Department of Management and Engineering, University of Padova, Vicenza, Italy.
J Multidiscip Healthc. 2013 Nov 13;6:415-21. doi: 10.2147/JMDH.S54561. eCollection 2013.
This paper highlights the challenges of performance management in health care, wherein multiple different objectives have to be pursued. The literature suggests starting with quality performance, following the sand cone theory, but considering a multidimensional concept of health care quality. Moreover, new managerial approaches coming from an industrial context and adapted to health care, such as lean management and risk management, can contribute to improving quality performance. Therefore, the opportunity to analyze them arises from studying their overlaps and links in order to identify possible synergies and to investigate the opportunity to develop an integrated methodology enabling improved performance.
本文强调了医疗保健绩效管理面临的挑战，因为需要追求多个不同的目标。文献建议从质量绩效开始，遵循沙锥理论，但要考虑医疗保健质量的多维概念。此外，来自工业背景并适用于医疗保健的新管理方法，如精益管理和风险管理，可以有助于提高质量绩效。因此，通过研究它们的重叠和联系来分析它们的机会，可以确定可能的协同作用，并研究开发一种综合方法以提高绩效的机会。
