A conceptual framework to measure performance of the public health system

A conceptual framework to measure performance of the public health system
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DOI:
10.2105/ajph.91.8.1235
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发表时间:
2001-08-01
影响因子:
12.7
通讯作者:
Turnock, B
Turnock, B
中科院分区:
医学2区
文献类型:
--
作者:
Handler, A;Issel, M;Turnock, B

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目标.本文介绍了一个统一的概念框架,为公共卫生系统作为一种方式,以促进公共卫生系统的绩效测量。公共卫生系统的概念框架的基础上,多纳贝迪安和伯纳德Turnock和雅顿Handler.Results.以前开发的概念模型的工作。概念框架由5个组成部分组成,可以考虑相互之间的关系:宏观背景,使命,结构能力,过程和结果。虽然这些组成部分的措施的可用性各不相同,该框架可以用来检查公共卫生系统的性能,以及机构和方案。一个概念性的框架,阐明了公共卫生系统的各个组成部分之间的关系是一个重要的一步,提供一个科学基础的研究公共卫生系统的性能。
Objectives. This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance.Methods. A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously developed by Bernard Turnock and Arden Handler.Results. The conceptual framework consists of 5 components that can be considered in relationship to each other: macro context, mission, structural capacity, processes, and outcomes. Although the availability of measures for each of these components varies, the framework can be used to examine the performance of public health systems as well as that of agencies and programs.Conclusions. A conceptual framework that explicates the relationships among the various components of the public health system is an essential step toward providing a science base for the study of public health system performance.