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EGIPSS model for the evaluation of performance in healthcare

  • Pietro Renzi
  • Alberto Franci

The need to improve performance in the Italian healthcare sector and thereby optimise the availability and delivery of related services has long been recognised. The associated reforms and developmental programmes have meant that the focus of health services has moved from a means-based approach to a results-based approach; which was an essential step to enabling real performance improvements according to the new public management paradigm. What is essential is a means of measuring and evaluating changes in healthcare sector performance which will support policy-makers to provide transparency and accountability, in accordance with the Tallinn Charter. This is particularly relevant in the healthcare sector, where outcomes are critical. This paper examines the concept of performance and performance assessment in the healthcare sector; acknowledging the inherent difficulties caused by the complexity of the systems and the multiplicity of performance-related definitions involved. This latter point is illustrated by the fact that many international organisations, such as the WHO and the OECD, have used varying models to assess and compare the performance of health systems in different countries. The authors have compared and evaluated a wide range of models and have determined the merits of the EGIPSS (Évaluation Globale et Intégrée de la Performance des Systèmes de Santé) integrative model. This is based on Parson's theory of social action which specifies four functions necessary for an organisation to survive. EGIPSS takes into consideration the conceptual contributions of different organisations, and covers a comparatively large number of performance measurements. A detailed illustration of the methodology is presented, together with some healthcare-related results for the Republic of San Marino and parts of the Marche Region in Italy.

  • Keywords:
  • Health system,
  • performance,
  • indicators,
  • governance,
  • assessment,
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Pietro Renzi

University of San Marino, San Marino - ORCID: 0000-0001-6200-7265

Alberto Franci

University of Urbino Carlo Bo, Italy - ORCID: 0000-0002-8157-9792

  1. WHO (2000), The World Health Report 2000 - Health systems: improving performance. Geneva: World Health Organisation.
  2. Hurst J., Jee-Hughes M. (2001), Performance measurement and performance management in OECD health systems. In Labour Market and Social Policy Occasional Papers. Paris: OECD.
  3. Sicotte C., Champagne F., Costandriopoulos A. P., (1999), La performance organisationnelle des organismes publics de santé. Ruptures, revue transdisciplinaire en santé, 6(1), pp 34-46.
  4. Fabbris L., Martini M.C. (2007), Graduates’ Job Quality Dimensions According to a Delphi-Shang Experiment. In: Effectiveness of University Education in Italy, eds. Fabbris L., Physica-Verlag HD.
  5. Nuti S. (2008), La valutazione della performance in sanità, Il Mulino Editore.
  6. Vrijens F., Renard F., Camberlin C. et al. (2016), Performance of the Belgian health system – Report 2015, Belgian Health Care Knowledge Centre (KCE), KCE Reports 259C.
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  • Publication Year: 2021
  • Pages: 167-172
  • Content License: CC BY 4.0
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  • Publication Year: 2021
  • Content License: CC BY 4.0
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Chapter Information

Chapter Title

EGIPSS model for the evaluation of performance in healthcare

Authors

Pietro Renzi, Alberto Franci

DOI

10.36253/978-88-5518-461-8.32

Peer Reviewed

Publication Year

2021

Copyright Information

© 2021 Author(s)

Content License

CC BY 4.0

Metadata License

CC0 1.0

Table of Contents

Book Title

ASA 2021 Statistics and Information Systems for Policy Evaluation

Book Subtitle

BOOK OF SHORT PAPERS of the on-site conference

Editors

Alessandra Petrucci, Bruno Bertaccini, Luigi Fabbris

Peer Reviewed

Publication Year

2021

Copyright Information

© 2021 Author(s)

Content License

CC BY 4.0

Metadata License

CC0 1.0

Publisher Name

Firenze University Press

DOI

10.36253/978-88-5518-461-8

eISBN (pdf)

978-88-5518-461-8

eISBN (xml)

978-88-5518-462-5

Series Title

Proceedings e report

Series Issn ISSN

2704-601X

Series E-Issn

2704-5846

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