Nakaima April, Sridharan Sanjeev, Gardner Bob
York University, Toronto, Canada.
Eval Program Plann. 2013 Feb;36(1):204-12. doi: 10.1016/j.evalprogplan.2012.03.009. Epub 2012 Mar 20.
While there is a growing literature on building performance measurement systems for health equities, this literature for the most part has not dealt with the challenges of coordinating the various parts of the system, the heterogeneous nature of such systems, or how evaluations and measurement can themselves improve performance. This paper describes the initial steps taken to build a performance measurement system to coordinate health equity across 18 hospitals led by the Toronto Central Local Health Integration Network, which is a regional health authority serving a population of more than 2.5 million residents (near in population to Chicago and Rome) and the most socially diverse urban network in Ontario, Canada. This paper also describes some principles that can help inform a performance measurement system. The innovative aspect of this paper is that these principles were developed through feedback by the hospitals.
虽然关于建立健康公平性绩效评估系统的文献越来越多，但这些文献大多没有涉及协调系统各部分的挑战、此类系统的异质性，或者评估和测量本身如何能够提高绩效。本文描述了为建立一个绩效评估系统而采取的初步步骤，该系统旨在协调由多伦多中央地方卫生整合网络牵头的18家医院的健康公平性。多伦多中央地方卫生整合网络是一个区域卫生当局，服务于超过250万居民（人口规模接近芝加哥和罗马），是加拿大安大略省社会多样性最高的城市网络。本文还描述了一些有助于为绩效评估系统提供信息的原则。本文的创新之处在于，这些原则是通过各医院的反馈而制定的。
