Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan
Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan
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DOI：
10.1371/journal.pmed.1001066
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发表时间：
2011-07-01
期刊：
影响因子：
15.8
通讯作者：
Peters, David H.
中科院分区：
文献类型：
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作者：
Edward, Anbrasi;Kumar, Binay;Peters, David H.
背景：2004年，阿富汗率先采用了平衡计分卡业绩制度，以管理初级保健服务的提供。本研究考察了2004 - 2008年5年间29项关键绩效指标的变化趋势。方法和结果：通过在每个省分层随机抽样选择的600多个机构中进行5,500名患者观察和离职访谈以及1,500名提供者访谈，每年对6个领域的绩效进行独立评估。广义估计方程（GEE）模型用于评估BSC参数的趋势。2004年至2008年，在所有六个领域，从0到100的全国中位数分数都有逐步改善：病人和社区对服务的满意度（65.3-84.5，p
Background: In 2004, Afghanistan pioneered a balanced scorecard (BSC) performance system to manage the delivery of primary health care services. This study examines the trends of 29 key performance indicators over a 5-year period between 2004 and 2008.Methods and Findings: Independent evaluations of performance in six domains were conducted annually through 5,500 patient observations and exit interviews and 1,500 provider interviews in >600 facilities selected by stratified random sampling in each province. Generalized estimating equation (GEE) models were used to assess trends in BSC parameters. There was a progressive improvement in the national median scores scaled from 0-100 between 2004 and 2008 in all six domains: patient and community satisfaction of services (65.3-84.5, p