Vola Federico, Benedetto Vera, Vainieri Milena, Nuti Sabina
Management and Healthcare Laboratory, Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Via San Zeno, 2, Pisa, PI, 56127, Italy.
Res Health Serv Reg. 2022 Sep 16;1(1):10. doi: 10.1007/s43999-022-00010-6.
This contribution describes the Interregional Performance Evaluation System (IRPES) designed by MeS Lab of Sant'Anna School of Advanced Studies (Pisa-Italy), by highlighting its main characteristics and its evolution.Context: Since its creation in 2008, the IRPES has been developed by researchers from different backgrounds, with the involvement of practitioners and managers, so as to offer support to local, regional and national healthcare management. The IRPES is currently adopted by 12 Italian regions, which share a common performance evaluation system to assess the respective regional healthcare systems' performance.Structure: The IRPES is currently composed of about 400 indicators, which monitor different dimensions of the health systems. About half of them are benchmarked against shared standards, to assess the healthcare systems' performance. Indicators are grouped into around thirty composite indicators.Data visualization: MeS Lab designed innovative tools to deliver a clear representation of the performance of health systems, which in turn facilitate policymakers to gain a dynamic understanding of weaknesses and strengths of the systems they manage. In particular, the more traditional representation tools (such as maps or histograms) are accompanied by new visualisation instruments, such as "the dartboard" and "the stave".Covid-19: With the outburst of COVID-19 pandemic emergency, assessing the resilience of healthcare systems has become the new challenge posed to the IRPES. Thus, 63 novel resilience indicators tailored for the pandemic were introduced, starting from the second semester of 2020. Continuous monitoring of the performance of health systems was equally implemented, which has been essential to policymakers during such a difficult time.
本论文介绍了由比萨圣安娜高等研究学校的MeS实验室（意大利比萨）设计的区域间绩效评估系统（IRPES），重点阐述了其主要特点和发展历程。背景：自2008年创建以来，IRPES由来自不同背景的研究人员开发，并吸引了从业者和管理人员的参与，旨在为地方、区域和国家医疗管理提供支持。目前，意大利的12个地区采用了IRPES，它们共享一个通用的绩效评估系统，以评估各自区域医疗系统的绩效。结构：IRPES目前由约400个指标组成，这些指标监测医疗系统的不同维度。其中约一半指标以共享标准为基准，用于评估医疗系统的绩效。指标被归为约30个综合指标。数据可视化：MeS实验室设计了创新工具，以清晰呈现医疗系统的绩效，这有助于政策制定者动态了解他们所管理系统的优缺点。特别是，传统的呈现工具（如图表或直方图）与新的可视化工具（如“飞镖靶”和“五线谱”）相结合。新冠疫情：随着新冠疫情紧急情况的爆发，评估医疗系统的复原力成为IRPES面临的新挑战。因此，从2020年下半年开始，引入了63个针对疫情量身定制的新复原力指标。同时，对医疗系统的绩效进行持续监测，这在如此艰难的时期对政策制定者至关重要。
