探索初级保健公共和私人提供者之间的绩效管理差异:芬兰和瑞典的证据
Anna Häger Glenngård1, Teemu Malmi2
1Lund University School of Economics and Management, Sweden.
Health policy (Amsterdam, Netherlands)
|July 4, 2025
概括
在初级保健中,绩效测量系统因治理和支付结构而异. 背景因素显著影响公共和私人提供商之间的差异,影响目标明确性和管理控制.
科学领域:
- 医疗保健管理的管理
- 公共管理 公共管理
- 组织行为 组织行为
背景情况:
- 初级保健绩效测量系统对于质量和效率至关重要.
- 了解公共和私人提供者之间的差异是分散医疗保健的关键.
- 瑞典和芬兰的初级保健提供了一个比较的背景,由于类似的去中心化,但不同的组织结构.
研究的目的:
- 探索瑞典和芬兰的公共和私人初级保健提供者之间的绩效测量系统的差异.
- 分析组织和治理原则如何影响这些系统的使用.
- 识别在提供者层面促进有效绩效管理的因素.
主要方法:
- 定性研究方法.
- 从初级保健中心经理的角度收集的数据.
- 瑞典和芬兰初级保健机构的比较分析.
主要成果:
- 支付与准备分离可以提高目标明确性和管理控制的使用.
- 类似的治理原则导致公共和私人提供商之间的控制实践相似.
- 不同的"游戏规则"导致不同的控制实践.
结论:
- 语境因素对于解释绩效测量差异至关重要.
- 购买者/所有者对服务范围的明确沟通提高了提供商目标的清晰度.
- 国家层面的数据访问和经验分享提高了绩效管理.
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