The challenges of employing performance monitoring in public health community-based efforts: A case study

作     者：Payne, CA 

作者机构：24 Concord Ave 310 Cambridge MA 02138 USA 

出 版 物：《JOURNAL OF COMMUNITY HEALTH》 (社区卫生杂志)

年 卷 期：1999年第24卷第2期

页      面：159-170页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：社区网络/组织和管理 数据收集/方法 决策 组织 卫生保健联合体/组织和管理 卫生计划实施/方法 健康促进/组织和管理 健康状况指标 马萨诸塞 方案评价/方法 青少年 成年人 儿童 女(雌)性 人类 婴儿 新生 妊娠 

摘      要：The development of community-based coalitions has acquired great popularity as a health promotion strategy. The Institute of Medicine recommends that community-based health coalitions employ a performance monitoring process in their efforts. The results of the current study indicate that in the community setting, implementing a performance monitoring process and sustaining the specialized functions entailed in this strategy are challenging. Many of the challenges result from fundamental differences between the organizational environment of bureaucracies-in which these techniques are developed, supported, and greatly successful-and the realities of the loosely-structured and resource-limited community environment. The performance monitoring process is measurement-driven. One challenge of implementing this process at the community level is that public health problems of local concern are not always documented in current surveillance systems and thus a performance monitoring strategy is not always, or immediately, applicable. When data which document a health problem of local concern are available, a second challenge facing community-based coalitions is acquiring the resources, especially the wide-range of specialized expertise, required to fully implement and sustain the performance monitoring process. These issues are examined in the context of the Massachusetts Department of Public Health s Community Health Network Area (CHNA) Initiative which entails the formation of coalitions of local health service providers. The CHNA initiative is a statewide project in which health service providers in specified geographic regions work collaboratively on health improvement projects.