Building on the EGIPPS performance assessment: the multipolar framework as a heuristic to tackle the complexity of performance of public service oriented health care organisationsReportar como inadecuado




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BMC Public Health

, 14:378

Health policies, systems and management in high-income countries

Abstract

BackgroundPerformance of health care systems is a key concern of policy makers and health service managers all over the world. It is also a major challenge, given its multidimensional nature that easily leads to conceptual and methodological confusion. This is reflected by a scarcity of models that comprehensively analyse health system performance.

DiscussionIn health, one of the most comprehensive performance frameworks was developed by the team of Leggat and Sicotte. Their framework integrates 4 key organisational functions goal attainment, production, adaptation to the environment, and values and culture and the tensions between these functions.

We modified this framework to better fit the assessment of the performance of health organisations in the public service domain and propose an analytical strategy that takes it into the social complexity of health organisations. The resulting multipolar performance framework MPF is a meta-framework that facilitates the analysis of the relations and interactions between the multiple actors that influence the performance of health organisations.

SummaryUsing the MPF in a dynamic reiterative mode not only helps managers to identify the bottlenecks that hamper performance, but also the unintended effects and feedback loops that emerge. Similarly, it helps policymakers and programme managers at central level to better anticipate the potential results and side effects of and required conditions for health policies and programmes and to steer their implementation accordingly.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-378 contains supplementary material, which is available to authorized users.

Bruno Marchal, Tom Hoerée, Valéria Campos da Silveira, Sara Van Belle, Nuggehalli S Prashanth and Guy Kegels contributed equally to this work.

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Autor: Bruno Marchal - Tom Hoerée - Valéria Campos da Silveira - Sara Van Belle - Nuggehalli S Prashanth - Guy Kegels

Fuente: https://link.springer.com/







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