Zidarov Diana, Poissant Lise, Sicotte Claude
Diana Zidarov, PT, is Doctoral candidate at the School of Public Health, Université de Montréal; Institute of Rehabilitation Gingras-Lindsay of Montreal; and Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada. E-mail:
Health Care Manage Rev. 2017 Apr/Jun;42(2):142-150. doi: 10.1097/HMR.0000000000000099.
The development of performance indicators that enable benchmarking between organizations is an important mechanism for accountability, organizational learning, and performance improvement. In the province of Quebec (Canada), 21 rehabilitation organizations developed a common set of performance indicators through interorganizational collaboration.
The aims of this study were to describe the rehabilitation organizations' use of a common set of performance indicators and to identify the factors influencing such use.
A qualitative survey was performed. Individual semistructured interviews were conducted with executives (n = 18) working at 16 rehabilitation organizations using a common set of performance indicators. A thematic analysis of the factors of use was performed according to the Consolidated Framework for Implementation Research. The use of performance indicators was categorized as purposeful, political, or passive.
Our results showed that all organizations used the common set of performance indicators. Four factors were identified as important to all the rehabilitation organizations to explain their interest in comparative performance indicators: the need to develop their own performance indicators, the compatibility of performance information with organizational needs, complexity/simplicity of performance information, and the support offered by their common association. Sixty-three percent of rehabilitation organizations made purposeful or political use of performance indicators. Three main factors contributed to typify those organizations from the others: the perceived quality of the performance indicators, the leadership of decision makers, and the resources available.
Our results showed that use of performance indicators can support the initiation of projects for improving the quality of care. Key recommendations are proposed to decision makers that may enhance performance indicators' use.
制定能够在各组织间进行基准比较的绩效指标，是实现问责、组织学习和绩效提升的重要机制。在加拿大魁北克省，21个康复组织通过组织间合作制定了一套通用的绩效指标。
本研究旨在描述康复组织对通用绩效指标的使用情况，并确定影响这种使用的因素。
进行了一项定性调查。对使用通用绩效指标的16个康复组织的管理人员（n = 18）进行了个人半结构化访谈。根据实施研究综合框架对使用因素进行了主题分析。绩效指标的使用被分类为有目的、政治性或被动性。
我们的结果表明，所有组织都使用了通用绩效指标。确定了四个对所有康复组织解释其对比较绩效指标感兴趣至关重要的因素：制定自身绩效指标的需求、绩效信息与组织需求的兼容性、绩效信息的复杂程度/简单程度以及其共同协会提供的支持。63%的康复组织有目的或政治性地使用绩效指标。三个主要因素使这些组织与其他组织区分开来：绩效指标的感知质量、决策者的领导力和可用资源。
我们的结果表明，使用绩效指标可以支持启动改善护理质量的项目。向决策者提出了可能增强绩效指标使用的关键建议。
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