Measuring and managing progress in the establishment of basic health services: the Afghanistan Health Sector Balanced Scorecard
Measuring and managing progress in the establishment of basic health services: the Afghanistan Health Sector Balanced Scorecard
复制标题
DOI：
10.1002/hpm.931
复制
发表时间：
2008-04-01
影响因子：
2.7
通讯作者：
Burnham, Gilbert
中科院分区：
文献类型：
--
作者：
Hansen, Peter M.;Peters, David H.;Burnham, Gilbert
阿富汗公共卫生部采用了平衡计分卡作为衡量和管理提供一揽子基本保健服务业绩的工具。根据2004年基线调查的结果，公共卫生部确定了平衡计分卡29项指标中的8项作为需要改进的优先领域。与2004年的调查一样，2005年和2006年的BSC涉及随机选择的600多个卫生设施、1700名卫生工作者和5800名患者-提供者互动。与2004年的基线水平相比，2005年和2006年的基本保健服务在所有八个优先领域都有了实质性的改善，在以下方面的省级平均得分有所提高：积极开展活动的村卫生委员会的存在、基本药物的供应、功能性实验室、提供者知识、卫生工作者培训、临床指南的使用、结核病治疗的监测和分娩护理的提供。2005年至2006年期间，三项优先指标-药物供应、卫生工作者培训和提供者知识-的得分保持不变或有所下降。这突出表明，必须确保在阿富汗建立保健服务方面取得的早期成果能够长期保持下去。利用协调一致和平衡的监测框架来确定需要改进的优先领域和衡量长期业绩，反映了对保健服务管理采取的基于目标的办法，这种办法在困难的环境中证明是有效的。版权所有（C）2008约翰威利父子有限公司
The Ministry of Public Health (MCIPH) of Afghanistan has adopted the Balanced Scorecard (BSC) as a tool to measure and manage performance in delivery of a Basic Package of Health Services. Based on results from the 2004 baseline round, the MOPH identified eight of the 29 indicators on the BSC as priority areas for improvement. Like the 2004 round, the 2005 and 2006 BSCs involved a random selection of more than 600 health facilities, 1700 health workers and 5800 patient-provider interactions. The 2005 and 2006 BSCs demonstrated substantial improvements in all eight of the priority areas compared to 2004 baseline levels, with increases in median provincial scores for presence of active village health councils, availability of essential drugs, functional laboratories, provider knowledge, health worker training, use of clinical guidelines, monitoring of tuberculosis treatment, and provision of delivery care. For three of the priority indicators-drug availability, health worker training and provider knowledge-scores remained unchanged or decreased between 2005 and 2006. This highlights the need to ensure that early gains achieved in establishment of health services in Afghanistan are maintained over time. The use of a coherent and balanced monitoring framework to identify priority areas for improvement and measure performance over time reflects an objectives-based approach to management of health services that is proving to be effective in a difficult environment. Copyright (C) 2008 John Wiley & Sons, Ltd.