Department of Medicine, Imperial College, London, UK.
Stat Med. 2018 Feb 10;37(3):457-472. doi: 10.1002/sim.7525. Epub 2017 Oct 16.
Various forms of performance assessment are applied to public service institutions, such as hospitals, schools, police units, and local authorities. Difficulties arise in the interpretation of the results presented in some established formats because they require a good understanding and appreciation of the uncertainties involved. Usually the results have to be adapted to the perspectives of the users-managers of the assessed units, a consumer, or a central authority (a watchdog) that dispenses awards and sanctions. We present a decision-theoretical approach to these and related problems in which the perspectives are integrated in the analysis and its results are choices from a finite list of options (alternative courses of action).
各种形式的绩效评估被应用于公共服务机构，如医院、学校、警察单位和地方当局。在解释某些既定格式呈现的结果时会遇到困难，因为这需要对所涉及的不确定性有很好的理解和认识。通常，结果必须适应评估单位的使用者——管理者、消费者或分配奖励和制裁的中央当局的观点。我们提出了一种决策理论方法来解决这些问题和相关问题，其中将视角整合到分析中，其结果是从有限的选项列表中进行选择（替代行动方案）。
