Public Hospitals Performance. Theoretical Foundations and Challenges
Abstract
Public hospitals performance is currently a public management subject of great interest. On the one hand, there is the pressure of the State and of the taxpayer (health insurance payer), which have expectations regarding the capitalisation of health expenditures. On the other hand, there is the pressure put by users, as consumers, who want to have the power to choose in a field they consider essential for their state of health. In these circumstances, the following questions arise: How do public hospitals see performance? Do they consider this performance requirement a threat, in the context of public and private sector competition, or do they see it as a real opportunity to improve the quality of the services provided to users (patients) and ensure an efficient State governance (as the State is the one financing public health services)? Our article aims at answering these questions, which represent major challenges for a national health system.
References
Anhoury P, Viens G. (eds.). Gerer la qualite et les risques a l’hopital. Paris: ESF Editeurs; 1994: 22.
Baubeau D, Pereira C. Mesure de la performance dans le domaine de la sante. Presentation au 10-ieme Colloque de Comptabilite Nationale, Paris, 22 janvier 2004: 2
Boland T, Fowler A. A Systems Perspective of Performance Management in Public Sector Organisations. Int J Public Sector Manag. 2000; 13: 417-446.
Champagne F, Contandriopoulos A-P, Picot-Touche J, Beland F, Nguyen H. Un cadre d’evaluation de la performance des systemes de service de sante: le modele EGIPSS (Evaluation globale et integree de la performance des systemes de sante). Universite de Montreal. 2005; 28.
Jacques J. Indicateurs de performance clinique hospitaliere. Etudes empiriques basee sur les donnees medico-administratives belges. These presentee en vue de l’obtention du grade de docteur en sciences de la sante publique. Universite de Liege. 2012-2013: 9.
Kesley T. Ameliorer la qualite des soins, in L’observateur de l’OCDE, nr. 229, Royaume Uni, Novembre. 2001; 229: 1.
Lombrail P, Naiditch D, Baubeau D, Cuneo P. Les elements de la performance hospitaliere. Les conditions d’une comparaison, Etudes etresultats, DREES 42. 1999: 1-8.
Marty C, Merlin H. Mesurer la performance des hopitaux public en France. Fundements methodologiques, proposition d’un modele d’evaluation, enjeux, HEC Paris, Observatoire du Management Alternatif, Cahier de recherche. 2007: 15. Available from: https://creativecommons.org/licenses/by/2.0/fr/
OCDE. Les systemes de sante. Paris: OCDE; 1990.
OECD. Ameliorer la performance des soins de sante: comment mesurer leur qualite, Forum sur la qualite des soins, Paris, 2010 octobre.
World Health Organisation, Regional Office for Europe. Measuring hospitals performance to improve the quality of care in Europe: a need for clarifying the concepts and defining the main dimensions. Report on a WHO Workshop Barcelona, Spain. 10-11 January 2003: 8.
Copyright (c) 2020 LUMEN Proceedings
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Selection and peer-review under responsibility of the Organizing Committee of the conference.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited
