scholarly journals 80 Development of risk adjusted indicators of ems performance and quality (phoebe programme)

Author(s):  
J Turner ◽  
R Jacques ◽  
J Coster ◽  
J Nicholl ◽  
A Crum ◽  
...  
Keyword(s):  
2021 ◽  
Vol 66 (Special edition 2021/2) ◽  
pp. 31-51
Author(s):  
Krisztina Kistóth

The experts of the State Audit Office of Hungary analysed financial performance measurement issues of state-owned companies (public companies) with the aim to apply the principle of performance as widely as possible during public money spending. In many respects, the same tools can be used to measure and analyze the performance of these companies as for private sector companies, however misrepresentations arising from public sector specialties must be filtered out. Therefore, an adjusted version of the financial indicators has been prepared, using corrective items specifically focusing public sector specificities. To test the adjusted indicators, we prepared an analysis for a group of 148 public companies, the main findings of which are presented in our article. The special conditions, operation or risks of state-owned companies may require different tools and priorities in terms of ownership control. In this article, we try to form relatively homogeneous groups, portfolios - based on adjusted financial indicators- which helps the owner to treat groups of companies differently according to financial capabilities and performance. Classification into groups can draw attention to critical management factors, risks, but also strengths as well. In this way, the development of portfolios can provide a good basis for effective ownership management of companies.


2019 ◽  
Vol 160 (39) ◽  
pp. 1542-1553
Author(s):  
Anita Pálinkás ◽  
Nóra Kovács ◽  
Valéria Sipos ◽  
Ferenc Vincze ◽  
Magor Papp ◽  
...  

Abstract: Introduction: The indicator-based performance monitoring and pay-for-performance system for Hungarian primary care was established in 2009, covering the whole country. It is based on a stable legal system and well operating information technology. Although, the health insurance system is able to facilitate the performance improvement only by the financing for general medical practices, the many times modified present system does not take into consideration (apart from the geographical location of practices) factors which determine the performance but cannot be influenced by general practitioners. Aim: The study aimed at renewing the indicator set and evaluation methodology in order to enable the monitoring to evaluate the performance of general medical practices independent of their structural characteristics. Method: Each adult care specific primary care performance indicator from June 2016 covering the whole country has been investigated. Indicators adjusted for structural practice characteristics (age and gender of patients; relative education of people provided; settlement type and county of the practice) have been computed. The difference between adjusted indicators and national reference values has been evaluated by statistical testing. Appropriateness of the present monitoring and financing system has been investigated by comparing the practice level presently applied and adjusted indicators to outline the opportunities to develop the present system. Results: The present monitoring allocates 34.46% of pay-for-performance resources for improving the performance of practices. The majority of resources supports the conservation of performance. Furthermore, the present system is not able to identify each practice with better than reference performance, withholding amount corresponding to 8.83% of pay-for-performance resources. If this financing were restricted to practices with significantly better than reference performance, the maximum of the financing a month in a practice would increase from 176 042 HUF (551 EURO) to 406 604 HUF (1274 EURO). Conclusion: Completing the performance monitoring system operated at present by the National Health Insurance Fund of Hungary with indicators adjusted for structural characteristics of the general medical practices, the resource allocation effectiveness could be improved. Orv Hetil. 2019; 160(39): 1542–1553.


2011 ◽  
Vol 35 (3) ◽  
Author(s):  
Marc Luy

Demographic period indicators like the total fertility rate or life expectancy are well known since more than a century and until recently there were only minor discussions about their usefulness. This changed with a series of publications by Bongaarts and Feeney (BF) in which they claimed that these indicators are inappropriate for describing current demographic conditions when the average age at childbearing respective death is changing. Therefore, BF proposed alternative tempo-adjusted indicators for such situations which can be very useful for demographic analysis. The still existing scepticism against the BF approach and the general rejection of mortality tempo adjustment in particular have their origin in a set of misunderstandings and misinterpretations of tempo-adjusted indicators. This paper systematically describes the basic idea of tempo effects, how they can distort the commonly used conventional period indicators and how the proposed methods approximate the idea of tempo adjustment, illustrated with empirical data for West Germany. We also summarize the critiques against tempo adjustment and try to put the tempo approach in the right perspective. Finally, the paper strives for providing a better understanding when tempo-adjusted measures should be used as alternative or in addition to the commonly used conventional demographic indicators.


2014 ◽  
Vol 7 (1) ◽  
pp. 127-144 ◽  
Author(s):  
Claire Vermaak ◽  
Marcel Kohler ◽  
Bruce Rhodes

The issue of energy poverty or the lack of access to modern energy has received increasing attention in the development literature, including specific reference in the UN Millennium Development Goals (MDGs). Measures based on just energy expenditures (‘energy burden’) are shown to be rather inadequate when identifying energy-poor households. This paper uses an access-adjusted energy poverty measure that allows for varying energy efficiencies and access to different fuel types used by sampled households from a 2008/9 Department of Energy survey. Taking three pre-assigned thresholds of household energy use among LSM1-LSM3 households, all the South African provinces are mapped showing spatial incidences of energy poverty for electrified households. It is proposed that these access-adjusted indicators are methodologically more robust and informative for policy than conventional, purely expenditure-based indicators.


Author(s):  
Katarína Bod’ová ◽  
Vladimír Boža ◽  
Broňa Brejová ◽  
Richard Kollár ◽  
Katarína Mikušová ◽  
...  

AbstractIn this study, we ascertain the associations between BCG vaccination policies and progression of COVID-19 through analysis of various time-adjusted indicators either directly extracted from the incidence and death reports, or estimated as parameters of disease progression models. We observe weak correlation between BCG vaccination status and indicators related to disease reproduction characteristics. We did not find any associations with case fatality rates (CFR), but the differences in CFR estimates are at present likely dominated by differences in testing and case reporting between countries.


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