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Defining organizational capacity for public health services and systems research

机译:定义公共卫生服务和系统研究的组织能力

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More than a decade has passed since a conceptual framework was introduced to guide public health services and systems research (PHSSR) and elucidate the relationships associated with system performance. Since then, research has primarily focused on performance, standards, and key processes, with less emphasis on identification of measures or methods. Capacity lies at one end of the conceptual framework, although little emphasis has been placed on measuring and defining "capacity" of the public health system. This is striking, given organizational capacity is a critical determinant of performance and is necessary for understanding systematic effectiveness, sustainability, or generalizability. As a nascent field, PHSSR needs to develop a definition of organizational capacity and elucidate its relationship within a research framework. Evidence must be developed on the temporal and causal relationships between capacity, process/performance, and outcomes. The purpose of this article was to review research frameworks and capacity measures in various disciplines to expand the existing PHSSR conceptual framework.
机译:自从引入概念框架以指导公共卫生服务和系统研究(PHSSR)并阐明与系统性能相关的关系以来,已经过去了十多年。从那时起,研究主要集中在绩效,标准和关键过程上,而不再强调确定措施或方法。能力只是概念框架的一端,尽管很少强调测量和定义公共卫生系统的“能力”。鉴于组织能力是绩效的关键决定因素,并且对于理解系统有效性,可持续性或可概括性是必要的,所以这是惊人的。作为一个新兴领域,PHSSR需要建立组织能力的定义,并在研究框架内阐明其关系。必须就能力,过程/绩效和结果之间的时间和因果关系建立证据。本文的目的是回顾各个学科的研究框架和能力度量,以扩展现有的PHSSR概念框架。

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