表板.
主要成果:
- 参与式设计过程产生了适合埃塞俄比亚环境的可扩展PM/PBI干预措施.
- 为eCHIS开发了数字化工具,包括增强的焦点人员应用 (FPA) 功能和国家仪表板.
- 确定了22个关键绩效指标 (KPIs),并为高绩效的团队和个人提出了涉及非金融或混合激励的激励策略.
结论:
- 数字化启用的PM/PBI干预,与支持性监督和激励相结合,可以改善埃塞俄比亚的HEW动机和RMNCH结果.
- 开发的模型为在低资源环境中的社区卫生计划中实施绩效管理系统提供了宝贵的教训.
- 通过基于数据的绩效评估和决策来加强卫生系统的问责制,对于计划的成功至关重要.
相关概念视频
Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97
Stress Prevention and Stress Management Techniques VI
70
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
70
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Models of Health Promotion and Illness Prevention II
1.7K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.7K
Models of Health Promotion and Illness Prevention I
2.2K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.2K
Health Information Technology and Healthcare Information System
933
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
933


