Performance measurement and critical success factors: a case study of a national health service

Alberto Sardi, Enrico Sorano, Vania Tradori, Paolo Ceruzzi
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Abstract

Purpose

The process of performance measurement provides support to company management to achieve the objectives established in strategic planning. Through the definition of critical success factors and related key performance indicators, performance measurement verifies the gap between planned objectives and the results achieved, informing the responsible bodies to enable them to evaluate performance and, if necessary, implement improvement actions. Although many types of companies adopt performance measurement, this process is challenging when applied to national health services. This paper aims to identify the evolution of performance measurement and the critical success factors of national health services.

Design/methodology/approach

The authors conducted an explorative case study of a leading national health service to delineate the evolutionary path of performance measurement and the main critical success factors.

Findings

The results indicate a significant increase in the maturity of performance measurement of a national health service that has been motivated by international reforms and national regulations. This research highlights performance measurement features such as a balanced set of metrics, targets, and incentives linked to strategic objectives and regular and frequent performance reviews. Furthermore, it identifies the performance measurement model of a leading national health service.

Originality/value

The evolution of performance measurement and numerous critical success factors of national health services are described; the critical success factors cover a wide range of financial to operational aspects such as patient safety, organizational appropriateness, and clinical appropriateness.

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绩效衡量和关键成功因素:国家卫生服务案例研究
目的 绩效衡量为公司管理层实现战略规划中确定的目标提供支持。通过定义关键的成功因素和相关的关键绩效指标,绩效衡量可以核实计划目标与所取得成果之间的差距,为负责机构提供信息,使其能够评估绩效,并在必要时采取改进措施。尽管许多类型的公司都采用了绩效衡量方法,但将这一方法应用于国家医疗卫生服务时却面临着挑战。本文旨在确定国家卫生服务机构绩效考核的演变过程和关键成功因素。研究结果研究结果表明,在国际改革和国家法规的推动下,国家卫生服务机构绩效考核的成熟度显著提高。这项研究强调了绩效衡量的特点,如一套与战略目标相关联的平衡的衡量标准、目标和激励措施,以及定期和频繁的绩效审查。原创性/价值描述了国家医疗卫生服务机构绩效衡量的演变和众多关键成功因素;关键成功因素涵盖了从财务到运营的广泛方面,如患者安全、组织适当性和临床适当性。
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来源期刊
CiteScore
7.90
自引率
9.70%
发文量
87
期刊介绍: ■Organisational design and methods ■Performance management ■Performance measurement tools and techniques ■Process analysis, engineering and re-engineering ■Quality and business excellence management Articles can address these topics theoretically or empirically through either a descriptive or critical approach. The co-Editors support articles that significantly bring new knowledge to the area both for academics and practitioners. The material for publication in IJPPM should be written in a manner which makes it accessible to its entire wide-ranging readership. Submissions of highly technical or mathematically-oriented papers are discouraged.
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