سیستم اندازه گیری کارت امتیازی متوازن برای سازمان های مراقبت
Summary
1- INTRODUCTION
2- METHODS
3- RESULTS
4- DISCUSSION
REFERENCES
Summary
To address, among other issues, the regional and international challenges of the heavy health care burden caused by an aging population, integrated care organizations (ICOs) were proposed at the end of the 20th century for health care delivery. However, the implementation of ICOs has not progressed smoothly, and the current results have not eliminated the imbalance of medical service capabilities among hospitals of different levels. To make up for the deficiency in the current evaluation system at ICOs and offer suggestions for improved sustainable health planning and management, this study establishes a balanced scorecard based on a comprehensive measurement system valid for a Chinese ICO by surveying the staff at the West China Hospital ICO. This study collected valid responses from 216 professional staff members at the ICO via questionnaires. K‐means clustering and the coefficient of variation method were used to evaluate the weights of the first‐ and second‐level indicators. The results show the importance ranking of the core perspectives of the ICO balanced scorecard in the following order: patient, internal process, learning and growth, and financial. The weight‐ based analysis identified the importance ranking of all indicators and pointed to the areas that require close attention in future ICO planning and management.
Integrated health care: a worldwide phenomenon
Integrated health care is a relatively new trend in international health care reform. However, over two decades ago, in 1996, the World Health Organization (WHO) published Integration of Health Care Delivery to suggest the establishment of such a system of regional health care that would focus on the integration of primary health care providers, including the full integration of hospitals and their services.1 Since then, the Institute of Medicine has published Crossing the Quality Chasm: A New Health System for the 21st Century and indicated that the integration and coordination of all parts of the medical system could generate more health benefits.2 Globally, many countries face difficulties and pressure delivering effective medical services, especially in developing countries such as China. The severe imbalance (see Figure 1) between the limited supply of medical service resources and the huge demand for them makes health care service delivery a major challenge today. One of problems is the fact that health care services, which represent a large proportion of health system resources, are often concentrated in large or top‐class hospitals and are difficult for patients to access. At the same time, the aging of the population has increased medical demand, and people are expecting better treatment. According to WHO statistics, the global population has been aging rapidly.3 Between 2000 and 2050, the proportion of the population over 60 is expected to double, increasing from 11% to 22%. At the same time, the absolute number of those over 60 is estimated to increase from 0.605 thousand million to 2 thousand million.