A Performance Management System in Healthcare for All Seasons?

Vainieri, Milena; Noto, Guido; Ferrè, Francesca; Rosella, Laura

doi:10.3390/ijerph17155590

Cited by 36 publications

(57 citation statements)

References 53 publications

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“…Involving different stakeholders and relying on their cooperation and resource integration, co-production accentuates the complex and adaptive nature of the health service system, posing some challenges but also extending opportunities [ 12 , 13 ]. One of the challenges that certainly arises is to evolve a performance management and evaluation systems capable of systematically considering diverse value perspectives that come into play [ 14 ]. In this regard, it must be emphasized that there is increasing interest in understanding the benefits of co-production for the healthcare ecosystem [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Marsilio

Fusco

Gheduzzi

et al. 2021

IJERPH

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Co-produced practices and publications in the healthcare sector are gaining momentum, since they can be a useful tool in addressing the sustainability and resilience challenges of health systems. However, the investigation of positive and, mainly, negative outcomes is still confused and fragmented, and above all, a comprehensive knowledge of the metrics used to assess these outcomes is lacking. To fill this gap, this study aims to systematically review the extant literature to map the methods, tools and metrics used to empirically evaluate co-production in health services. The search took place in six databases: Scopus, Web of Science, Psych INFO, PubMed, Cochrane and CINAHL. A total of 2311 articles were screened and 203 articles were included in the analysis, according to PRISMA guidelines. Findings show that outcomes are mainly investigated through qualitative methods and from the lay actor or provider perspective. Moreover, the detailed categorisation of the quantitative measures found offers a multidimensional performance measurement system and highlights the impact areas where research is needed to develop and test new measures. Findings should also promote improvements in empirical data collection on the multiple faceted co-produced activities and spur the consciousness of the adoption of sustainable co-productive initiatives.

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Section: Introductionmentioning

confidence: 99%

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Marsilio

Fusco

Gheduzzi

et al. 2021

IJERPH

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“…Many changes require a new approach to the performance management system in health care [ 10 ] coming from both external factors and the evolution of organizing care.…”

Section: Introductionmentioning

confidence: 99%

“…Outcomes achieved along such pathways are thus related to this multi-provider, multi-disciplinary, and multi-professional service chain. These cannot be measured and evaluated by considering individual health services delivered by single providers but should embrace a systemic—or population-based—perspective [ 10 , 12 , 13 ]. In particular, “a population perspective encompasses whole populations (i.e., defined by geography, insurance coverage or attribution) and not only those with specific illnesses or needs” [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…To the author’s knowledge, few studies focused on the contribution that P&C systems may provide in supporting a shift from managerialism to PVM. P&C systems are key tools to focus decision-makers on outcomes achievement rather than exclusively on the inputs and outputs already considered in traditional systems [ 10 , 17 , 18 ]. As such this paper suggests that new management accounting and control practices should go beyond efficiency and effectiveness measures to foster the renewed public sector strategy, namely: public value creation and delivery.…”

Section: Introductionmentioning

confidence: 99%

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The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management

Nuti

Noto

Ruggieri

et al. 2021

IJERPH

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In the last decades, public management has been subjected to a shift from the New Public Management (NPM) paradigm to the Public Value Management (PVM) one. Thus, management practices such as Planning and Control (P&C) systems have been called to evolve accordingly. The health care sector has not escaped this process. This paper focuses on the evolution of hospitals’ P&C systems to support the paradigm shift from the NPM paradigm to the PVM one. In particular, the paper aims at exploring whether hospitals’ P&C systems in Italy evolved, or are evolving, consistently with PVM and what are the expected benefits related to such a paradigm switch. To address the research aim, the paper is based on a review of scientific and grey literature and the case study of the diabetic-foot pathway in an Italian Regional Healthcare System. The results of this study show that the current P&C systems in Italian hospitals are not yet designed to support the shift toward the PVM approach and are still mainly focused on financial aspects and intra-organizational dynamics. Combining traditional P&Cs with performance measures assessing the system’s outcomes may support hospitals in aligning their goals with the health system they are operating within and, therefore, P&C systems may represent an important driving force toward change. Such results provide suggestions for both practitioners and academics on how to adapt P&C systems to better support the implementation of current strategies of the public sector.

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“…The healthcare sector has not escaped the above-described trend [ 6 – 10 ]. Particularly, due to changes in the epidemiological context that characterize modern societies, public hospitals have been called, in recent years, to increasingly focus on outcomes at the population level and to integrate their actions with the other providers and stakeholders of the healthcare sector [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

What is the performance in public hospitals? A longitudinal analysis of performance plans through topic modeling

Noto

Verso

Barresi

2021

BMC Health Serv Res

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Background Both the concept of performance and the role of hospitals in health systems evolved significantly in the last decades. Today, the performance in health could be defined as the ability to create ‘population value,’ and the hospitals’ role is to support this aim by providing acute care and by integrating and coordinating their activity with other settings of care. This research aims to assess how and with what degree the management of public hospitals have embraced in practice the updated concept of performance and their new role. Result The paper analyses 181 performance plans of 48 Italian autonomous public hospitals over a nine-year period through the topic modeling algorithm called Latent Dirichlet Allocation (LDA). This is a method that allows for analysing large textual corpora that generates a representation of the latent topics discussed therein. The concept of performance in public hospitals was framed into 15 topics resulting from the analysis of the hospitals’ performance plans. The prevalence of each topic was analysed through the period considered so as to understand the evolution of performance-related practices over the last decade. Conclusion In recent years, the concept of performance in hospitals evolved toward the adoption of an outcome-based and population-based perspective. Additional effort should be devoted toward improved collaboration and integration of care with other settings.

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A Performance Management System in Healthcare for All Seasons?

Cited by 36 publications

References 53 publications

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management

What is the performance in public hospitals? A longitudinal analysis of performance plans through topic modeling

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