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A conceptual framework to measure performance of the public health system

Author

Listed:
  • Handler, A.
  • Issel, M.
  • Turnock, B.

Abstract

Objectives. This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance. Methods. A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously developed by Bernard Turnock and Arden Handler. Results. The conceptual framework consists of 5 components that can be considered in relationship to each other: macro context, mission, structural capacity, processes, and outcomes. Although the availability of measures for each of these components varies, the framework can be used to examine the performance of public health systems as well as that of agencies and programs. Conclusions. A conceptual framework that explicates the relationships among the various components of the public health system is an essential step toward providing a science base for the study of public health system performance.

Suggested Citation

  • Handler, A. & Issel, M. & Turnock, B., 2001. "A conceptual framework to measure performance of the public health system," American Journal of Public Health, American Public Health Association, vol. 91(8), pages 1235-1239.
    • Handle: RePEc:aph:ajpbhl:2001:91:8:1235-1239_8
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    Cited by:

    1. Schmitt, Carol L. & Glasgow, LaShawn & Lavinghouze, S. Rene & Rieker, Patricia P. & Fulmer, Erika & McAleer, Kelly & Rogers, Todd, 2016. "Measuring infrastructure: A key step in program evaluation and planning," Evaluation and Program Planning, Elsevier, vol. 56(C), pages 50-55.
    2. Sandra Jaworeck, 2022. "A New Approach for Constructing a Health Care Index including the Subjective Level," IJERPH, MDPI, vol. 19(15), pages 1-16, August.
    3. Francisco Muñoz-Pradas, 2011. "Health intervention and decline in infant mortality rates. Milk depots in Spain (1900-1936)," UHE Working papers 2011_10, Universitat Autònoma de Barcelona, Departament d'Economia i Història Econòmica, Unitat d'Història Econòmica.
    4. Yelin Fu & Yubing Sui & Hao Luo & Biao Han, 2020. "Application of Social Choice Theory to Modify the Value Measure of Health Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 148(3), pages 1005-1019, April.
    5. Miaomiao Tian & Da Feng & Xi Chen & Yingchun Chen & Xi Sun & Yuanxi Xiang & Fang Yuan & Zhanchun Feng, 2013. "China's Rural Public Health System Performance: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-10, December.
    6. Sogoric, Selma & Dzakula, Aleksandar & Rukavina, Tea Vukusic & Grozic-Zivolic, Sonja & Lazaric-Zec, Danijela & Dzono-Boban, Ankica & Brborovic, Ognjen & Lang, Slobodan & Vuletic, Silvije, 2009. "Evaluation of Croatian model of polycentric health planning and decision making," Health Policy, Elsevier, vol. 89(3), pages 271-278, March.
    7. Christiaan G. Abildso & Cynthia K. Perry & Lauren Jacobs & M. Renée Umstattd Meyer & Megan McClendon & Michael B. Edwards & James N. Roemmich & Zachary Ramsey & Margaret Stout, 2021. "What Sets Physically Active Rural Communities Apart from Less Active Ones? A Comparative Case Study of Three US Counties," IJERPH, MDPI, vol. 18(20), pages 1-21, October.
    8. Claudiu CICEA, 2011. "Consideration Regarding Cost’S Evaluation In Healthcare Area," Business Excellence and Management, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 1(1), pages 37-48, December.
    9. Eugenio Zucchelli & Andrew M Jones & Nigel Rice, 2012. "The evaluation of health policies through dynamic microsimulation methods," International Journal of Microsimulation, International Microsimulation Association, vol. 5(1), pages 2-20.
    10. Ker, Jun-Ing & Wang, Yichuan & Hajli, M. Nick & Song, Jiahe & Ker, Cappi W., 2014. "Deploying lean in healthcare: Evaluating information technology effectiveness in U.S. hospital pharmacies," International Journal of Information Management, Elsevier, vol. 34(4), pages 556-560.
    11. Mariam Safi & Maja L. Bertram & Gabriel Gulis, 2020. "Assessing Delivery of Selected Public Health Operations via Essential Public Health Operation Framework," IJERPH, MDPI, vol. 17(17), pages 1-10, September.
    12. Zucchelli, E & Jones, A.M & Rice, N, 2010. "The evaluation of health policies through microsimulation methods," Health, Econometrics and Data Group (HEDG) Working Papers 10/03, HEDG, c/o Department of Economics, University of York.
    13. Jian Zhou & Chuhan Wang & Xinyu Zhang & Shuang Wang, 2022. "Public Health System and Socio-Economic Development Coupling Based on Systematic Theory: Evidence from China," Sustainability, MDPI, vol. 14(19), pages 1-14, October.
    14. Wilbroad Mutale & Peter Godfrey-Fausset & Margaret Tembo Mwanamwenge & Nkatya Kasese & Namwinga Chintu & Dina Balabanova & Neil Spicer & Helen Ayles, 2013. "Measuring Health System Strengthening: Application of the Balanced Scorecard Approach to Rank the Baseline Performance of Three Rural Districts in Zambia," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-11, March.
    15. Claudiu CICEA & Gheorghe ALEXANDRU & Sebastian Madalin MUNTEANU, 2010. "Qualitative factors in the healthcare services," Economia. Seria Management, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 13(2), pages 457-469, December.
    16. Jaime Madrigano & Anita Chandra & Tracy Costigan & Joie D. Acosta, 2017. "Beyond Disaster Preparedness: Building a Resilience-Oriented Workforce for the Future," IJERPH, MDPI, vol. 14(12), pages 1-14, December.
    17. David Naranjo-Gil & María Jesús Sánchez-Expósito & Laura Gómez-Ruiz, 2016. "Traditional vs. Contemporary Management Control Practices for Developing Public Health Policies," IJERPH, MDPI, vol. 13(7), pages 1-13, July.
    18. Atul Sharma & Shankar Prinja & Arun Kumar Aggarwal, 2019. "Comprehensive measurement of health system performance at district level in India: Generation of a composite index," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1783-1799, October.

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