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This study aimed to validate and prioritize a system of indicators to assess the performance of age-friendly cities. The methodological procedures consisted of the application of the system indicators content validation model developed by Fehring in 1987 and used the multicriteria method Analytical Hierarchy Process for priorization. These analyzes, there was a satisfactory level of consistency and correspondence between the position of the experts on the prioritization of active ageing issues in urban environments.
Este estudio tuvo como objetivo validar y priorizar un sistema de indicadores para evaluar el desempeño de las ciudades amigables de los mayores. Los procedimientos metodológicos consistieron en la aplicación del modelo de validación de contenido de indicadores del sistema desarrollado por Fehring en 1987 y utilizaron el método de jerarquización analítica multicriterio para la priorización. En estos análisis, hubo un nivel satisfactorio de coherencia y correspondencia entre la posición de los expertos sobre la priorización de los problemas de envejecimiento activo en entornos urbanos.
Este estudo teve como objetivo validar e priorizar um sistema de indicadores para avaliar o desempenho de Cidades Amigas do Idoso. Os procedimentos metodológicos consistiram na aplicação do modelo de validação de conteúdo de indicadores do sistema desenvolvido por Fehring em 1987 e utilizou o método multicritério Analytical Hierarchy Process para priorização. Nestas análises, houve um nível satisfatório de consistência e correspondência entre a posição dos especialistas na priorização de questões de envelhecimento ativo em ambientes urbanos.
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Aging , Healthy City , Healthy Aging , Aged , Housing for the Elderly , Urban AreaABSTRACT
Objective To evaluate the performance of clinical medicine and joint research projects,funded by Capital Medical Research Fund.Method Data of clinical medicine and joint research projects were obtained from the project of Data analysis and evaluation of Capital Medical Development Scientific Research Fund.Out puts include published papers,undergraduate textbooks,prize,patents,students' trainingsnew techniques and follow-up projects; Each project is considered as an evaluation unit,the grant amount as input indicator.Then Data Envelopment Analysis (DEA),software MaxDEA 5.2 were used to calculate the relative performance of these projects.Result The rate of recovery of questionnaire was 77.70％.Among 115projects,the average score of new technology,prize obtained and patent are less than other output indexes.15 projects have no output,7 projects reached the effectiveness of DEA.11 projects obtained the pure technology efficiency,20 projects obtained scale efficiency.Conclusion The funding for projects in 2005 and 2007 are within the appropriate amount,while funding for some projects are excessive; certain projects have less outputs in personnel trainings,publications,the follow-up projects,published papers and achievements.In order to improve project performance,the quantity of published papers and personnel trainings has to be increased.
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Objective:To explore the SPECT detection method of quality control in detection of main performance index. Methods: according to the 2007 edition of SPECT performance measurementof the NEMA (the United States Electrical Manufacturers Association) standard, and the corresponding model of intrinsic spatial resolution, intrinsic spatial non-linearity, intrinsic non-uniformity, characteristic count rate, system planar sensitivity, system spatial resolution, fault spatial resolution and other indicators. Results: after quality control testing, have deviation more index hospitals SPECT results. Conclusion: the hospital should detect quality control as far as possible in nuclear medicine and nuclear medicine imaging equipment, ensure the normal operation of equipment, and improve the quality of image.
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Objective To build a performance indicators measurement system for hospital's capital projects for the purpose of objective comments on project performance.Methods Based on theories and practice of key performance indicators,building the KPI system for hospital's capital projects with the construction project of a hospital in another place.Results Level-1 indicators are set as business indicators and financial ones,the business indicators include three level-2 indicators and 20 level-3 indicators; the financial indicators also include one level-2 indicator and three level-3 indicators.These indicators are designed for scientific and objective appraisal of performance of the projects.Conclusion Such a KPI system can present objective appraisal of the project performance,and the performance management.
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Inveon PET is a recently developed preclinical PET system for small animal. This study was conducted to measure the performance of Inveon PET as recommended by the NEMA NU 4-2008. We measured the spatial resolution, the sensitivity, the scatter fraction and the NECR using a F-18 source. A 3.432 ns coincidence window was used. A 1 mm3 sized F-18 point source was used for the measurement of spatial resolution within an energy window of 350~625 keV. PET acquisition was performed to obtain the spatial resolution from the center to the 5 cm offset toward the edge of the transverse FOV. Sensitivity, scatter fraction, and NECR were measured within an energy window of 350~750 keV. For measuring the sensitivity, a F-18 line source (length: 12.7 cm) was used with concentric 5 aluminum tubes. For the acquisition of the scatter fraction and the NECR, two NEMA scatter phantoms (rat: 50 mm in diameter, 150 mm in length; mouse: 25 mm in diameter, 70 mm in length) were used and the data for 14 half-lives (25.6 hr) was obtained using the F-18 line source (rat: 316 MBq, mouse: 206 MBq). The spatial resolution of the F-18 point source was 1.53, 1.50 and 2.33 mm in the radial, tangential and axial directions, respectively. The volumetric resolution was 5.43 mm3 in the center. The absolute sensitivity was 6.61%. The peak NECR was 486 kcps @121 MBq (rat phantom), and 1056 kcps @128 MBq (mouse phantom). The values of the scatter fraction were 20.59% and 7.93% in the rat and mouse phantoms, respectively. The performances of the Inveon animal PET scanner were measured in this study. This scanner will be useful for animal imaging.
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Animals , Mice , Rats , AluminumABSTRACT
Performance measurement predominantly consisted of near-term outputs measured through bibliometrics, but the recent focus is on accountability for investment based on long-term outcomes. Our objective is to build a logic model and associated metrics through which to measure the contribution of environmental health research programs to improvements in human health, the environment, and the economy. We developed a logic model that defines the components and linkages between extramural environmental health research grant programs and the outputs and outcomes related to health and social welfare, environmental quality and sustainability, economics, and quality of life, focusing on the environmental health research portfolio of the National Institute of Environmental Health Sciences (NIEHS) Division of Extramural Research and Training and delineates pathways for contributions by five types of institutional partners in the research process. The model is being applied to specific NIEHS research applications and the broader research community. We briefly discuss two examples and discuss the strengths and limits of outcome- based evaluation of research programs.
A avaliação de desempenho compreendia predominantemente resultados de curto prazo avaliados através de bibliometria, mas recentemente a ênfase voltou-se à prestação de contas dos investimentos com base em resultados a longo prazo. Nosso objetivo é criar um modelo lógico e métricas associadas através dos quais possamos avaliar a contribuição de programas de pesquisa em saúde ambiental para melhorar a saúde humana, o meio ambiente e a economia. Desenvolvemos um modelo lógico que define os componentes e elos entre os programas de pesquisa em saúde ambiental extramuros subsidiados e os resultados relacionados à saúde e ao bem-estar social, qualidade ambiental e sustentabilidade, economia e qualidade de vida, com ênfase no portfólio de pesquisa em saúde ambiental do National Institute of Environmental Health Sciences (NIEHS), divisão de pesquisa e treinamento extramuros, delineando caminhos para as contribuições de cinco tipos de parceiros institucionais no processo de pesquisa. O modelo está sendo usado em aplicações específicas do NIEHS e na comunidade de pesquisa como um todo. Analisamos brevemente dois exemplos e os pontos fortes e limitações da avaliação baseada em resultados dos programas de pesquisa.
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Este trabalho identifica aspectos de integralidade nas propostas de avaliação de assistência à saúde da Agência Nacional de Saúde Suplementar (ANS), no Brasil, e do National Commitee for Quality Assurance (NCQA), nos Estados Unidos. A metodologia adotada foi a da análise documental das propostas encontradas nos sítios eletrônicos das instituições no segundo semestre de 2006. Os dados foram sistematizados numa matriz analítica com atributos das práticas de gestão e organização de serviços; dos conhecimentos e práticas dos trabalhadores de saúde; e das práticas de controle pela sociedade. Os resultados apresentados destacam, no caso brasileiro, uma ênfase no primeiro e terceiro atributos, com a avaliação centrada nas operadoras os planos de saúde não foram avaliados. No caso americano, houve um equilíbrio nos três conjuntos de atributos, sendo a avaliação direcionada aos planos de saúde. Ambas as propostas mensuraram a satisfação dos beneficiários e divulgam os resultados das avaliações em sítios eletrônicos. Em conclusão, destaca-se a importância de conceitos e abordagens avaliativas da integralidade nas operadoras de planos privados de saúde no setor suplementar brasileiro.
This work identifies aspects of comprehensiveness in the proposals for healthcare evaluation of the Agência Nacional de Saúde Suplementar (ANS) in Brazil, and of the National Commitee Quality Assurance (NCQA) in the U.S.A. The investigation was based on a documental analysis of the proposals found in the websites of both institutions in the second semester of 2006. The data were systemized according to pre-established attributes, building an analytical matrix for evaluating the following three dimensions: management practices and service organization; quality of knowledge and of practices of the health workers; and quality of the control practices of the society. In the Brazilian case there was an emphasis on the first and the third dimensions. The evaluation focalized the operators; the health plans were not evaluated. In the American case there was a balance between the three sets of attributes and the evaluation was focused on the health plans. Both proposals measured the satisfaction of the beneficiaries and made the results of the evaluations available in their websites. In conclusion we emphasize the importance of evaluative concepts and approaches for measuring the integrality of private health plan operators in the Brazilian supplementary health sector.
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Delivery of Health Care/organization & administration , Delivery of Health Care/standards , Quality Assurance, Health Care , BrazilABSTRACT
PURPOSE: The aim of this study was to develop a performance measurement scale for nurses in the hospital setting and to test the reliability and validity of the scale. METHODS: This study was conducted in three phases including an application of conceptual framework, development of scale items, and test of validity and reliability of the scale. In order to test validity and reliability, data was collected from 1,966 nurses who work in twenty eight hospitals nation-wide. The data was analyzed by the SAS 8.0 program using descriptive statistics, factor analysis, and reliability coefficients. RESULTS: The Performance measurement scale consisted of 4 factors which included competency, attitude, willingness to improve, and application of nursing process, and a total of 17 items. The Four factors explained 63.45% of the total variance, and Cronbach's alpha of the scale was .92. CONCLUSION: The performance measurement scale developed by this study is a reliable and valid instrument that is utilized effectively to evaluate the performance of hospital nurses. Furthermore, it could be used as a steping stone to assess educational needs of nurses, develop professionalism among nurses, and improve quality of nursing care in the hospital setting.
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Adult , Female , Humans , Employee Performance Appraisal , Models, Nursing , Nursing Evaluation Research , Nursing Staff, Hospital/standards , Reproducibility of Results , Task Performance and AnalysisABSTRACT
Objective To evaluate the performance parameters of the PET instrument, which has been used for years in our hospital, assuring the stability of image quality and performance parameters. Methods NEMA NU 2-1994 Standards was used as reference for performance measurement of PET, which were published by National Electrical Manufacturers Association(NEMA). The NEMA standard cylinder model, 18F radiation source, and 18F and 68Ge columniform radiation source were used. Results Projects for performance measurement and daily quality control were drawn up. Conclusion This project provides a reference and methods for the performance measurement of PET instrument and daily quality control. It better ensures the stability of image quality and performance parameters of the PET instrument.