A review of health systems performance assessment models
A review of health systems performance assessment models
复制标题
卫生系统绩效评估模型回顾
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Bahram Tahmasby
中科院分区：
文献类型：
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作者：
S. D. N. Shirvani;Bahram Tahmasby
卫生系统绩效评估可用于就加强卫生系统的优先事项达成共识，为方案之间和不同部门之间的对话提供背景，并就影响卫生成果的活动之间的沟通达成共识。卫生系统绩效评估有助于决策者和政策制定者确保其决策的响应性。卫生系统绩效评估的历史可以追溯到2000年之前的十年。到目前为止，世界各国已经提出了不同的卫生系统绩效评估模型，其方法和目标也各不相同，各国在发展和应用卫生系统绩效评估模型方面也有不同的经验。在这项研究中，使用相关的关键词和相关的电子和图书馆资源，从1998年至2012年已被调查的波斯语和英语。首先，最常见的和最重要的国际卫生绩效评估模型进行了研究和比较，然后在评估的模型设计所涉及的最重要的概念和主题提取。最后，对一些选定国家的经验进行了审查和比较。因此，每个国家都需要根据政治、经济、社会结构和卫生系统的预期目标设计具体的评估模型。为了实现透明度和问责制，需要在卫生系统的不同行政级别设计和实施绩效评估模式，直到每个行政单位接受其活动的责任。对于绩效评估，每个执行单位都必须有明确的目标和适当的活动规划。由于任何评估模型都不是完美的，因此，评估模型设计的结果应该在应用前和应用后公布，以供专家提出建设性的批评，并解决其缺陷。
Health System Performance Assessment can be usable for the creation of a common understanding of priorities for strengthening health systems, to provide a context for dialogue between programs and between different sectors, and to develop a common understanding of communication between the activities that impact on health outcomes. Health System Performance Assessment helps to decision-makers and policymakers to be ensure responsiveness of their decisions. History of Health System Performance Assessment returns to decade before 2000. Up to now different models of Health System Performance Assessment with different approaches and objectives, are presented and different countries have various experiences of developing and applying of his models. In this study, using related key words and related electronic and library resources from 1998 to 2012 have been investigated in both Persian and English language. Initially, the most common and most important of international models of performance assessment in the health has been studied and compared, then the most important concepts and topics that are involved in the designing of the assessment's models is extracted. Finally, the experiences of some selected countries are reviewed and compared. As a result, each country is required to design specific assessment model based on the political, economic, social structure and expected objectives of the health system. To transparency and accountability, designing and implementation of the performance assessment model at different executive levels of the health system are needed, until each executive unit accepts responsibility of their activities. To performance assessment, each executive unit must have clear objectives and appropriate planning of his activities. Because any assessment model is not perfect, therefore result of the assessment's models designing to constructive criticism of experts and to resolve of its defects should be published both before and after applying.