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首页> 外文期刊>International journal of health care quality assurance >Performance management of the public healthcare services in Ireland: a review
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Performance management of the public healthcare services in Ireland: a review

机译：爱尔兰公共医疗服务的绩效管理：回顾

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Purpose - Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. Design/methodology/approach - An extensive review of relevant HSE's publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. Findings - PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals' management systems. Research limitations/implications - The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE's PM framework, with a particular interest in acute hospitals and emergency services. Originality/value - This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system.
机译：目的-绩效管理（PM）流程已成为医疗保健组织战略和服务质量决策的重要组成部分。 2005年，爱尔兰的公共医疗保健管理被合并为一个单一的综合管理机构，名为卫生服务执行官（HSE）。从那时起，HSE为医疗保健的发展和改革提出了一系列战略，并开发了PM系统作为其战略计划的一部分。本文的目的是回顾PM在爱尔兰医疗保健系统中的应用，尤其是爱尔兰医院和急诊服务。设计/方法/方法-对2005年至2013年HSE相关出版物进行了广泛的审查。还介绍了与PM的应用有关的相关文献以及在医疗保健绩效系统中的国际最佳实践的研究。调查结果-HSE使用的PM和绩效评估系统包括许多旨在监视绩效趋势和战略目标的绩效报告。当前的PM系统存在的问题包括度量和绩效报告的不一致，不明确的策略一致性以及报告中的缺陷（例如反馈和纠正措施）。此外，PM流程还没有与爱尔兰公立医院的管理系统充分关联。研究的局限性/含义-HSE提供多种服务，例如心理健康，社会包容性等。本研究集中于HSE的PM框架，尤其对急诊医院和急诊服务感兴趣。原创性/价值-这是自HSE推出以来对爱尔兰医疗保健项目经理的首次全面审查。对HSE报告的关键分析指出了其当前PM系统的缺陷。

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