Limits...
Building on the EGIPPS performance assessment: the multipolar framework as a heuristic to tackle the complexity of performance of public service oriented health care organisations.

Marchal B, Hoerée T, da Silveira VC, Van Belle S, Prashanth NS, Kegels G - BMC Public Health (2014)

Bottom Line: The resulting multipolar performance framework (MPF) is a meta-framework that facilitates the analysis of the relations and interactions between the multiple actors that influence the performance of health organisations.Using the MPF in a dynamic reiterative mode not only helps managers to identify the bottlenecks that hamper performance, but also the unintended effects and feedback loops that emerge.Similarly, it helps policymakers and programme managers at central level to better anticipate the potential results and side effects of and required conditions for health policies and programmes and to steer their implementation accordingly.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. bmarchal@itg.be.

ABSTRACT

Background: Performance of health care systems is a key concern of policy makers and health service managers all over the world. It is also a major challenge, given its multidimensional nature that easily leads to conceptual and methodological confusion. This is reflected by a scarcity of models that comprehensively analyse health system performance.

Discussion: In health, one of the most comprehensive performance frameworks was developed by the team of Leggat and Sicotte. Their framework integrates 4 key organisational functions (goal attainment, production, adaptation to the environment, and values and culture) and the tensions between these functions.We modified this framework to better fit the assessment of the performance of health organisations in the public service domain and propose an analytical strategy that takes it into the social complexity of health organisations. The resulting multipolar performance framework (MPF) is a meta-framework that facilitates the analysis of the relations and interactions between the multiple actors that influence the performance of health organisations.

Summary: Using the MPF in a dynamic reiterative mode not only helps managers to identify the bottlenecks that hamper performance, but also the unintended effects and feedback loops that emerge. Similarly, it helps policymakers and programme managers at central level to better anticipate the potential results and side effects of and required conditions for health policies and programmes and to steer their implementation accordingly.

Show MeSH

Related in: MedlinePlus

The four functions of the EGIPPS framework of Sicotte et al. [12].
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4020604&req=5

Figure 1: The four functions of the EGIPPS framework of Sicotte et al. [12].

Mentions: The work of the team of Sicotte and colleagues is based on a literature review that showed that all existing frameworks to assess the performance of health care organisations (HCO) were missing important dimensions [13]. The team found inspiration in Parsons’ social system action theory [21] and the competing values framework of Quinn and Rohrbaugh to develop an integrative framework of performance [22]. Sicotte et al. consider that performance of a HCO is multi-dimensional. More specifically, it is the result of the interaction between four organisational functions: production, goal setting, values & culture maintenance, and adaptation to the environment (Figure 1). The success of an organisation depends not only on how each of these functions is organised, but also on how they are aligned with each other. Performance is therefore understood as more comprehensive than merely efficiently producing desired outputs [12].


Building on the EGIPPS performance assessment: the multipolar framework as a heuristic to tackle the complexity of performance of public service oriented health care organisations.

Marchal B, Hoerée T, da Silveira VC, Van Belle S, Prashanth NS, Kegels G - BMC Public Health (2014)

The four functions of the EGIPPS framework of Sicotte et al. [12].
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4020604&req=5

Figure 1: The four functions of the EGIPPS framework of Sicotte et al. [12].
Mentions: The work of the team of Sicotte and colleagues is based on a literature review that showed that all existing frameworks to assess the performance of health care organisations (HCO) were missing important dimensions [13]. The team found inspiration in Parsons’ social system action theory [21] and the competing values framework of Quinn and Rohrbaugh to develop an integrative framework of performance [22]. Sicotte et al. consider that performance of a HCO is multi-dimensional. More specifically, it is the result of the interaction between four organisational functions: production, goal setting, values & culture maintenance, and adaptation to the environment (Figure 1). The success of an organisation depends not only on how each of these functions is organised, but also on how they are aligned with each other. Performance is therefore understood as more comprehensive than merely efficiently producing desired outputs [12].

Bottom Line: The resulting multipolar performance framework (MPF) is a meta-framework that facilitates the analysis of the relations and interactions between the multiple actors that influence the performance of health organisations.Using the MPF in a dynamic reiterative mode not only helps managers to identify the bottlenecks that hamper performance, but also the unintended effects and feedback loops that emerge.Similarly, it helps policymakers and programme managers at central level to better anticipate the potential results and side effects of and required conditions for health policies and programmes and to steer their implementation accordingly.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. bmarchal@itg.be.

ABSTRACT

Background: Performance of health care systems is a key concern of policy makers and health service managers all over the world. It is also a major challenge, given its multidimensional nature that easily leads to conceptual and methodological confusion. This is reflected by a scarcity of models that comprehensively analyse health system performance.

Discussion: In health, one of the most comprehensive performance frameworks was developed by the team of Leggat and Sicotte. Their framework integrates 4 key organisational functions (goal attainment, production, adaptation to the environment, and values and culture) and the tensions between these functions.We modified this framework to better fit the assessment of the performance of health organisations in the public service domain and propose an analytical strategy that takes it into the social complexity of health organisations. The resulting multipolar performance framework (MPF) is a meta-framework that facilitates the analysis of the relations and interactions between the multiple actors that influence the performance of health organisations.

Summary: Using the MPF in a dynamic reiterative mode not only helps managers to identify the bottlenecks that hamper performance, but also the unintended effects and feedback loops that emerge. Similarly, it helps policymakers and programme managers at central level to better anticipate the potential results and side effects of and required conditions for health policies and programmes and to steer their implementation accordingly.

Show MeSH
Related in: MedlinePlus