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在医疗机构中开发综合绩效管理与衡量系统:加拿大案例研究。

Developing an integrated performance management and measurement system in healthcare organisations: a Canadian case study.

机构信息

Systems Engineering Department, École de technologie superieure, Montreal, Québec, Canada.

Numérix Laboratory, École de technologie superieure, Montreal, Québec, Canada.

出版信息

F1000Res. 2024 Dec 9;12:1420. doi: 10.12688/f1000research.138430.1. eCollection 2023.

DOI:10.12688/f1000research.138430.1
PMID:39291143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11406139/
Abstract

This study proposes a performance management and measurement system for a large healthcare organisation. First, data is collected to analyse and understand the current performance management system. Second, the SWOT (Strengths, Weaknesses, Opportunities, Threats) method is used to identify the main aspects of the performance management system to be improved. Third, based on the scientific literature and SWOT analysis, BSC principles are integrated to this performance management system to better align the organisation's performance objectives and indicators with its strategy. Finally, we develop a performance indicator structure and specify indicators to be used as well as how these indicators could be integrated and shared with higher hierarchical levels in the organisation by using AHP (Analytic Hierarchy Process). Our approach is applied to the program "Physical disability, intellectual disability, and autism spectrum disorder" of CIUSSS du Centre-Sud-de-l'île-de-Montreal, a large healthcare network, in the province of Québec, Canada.

摘要

本研究提出了一种适用于大型医疗机构的绩效管理和衡量系统。首先,收集数据以分析和了解当前的绩效管理系统。其次,采用 SWOT(优势、劣势、机会、威胁)方法来确定需要改进的绩效管理系统的主要方面。第三,基于科学文献和 SWOT 分析,将 BSC 原则整合到这个绩效管理系统中,以便更好地将组织的绩效目标和指标与战略保持一致。最后,我们通过使用层次分析法(AHP)来开发绩效指标结构,并指定要使用的指标,以及这些指标如何与组织的更高层级进行整合和共享。我们的方法应用于加拿大魁北克省蒙特利尔南岸中心区域医疗机构联合体(CIUSSS du Centre-Sud-de-l'île-de-Montreal)的“身体残疾、智力残疾和自闭症谱系障碍”项目。

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本文引用的文献

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The Evolution of Balanced Scorecard in Healthcare: A Systematic Review of Its Design, Implementation, Use, and Review.《医疗保健平衡计分卡的演进:对其设计、实施、使用和审查的系统评价》。
Int J Environ Res Public Health. 2022 Aug 18;19(16):10291. doi: 10.3390/ijerph191610291.
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Scoping review of balanced scorecards for use in healthcare settings: development and implementation.平衡计分卡在医疗保健环境中的应用:开发与实施的范围性回顾。
BMJ Open Qual. 2021 Jul;10(3). doi: 10.1136/bmjoq-2020-001293.
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Business performance management in university hospitals: a diagnosis in Brazilian institutions.
大学医院的业务绩效管理:巴西机构的诊断
Rev Salud Publica (Bogota). 2017 Sep-Oct;19(5):697-703. doi: 10.15446/rsap.V19n5.45112.
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Rethinking Healthcare Performance Evaluation Systems towards the People-Centredness Approach: Their Pathways, their Experience, their Evaluation.以以人为本的方法重新思考医疗保健绩效评估系统:其途径、经验与评估
Healthc Pap. 2017 Oct;17(2):56-64. doi: 10.12927/hcpap.2017.25408.
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Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas.基于平衡计分卡的中国欠发达地区县级医院绩效评估
J Int Med Res. 2018 May;46(5):1947-1962. doi: 10.1177/0300060518757606. Epub 2018 Mar 22.
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