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Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas
OBJECTIVE: Since the Guangxi government implemented public county hospital reform in 2009, there have been no studies of county hospitals in this underdeveloped area of China. This study aimed to establish an evaluation indicator system for Guangxi county hospitals and to generate recommendations fo...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991253/ https://www.ncbi.nlm.nih.gov/pubmed/29562812 http://dx.doi.org/10.1177/0300060518757606 |
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author | Gao, Hongda Chen, He Feng, Jun Qin, Xianjing Wang, Xuan Liang, Shenglin Zhao, Jinmin Feng, Qiming |
author_facet | Gao, Hongda Chen, He Feng, Jun Qin, Xianjing Wang, Xuan Liang, Shenglin Zhao, Jinmin Feng, Qiming |
author_sort | Gao, Hongda |
collection | PubMed |
description | OBJECTIVE: Since the Guangxi government implemented public county hospital reform in 2009, there have been no studies of county hospitals in this underdeveloped area of China. This study aimed to establish an evaluation indicator system for Guangxi county hospitals and to generate recommendations for hospital development and policymaking. METHODS: A performance evaluation indicator system was developed based on balanced scorecard theory. Opinions were elicited from 25 experts from administrative units, universities and hospitals and the Delphi method was used to modify the performance indicators. The indicator system and the Topsis method were used to evaluate the performance of five county hospitals randomly selected from the same batch of 2015 Guangxi reform pilots. RESULTS: There were 4 first-level indicators, 9 second-level indicators and 36 third-level indicators in the final performance evaluation indicator system that showed good consistency, validity and reliability. The performance rank of the hospitals was B > E > A > C > D. CONCLUSIONS: The performance evaluation indicator system established using the balanced scorecard is practical and scientific. Analysis of the results based on this indicator system identified several factors affecting hospital performance, such as resource utilisation efficiency, medical service price, personnel structure and doctor–patient relationships. |
format | Online Article Text |
id | pubmed-5991253 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-59912532018-06-13 Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas Gao, Hongda Chen, He Feng, Jun Qin, Xianjing Wang, Xuan Liang, Shenglin Zhao, Jinmin Feng, Qiming J Int Med Res Clinical Reports OBJECTIVE: Since the Guangxi government implemented public county hospital reform in 2009, there have been no studies of county hospitals in this underdeveloped area of China. This study aimed to establish an evaluation indicator system for Guangxi county hospitals and to generate recommendations for hospital development and policymaking. METHODS: A performance evaluation indicator system was developed based on balanced scorecard theory. Opinions were elicited from 25 experts from administrative units, universities and hospitals and the Delphi method was used to modify the performance indicators. The indicator system and the Topsis method were used to evaluate the performance of five county hospitals randomly selected from the same batch of 2015 Guangxi reform pilots. RESULTS: There were 4 first-level indicators, 9 second-level indicators and 36 third-level indicators in the final performance evaluation indicator system that showed good consistency, validity and reliability. The performance rank of the hospitals was B > E > A > C > D. CONCLUSIONS: The performance evaluation indicator system established using the balanced scorecard is practical and scientific. Analysis of the results based on this indicator system identified several factors affecting hospital performance, such as resource utilisation efficiency, medical service price, personnel structure and doctor–patient relationships. SAGE Publications 2018-03-22 2018-05 /pmc/articles/PMC5991253/ /pubmed/29562812 http://dx.doi.org/10.1177/0300060518757606 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Clinical Reports Gao, Hongda Chen, He Feng, Jun Qin, Xianjing Wang, Xuan Liang, Shenglin Zhao, Jinmin Feng, Qiming Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title | Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title_full | Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title_fullStr | Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title_full_unstemmed | Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title_short | Balanced scorecard-based performance evaluation of Chinese county hospitals in underdeveloped areas |
title_sort | balanced scorecard-based performance evaluation of chinese county hospitals in underdeveloped areas |
topic | Clinical Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991253/ https://www.ncbi.nlm.nih.gov/pubmed/29562812 http://dx.doi.org/10.1177/0300060518757606 |
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