Challenges and strategies in applying performance measurement to federal public health programs
Challenges and strategies in applying performance measurement to federal public health programs
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DOI：
10.1016/j.evalprogplan.2010.02.003
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发表时间：
2010-11-01
影响因子：
1.6
通讯作者：
Poister, Theodore H.
中科院分区：
文献类型：
--
作者：
DeGroff, Amy;Schooley, Michael;Poister, Theodore H.
绩效评估作为支持项目改进和问责制的重要管理工具在公共卫生领域被广泛接受。然而，一些挑战阻碍了在联邦一级制定和实施绩效衡量系统，包括反映多重决定因素并涉及可能需要数年才能实现的结果的公共卫生问题的复杂性、公共卫生方案实施的分散性和网络化性质、缺乏可靠和一致的数据源以及与衡量有关的其他问题。所有这三个挑战阻碍了将项目成果归因于具体公共卫生项目努力的能力。本文的目的是详细探讨这些问题，并提供潜在的解决方案，以支持开发健壮且实用的绩效度量，以满足项目改进和问责制的需要。将绩效评估方法应用于公共卫生项目既是一门不断发展的科学，也是一门艺术。通过本文提出的战略，可以开发和监测适当的系统，以支持产生有意义的数据，为多层次的有效决策提供信息。Elsevier Ltd.出版。
Performance measurement is widely accepted in public health as an important management tool supporting program improvement and accountability. However, several challenges impede developing and implementing performance measurement systems at the federal level, including the complexity of public health problems that reflect multiple determinants and involve outcomes that may take years to achieve, the decentralized and networked nature of public health program implementation, and the lack of reliable and consistent data sources and other issues related to measurement. All three of these challenges hinder the ability to attribute program results to specific public health program efforts. The purpose of this paper is to explore these issues in detail and offer potential solutions that support the development of robust and practical performance measures to meet the needs for program improvement and accountability. Adapting performance measurement to public health programs is both an evolving science and art. Through the strategies presented here, appropriate systems can be developed and monitored to support the production of meaningful data that will inform effective decision making at multiple levels. Published by Elsevier Ltd.