IDEAS home Printed from https://ideas.repec.org/a/plo/pmed00/1001066.html
   My bibliography  Save this article

Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan

Author

Listed:
  • Anbrasi Edward
  • Binay Kumar
  • Faizullah Kakar
  • Ahmad Shah Salehi
  • Gilbert Burnham
  • David H Peters

Abstract

Anbrasi Edward and colleagues report the results of a balanced scorecard performance system used to examine 29 key performance indicators over a 5-year period in Afghanistan, between 2004 and 2008. Background: In 2004, Afghanistan pioneered a balanced scorecard (BSC) performance system to manage the delivery of primary health care services. This study examines the trends of 29 key performance indicators over a 5-year period between 2004 and 2008. Methods and Findings: Independent evaluations of performance in six domains were conducted annually through 5,500 patient observations and exit interviews and 1,500 provider interviews in >600 facilities selected by stratified random sampling in each province. Generalized estimating equation (GEE) models were used to assess trends in BSC parameters. There was a progressive improvement in the national median scores scaled from 0–100 between 2004 and 2008 in all six domains: patient and community satisfaction of services (65.3–84.5, p

Suggested Citation

  • Anbrasi Edward & Binay Kumar & Faizullah Kakar & Ahmad Shah Salehi & Gilbert Burnham & David H Peters, 2011. "Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan," PLOS Medicine, Public Library of Science, vol. 8(7), pages 1-9, July.
    • Handle: RePEc:plo:pmed00:1001066
    DOI: 10.1371/journal.pmed.1001066
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001066
    Download Restriction: no
    File URL: https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1001066&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pmed.1001066?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Wilbroad Mutale & Jeffrey Stringer & Namwinga Chintu & Roma Chilengi & Margaret Tembo Mwanamwenge & Nkatya Kasese & Dina Balabanova & Neil Spicer & James Lewis & Helen Ayles, 2014. "Application of Balanced Scorecard in the Evaluation of a Complex Health System Intervention: 12 Months Post Intervention Findings from the BHOMA Intervention: A Cluster Randomised Trial in Zambia," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-10, April.
    2. Faten Amer & Sahar Hammoud & David Onchonga & Abdulsalam Alkaiyat & Abdulnaser Nour & Dóra Endrei & Imre Boncz, 2022. "Assessing Patient Experience and Attitude: BSC-PATIENT Development, Translation, and Psychometric Evaluation—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(12), pages 1-29, June.
    3. 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.
    4. Faten Amer & Sahar Hammoud & Haitham Khatatbeh & Huda Alfatafta & Abdulsalam Alkaiyat & Abdulnaser Ibrahim Nour & Dóra Endrei & Imre Boncz, 2022. "How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(15), pages 1-29, July.
    5. Muhammad Asef Shaiq & Ali Akbar Barati & Khalil Kalantari & Ali Asadi, 2022. "Dimensions of Poverty in Kunduz Province of Afghanistan," World, MDPI, vol. 3(4), pages 1-14, November.
    6. Olena Kalinichenko & Carla A. F. Amado & Sérgio P. Santos, 2013. "Performance Assessment in Primary Health Care: A Systematic Literature Review," CEFAGE-UE Working Papers 2013_03, University of Evora, CEFAGE-UE (Portugal).
    7. Edward, Anbrasi & Branchini, Casey & Aitken, Iain & Roach, Melissa & Osei-Bonsu, Kojo & Arwal, Said Habib, 2015. "Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system," Social Science & Medicine, Elsevier, vol. 145(C), pages 173-183.
    8. Frida Betto & Alberto Sardi & Patrizia Garengo & Enrico Sorano, 2022. "The Evolution of Balanced Scorecard in Healthcare: A Systematic Review of Its Design, Implementation, Use, and Review," IJERPH, MDPI, vol. 19(16), pages 1-22, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pmed00:1001066. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosmedicine (email available below). General contact details of provider: https://journals.plos.org/plosmedicine/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.