Abstract
The Appropriate Framework for Monitoring, Measuring and Evaluating the Performance of Quality in Healthcare: Systematic Review
Author(s): Zaadoud Brahim and Chbab YObjective: Aims to review the literature in the field of performance measurement in health care, and to contribute to a broader discussion of performance measurement.
Methods: We conducted a thematic analysis of the international literature, identifying themes around the terms “Performance Assessment, Performance Measurement, Health Indicators, Health System Performance”. Studies concerning performance measurement in health in all settings were included. Studies before 2018 were identified from PubMed, Scopus, Web of Science, and Google Scholar.
Result: 37 articles are reviewed and a set of conceptual frameworks are analyzed, and results are interpreted following the seven areas of the conceptual framework: Fundamental questions in performance evaluation, Aims and objectives, Role and goals, Performance, Conceptual frameworks, Dysfunction of the health system, and Performance assessment. All areas of care are involved, health promotion, preventive and curative care.
Conclusion: Performance measurement is an essential component of quality improvement. However, certain dysfunctions have been identified: the lack of systematic evaluation of results, insufficient documentation, and the lack of evaluation of resources related to quality.