Health Promotion and Chronic Disease Prevention Branch/Direction générale de la promotion de la santé et de la prévention des maladies chroniques, Public Health Agency of Canada/Agence de la santé publique du Canada, Ottawa, ON, Canada.
École de santé publique - Département de médecine sociale et préventive, Université de Montréal, Montréal, QC, Canada.
Can J Public Health. 2021 Aug;112(Suppl 2):262-269. doi: 10.17269/s41997-021-00514-7. Epub 2021 Aug 12.
Performance measurement (PM) aims to ensure transparency and effectiveness in public spending. More specifically, it provides a foundation that allows funders to determine whether an intervention has achieved its stated objective, thus improving understanding of what interventions should be funded in the future. Ideally, performance measurement should help us understand "what works, for whom, and in what context." Unfortunately, more often than not, performance reports are limited to a collection of indicators that make it difficult to answer this question. Based on our work with the Public Health Agency of Canada Innovation Strategy (PHAC-IS), we offer several recommendations to address this issue and support the performance measurement process, especially for complex interventions. We discuss the importance of contextualizing results to better understand impact and associating these results to a well-defined intervention. We also suggest using a validated tool to improve data collection and analysis and critically appraise the methods used to collect impact information. The integration of these key considerations will save time in data analysis and ensure funded recipients are not overburdened by the data collection process. Although this commentary is presented within the context of a complex multi-year population health funding program, we believe our approach can be applied to any performance management process and ultimately improve decisions such as whether an intervention should be continued, scaled up, or adapted to different contexts.
绩效测量（PM）旨在确保公共支出的透明度和有效性。更具体地说，它为资助者提供了一个基础，使他们能够确定干预措施是否实现了既定目标，从而提高对未来应资助哪些干预措施的理解。理想情况下，绩效测量应该有助于我们理解“什么有效，对谁有效，在什么情况下有效”。不幸的是，绩效报告往往仅限于一系列指标，这使得回答这个问题变得很困难。基于我们与加拿大公共卫生局创新战略（PHAC-IS）的合作，我们提出了一些建议来解决这个问题，并支持绩效测量过程，特别是对于复杂的干预措施。我们讨论了将结果背景化以更好地理解影响，并将这些结果与明确界定的干预措施联系起来的重要性。我们还建议使用经过验证的工具来改进数据收集和分析，并批判性地评估收集影响信息所使用的方法。这些关键考虑因素的整合将节省数据分析的时间，并确保受资助者不会因数据收集过程而负担过重。虽然本评论是在一个复杂的多年人口健康资助计划的背景下提出的，但我们相信我们的方法可以应用于任何绩效管理过程，并最终改善决策，例如是否应继续、扩大或调整干预措施以适应不同的情况。
