Developing A Model for Measuring the Performance of the Health System Based on the Balanced Scorecard (BSC) Method in Social Security Organization
Subject Areas : Iranian Sociological ReviewSedigheh Ebrahimi Daneshmand 1 , Touraj Mojibi 2 * , Ali Mehdizadeh 3 , Amir Gholamaberi 4
1 - Ph.D. Student of Public Administration, Policy and Policy Orientation, Firoizkooh Branch, Islamic Azad University, Firoozkooh, Iran
2 - Associate Professor, Department of Public Administration, Firoozkooh Branch, Islamic Azad University of Firoozkooh, Iran
3 - Assistant Professor, Department of Public Administration, Firoozkooh Branch, Islamic Azad University, Firoozkooh, Iran
4 - Associate Professor, Department of Mathematics (Operations Research), Firoozkooh Branch, Islamic Azad University, Firoozkooh, Iran
Keywords: Performance appraisal, health system, Social security, Balanced Scorecard, AHP,
Abstract :
Because there are two main concerns in health interventions: prevention and treatment, there is typically a demand for the latter, but there may be none for the former. As a result, one of the most important considerations in determining which services to prioritize is to ensure that public health and clinical activities are balanced and appropriate. However, the researcher was inspired to create a model for measuring the performance of the health system in the Social Security Organization because of the lack of a performance measurement pattern. Given these two issues, the researcher created a model for measuring the performance of the health system in the Social Security Organization. The current study is of the basic-applied kind, and its goal is to find out more about it. It was exploratory in nature, with a temporal component; cross-sectional in nature, with a technique that combined qualitative and quantitative methodologies. The statistical population of this research includes experts and health experts from around the nation, who were selected using non-random and judgmental procedures, and the sample size was determined using the theoretical saturation rule. Questionnaires, interviews, and documents were utilized to gather information. The content (judgmental) validity of the current study questionnaire was validated, and the questionnaire's reliability was confirmed using qualitative research methodologies such as methodological coherence, sample appropriateness, and simultaneous data collection and analysis. The Wellman model open coding table was used to examine the qualitative content of the study, while Chang's descriptive techniques and enhanced fuzzy hierarchical decision-making methods were utilized to assess the quantitative material. Internal processes (0.35), social responsibility (0.24), customer (0.11), health (after treatment) (0.09), health (after prevention and care) (0.07), growth and learning (0.069), and financial (0.069) are the seven perspectives required by the balanced scorecard model to measure the performance of the health system, according to the research findings (0.052). In addition, for these seven viewpoints, a total of 46 indicators were found and weighed. According to the above findings, using a health perspective in both treatment and prevention, care and social responsibility perspectives, as well as the perspectives presented by Kaplan and Norton, is essential for the establishment of a performance measurement system for the Social Security Organization's health system. It's also a good idea to pay close attention to the signs that carry greater weight