. Somayeh Mahdiyan; . Mohamad Akbari; . Maede Bozorgi; . Mostafa Amini‑Rarani
Volume 10, Issue 7 , July 2020, , Pages 1-10
Abstract
BACKGROUND AND OBJECTIVES: Because the performance assessment of the health systemis used as the basis for decision‑making and demonstrates progress or failure in achieving the goalsof ...
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BACKGROUND AND OBJECTIVES: Because the performance assessment of the health systemis used as the basis for decision‑making and demonstrates progress or failure in achieving the goalsof the health system, promoting the health system performance assessment can play a major rolein improving and enhancing the health system. Therefore, the main aim of the study was to identifyand prioritize the challenges of promoting the health system performance assessment.MATERIALS AND METHODS: There were two approaches in both qualitative and cross‑sectionalstudies. At first, using semi‑structured interviews with 52 performance appraisers, data relatedto the challenges of promoting the health system performance assessment were collected andthematically analyzed. Then, in cross‑sectional terms, the performance appraisers were providedwith researcher‑made checklists which contained a list of challenges to determine the priority ofchallenges by scoring. The data were handled and analyzed using MAXQDA Plus version 12 andMicrosoft Excel.RESULTS: Our results revealed five themes and ten subthemes on the challenges of promotingthe health system performance assessment. Themes (subthemes) included infrastructures (culturaland technological), implementation (organizational support, process, and responsibilities), humanresources (motivation and training), assessment (performance monitoring), and content ofmeasures (reliability and validity). We also prioritized 31 listed challenges in three priority groups,including below average, average, and above average.CONCLUSION: Our findings suggest that promoting the health system performance assessmentin Iran can be accomplished by allocating financial and nonfinancial motives to the performanceassessment staffs, using performance assessment results in policymaking, clarifying tasks ofassessment process executors, and reviewing and adapting the performance assessment indicesaccording to contingencies in the health system.
