Chapter EGIPSS model for the evaluation of performance in healthcare

The need to improve performance in the Italian healthcare sector and thereby optimise the availability and delivery of related services has long been recognised. The associated reforms and developmental programmes have meant that the focus of health services has moved from a means-based approach to...

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Main Authors: Renzi, Pietro, Franci, Alberto
פורמט: Online
שפה:אנגלית
יצא לאור: Firenze University Press 2022
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גישה מקוונת:ONIX_20220601_9788855184618_541
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author Renzi, Pietro
Franci, Alberto
author_browse Franci, Alberto
Renzi, Pietro
author_facet Renzi, Pietro
Franci, Alberto
author_sort Renzi, Pietro
collection Directory of Open Access Books
description The need to improve performance in the Italian healthcare sector and thereby optimise the availability and delivery of related services has long been recognised. The associated reforms and developmental programmes have meant that the focus of health services has moved from a means-based approach to a results-based approach; which was an essential step to enabling real performance improvements according to the new public management paradigm. What is essential is a means of measuring and evaluating changes in healthcare sector performance which will support policy-makers to provide transparency and accountability, in accordance with the Tallinn Charter. This is particularly relevant in the healthcare sector, where outcomes are critical. This paper examines the concept of performance and performance assessment in the healthcare sector; acknowledging the inherent difficulties caused by the complexity of the systems and the multiplicity of performance-related definitions involved. This latter point is illustrated by the fact that many international organisations, such as the WHO and the OECD, have used varying models to assess and compare the performance of health systems in different countries. The authors have compared and evaluated a wide range of models and have determined the merits of the EGIPSS (Évaluation Globale et Intégrée de la Performance des Systèmes de Santé) integrative model. This is based on Parson's theory of social action which specifies four functions necessary for an organisation to survive. EGIPSS takes into consideration the conceptual contributions of different organisations, and covers a comparatively large number of performance measurements. A detailed illustration of the methodology is presented, together with some healthcare-related results for the Republic of San Marino and parts of the Marche Region in Italy.
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spelling doab-20.500.12854ir-838092022-06-02T04:39:01Z Chapter EGIPSS model for the evaluation of performance in healthcare Renzi, Pietro Franci, Alberto Health system performance indicators governance assessment The need to improve performance in the Italian healthcare sector and thereby optimise the availability and delivery of related services has long been recognised. The associated reforms and developmental programmes have meant that the focus of health services has moved from a means-based approach to a results-based approach; which was an essential step to enabling real performance improvements according to the new public management paradigm. What is essential is a means of measuring and evaluating changes in healthcare sector performance which will support policy-makers to provide transparency and accountability, in accordance with the Tallinn Charter. This is particularly relevant in the healthcare sector, where outcomes are critical. This paper examines the concept of performance and performance assessment in the healthcare sector; acknowledging the inherent difficulties caused by the complexity of the systems and the multiplicity of performance-related definitions involved. This latter point is illustrated by the fact that many international organisations, such as the WHO and the OECD, have used varying models to assess and compare the performance of health systems in different countries. The authors have compared and evaluated a wide range of models and have determined the merits of the EGIPSS (Évaluation Globale et Intégrée de la Performance des Systèmes de Santé) integrative model. This is based on Parson's theory of social action which specifies four functions necessary for an organisation to survive. EGIPSS takes into consideration the conceptual contributions of different organisations, and covers a comparatively large number of performance measurements. A detailed illustration of the methodology is presented, together with some healthcare-related results for the Republic of San Marino and parts of the Marche Region in Italy. 2022-06-02T04:39:00Z 2022-06-02T04:39:00Z 2022-06-01T12:20:29Z 2021 chapter ONIX_20220601_9788855184618_541 2704-5846 https://library.oapen.org/handle/20.500.12657/56356 9788855184618 https://directory.doabooks.org/handle/20.500.12854/83809 eng Proceedings e report open access image/jpeg Attribution 4.0 International https://library.oapen.org/bitstream/20.500.12657/56356/1/26250.pdf Firenze University Press 10.36253/978-88-5518-461-8.32 10.36253/978-88-5518-461-8.32 2ec4474d-93b1-4cfa-b313-9c6019b51b1a 9788855184618 6 Florence open access
spellingShingle Health system
performance
indicators
governance
assessment
Renzi, Pietro
Franci, Alberto
Chapter EGIPSS model for the evaluation of performance in healthcare
title Chapter EGIPSS model for the evaluation of performance in healthcare
title_full Chapter EGIPSS model for the evaluation of performance in healthcare
title_fullStr Chapter EGIPSS model for the evaluation of performance in healthcare
title_full_unstemmed Chapter EGIPSS model for the evaluation of performance in healthcare
title_short Chapter EGIPSS model for the evaluation of performance in healthcare
title_sort chapter egipss model for the evaluation of performance in healthcare
topic Health system
performance
indicators
governance
assessment
topic_facet Health system
performance
indicators
governance
assessment
url ONIX_20220601_9788855184618_541
work_keys_str_mv AT renzipietro chapteregipssmodelfortheevaluationofperformanceinhealthcare
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