SAĞLIK KURULUŞLARINDA PERFORMANS ÖLÇÜMÜNÜN GELİŞİMİ VE ÇOK BOYUTLU ÖLÇÜM YAKLAŞIMLARI

Year 2014, Issue: 3, 83 - 101, 24.11.2015

Songül Çınaroğlu , Bayram Şahin

Abstract

Geçmişte genellikle yönetimde istenilmeyen durumların ortaya çıkması sonucunda yapılan gözden geçirme faaliyetlerinden oluşan performans ölçümü günümüzde işletmelerin sürekli gelişme hedefleri doğrultusunda stratejik planların vazgeçilmez bir parçası haline gelmiştir. Sağlık kuruluşları aynı anda maliyet, hizmet ve hasta bakımında etkinliğin sağlanmasına odaklanmış olan son derece karmaşık örgütlerdir. Bu örgütler son yıllarda hem daha fazla rekabetçi hale geldikleri hem de teknoloji ve kalite yönetimine önem verdikleri için finansal başarıyı yakalamak ve yaşamlarını devam ettirmek için  performans ölçmeye ve geliştirmeye ihtiyaç duymaktadırlar. Bu çalışmada sağlıkta performans ölçüm sistemlerinin gelişimi ve çok boyutlu performans ölçümü modelleri incelenmiştir. Çalışma sonucunda sağlık yöneticilerine performans ölçümü ve ölçüm sistemlerinin anlaşılması ve etkili biçimde kullanımı konusunda önerilerde bulunulmuştur.

Keywords

Sağlık Kuruluşları, Performans Ölçümü, Örgütsel Performans, Performans Sistemleri

DEVELOPMENT OF PERFORMANCE MEASUREMENT IN HEALTH CARE ORGANIZATIONS AND MULTIDIMENSIONAL MESUREMENT APPROACHES

Abstract

Performance management, which was considered as revision activities in the past as a result of occurrence of undesired situations in management, has become an indispensable part in strategic planning of the organizations in the direction of their continuous improvement goals. Health care organizations are extremely complex organizations which focus on providing efficiency in cost, service and patient care as well. Recently, as these organizations become more competitive and pay more importance on technology and quality management, they need to measure and develop their performance to achieve financial success and sustainability. In this study, the development of performance measurement systems in health care and multi-dimensional performance measurement models have been investigated. At the end of study, suggestions have been made to health care managers in understanding and effectively using performance measurement and measurement systems.

Keywords

Health Care Organizations, Performance Measurement, Organizational Performance, Performance Systems

References

• • ADAIR C.E., SIMPSON E., CASEBEER A.L., BIRDSELL J.M., HAYDEN K.A., LEWIS S., (2003), ‘Performance Measurement Systems in Health and Mental Health Services: Models, Practices and Effectiveness’ The Alberta Heritage Foundation for Medical Research.
• • ANDERSON D.K.D., (1998), ‘Measurement of Hospital Performance: Enviromental and Organizational Factors Associated with Cost’, A Dissertation, Old Domion University, Norfolk.
• • BITITCI U., GARENGO P., DÖRFLER V., NUDURUPATI S., (2011), ‘Performance Measurement : Challenges for Tomorrow’, International Journal of Management Reviews, article in pres.1-23.
• • BOURNE M., MILLS J., WILCOX M., NEELY A., PLATTS K., (2000), ‘Designing, Implementing and Updating Performance Measurement Systems’, International Journal of Operations & Production Management, 20(7), pp.754-771.
• • CRETEUR M., POCHET Y., (2002), ‘Organizational Design and Hospital Performance’, Louvain School of Management Research Institute Working Papers, http:// www.uclouvain.be/ cps/ucl/ doc/iag/documents/ WP_51_ creteur.pdf, pp.1-34.
• • DESHARNAIS S.I., MCMAHON L.F., R.T. WROBLEWSKI, A.J. HOGAN, (1990), ‘Measuring Hospital Performance the Development and Validation of Risk-Adjusted Indexes of Mortality, Readmissions and Complications’, Medical Care, December, vol. 28, no.12, pp.1127-1141.
• • DONABEDIAN A., (1966), ‘Evaluating the Quality of Medical Care’, The Mildbank Memorial Fund Quarterly, 44(3), 166-206.
• • DONABEDIAN A., (1980), ‘Explorations Quality Assessment and Monitoring: the Definition of Quality and Approaches to its Assessment’, vol.I, Health Administration Press, Ann Arbor, Michigan.
• • EDDY, D.M., (1998), Performance Measurement: Problems and Solutions, Health Affairs, 17(4), pp. 7-25.
• • FLOOD, A.B., SHORTELL, S.M. ve SCOTT R.W., (1997), Organizational Performance Managing Efficiency and Effectiveness, Shortell, S.M., Kaluzny, A.D., Essentials of Health Care Management, pp. 381-408, United States of America.
• • FOTTLER M.D., (1987), ‘Health Care Organizational Performance: Present and Future Research’, Journal of Management, 13(2), pp. 367-391.
• • GOLDSTEIN S.M., WARD P.T., LEONG G.K., BUTLER T.W., (2002), ‘The Effect of Location, Strategy and Operations Technology on Hospital Performance’, Journal of Operations Management, 20, pp.63-75.
• • GURD B., GAO T., (2008), ‘Live in the Balanced : an Analysis of the Balanced Scorecard (BSC) in Healthcare Organizations’, International Journal of Productivity and Performance Management, 57(1), pp. 6-21.
• • KAPLAN R.S., NORTON D.P., (1992), ‘The Balanced Scorecard – Measures that Drive Performance’, Harvard Business Review, 70(1), pp. 71-79.
• • KAPLAN R.S., NORTON D.P., (1996), ‘Using the Balanced Scorecard as a Strategic Management System’, Harvard Business Review, January-February, pp.75-85.
• • KLASSEN A., MILLER A., ANDERSON N., SHEN J., SCHIARITI V., O’DONNELL M., (2010), ‘Performance Mesaurement and Improvement Frameworks in Health, Education and Social Service Systems: A Systematic Review, International Journal for Quality in Health Care, 22(1), pp. 44-69.
• • LI L.X., COLLIER D.A., (2000), ‘The Role of Technology and Quality on Hospital Financial Performance an Exploratory Analysis’, International Journal of Service Industries Journal, 11(3), pp. 202-224.
• • LI L.X., BENTON W.C., (1996), ‘Performance Mesaurement Criteria in Health Care Organizations: Review and Future Research Directions’, European Journal of Operational Research, 93, pp. 449-468.
• • LING L.X., (1996), ‘Capacity Resource Management and Performance in Hospitals’, A Dissertation, The Ohio State University.
• • MCKEE M., RAFFERTY A.M., AIKEN L., (1997), ‘Measuring Hospital Performance: Are We Asking the Right Questions?’, Journal of The Royal Society of Medicine, vol. 90, pp. 187-191.
• • MINVIELLE E., SICOTTE C., CHAMPAGNE F, CONTANDRIOPOULOS A.P., JEANTET M., PREAUBERT N., BOURDIL A., RICHARD C. (2008) ‘Hospital Performance: Competing or Shared Values?’, Health Policy, 87, pp. 8-19.
• • NAJMI M., RIGAS J., FAN I.S., (2005), ‘A Framework to Review Performance Measurement Systems’, Business Process Management, 11(2), pp. 109-122.
• • OLIVER L., PALMER E., (1998), ‘An Integrated Model for Infrastructural Implementation of Performance Measurement’, Performance Measurement – Theory and Practice' (Conference Proceedings) vol., Cambridge University, Cmabridge, pp. 695-702.
• • SANTOS S.P., BELTON V., HOWICK S., (2002), ‘Adding Value to Performance Measurement by Using System Dynamics and Multicriteria Analysis’, International Journal of Operations & Production Management, 22(11), pp. 1246-1272.
• • SHAW C. (2003), ‘How Can Hospital Performance Be Measured and Monitored?, WHO Regional Office for Europe’s Health Evidence Network (HEN), pp. 1-17.
• • SMITH-DANIELS V.L. SCHWEIKHART S.B. SMITH-DANIELS D.E. (1988), ‘Capacity Management in Health Care Services: Review and Future Research Directions’, Decision Sciences, 19(4), pp. 889-919.
• • VAN PUERSEM K.A. PRATT M.J. LAWRENCE S.R., (1995), 'Health Management Performance A Review of Measures and Indicators', Accounting, Auditing & Accountability Journal, 8(5), pp. 34-70.
• • WHO (2007), PATH Performance Assessment Tool for Quality Improvement in Hospitals, WHO Regional Office for Europe, http://www.pathqualityproject.eu/what _is_path.html
• • WOLSTENHOLME E., (1999), ‘A Patient Flow Perspective of U.K. Health Services: Exploring the Case for New ‘Intermediate Care’ Initiatives’, System Dynamics Review, 15(3), pp. 253-271.
• • YAVAŞ U., SHEMWELL D. J., ‘Modified Importance-Performance Analysis: An Application to Hospitals’, International Journal of Health Care Assurance, 14/3, 2001, pp. 104-110.