Title: Indicators and criteria for efficiency and quality in public hospitals: a performance evaluation model

Authors: Fiorella Pia Salvatore; Simone Fanelli

Addresses: Department of Economics, University of Foggia, 71121, Foggia, Italy ' Department of Economics and Management, University of Parma, 43125, Parma, Italy

Abstract: In many countries, the public sector is currently characterised by the need to improve its performance. The implementation of performance measurement systems is essential to generate better results, especially in the public health sector. In healthcare practice, clinical indicators are part of a performance measurement system, and are a way of assessing the quality of care by investigating the frequency of specific results. Through a clinical audit process, this study aims to define the criteria and key performance indicators for minimally invasive endovascular surgical treatment. This type of treatment is chosen because aortic pathologies are an important European issue in cardiovascular surgery. A model of criteria and indicators used in a large public Italian hospital was constructed in order to assess the level of performance achieved with this service.

Keywords: healthcare organisation; evaluation model; key performance indicators; KPIs; efficiency; quality improvement; performance assessment; health services; new public management; internal audit; healthcare costs.

DOI: 10.1504/GBER.2021.118700

Global Business and Economics Review, 2021 Vol.25 No.3/4, pp.212 - 230

Received: 17 Apr 2020
Accepted: 11 Jun 2020

Published online: 03 Nov 2021 *

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