engleski

BSC Implementation for Improving the Effectiveness of Performance Assesement in Public Social Medicine

Social medicine is a segment of public health services aiming to improve the population's health through various preventive programmes and activities. This is why the metrics of performance measurement is a sort of a challenge, because these are activities with a qualitative outcome that requires a time lag. The research subject is the assessment of effectiveness of social medicine programmes implemented in the public health system of the Republic of Croatia. For this empirical research, data were used by the county's Teaching Institute of Public Health, Social Medicine Department. The department has three basic objectives: to assess the health and health needs of the population, to develop public health policy, and to ensure the implementation of effctive programmes. The department works on various prevention activities whose outcomes should rather be measured by qualitative indicators. The aim of this research is to find the metrics that will be useful for the final outcome assessment. Adjusted Balanced Scorecard (BSC) is proposed for improving the effctiveness of performance assessment of current and future performance results. The theory and the concept of the BSC are relevant for the field of health care, but there is not much research on applying BSC in preventive activities of social medicine organised through institutes of public health. As a management tool, the BSC is suitable for designing and directing strategic and operational plans in accordance with the mission and vision of organisation units. For the purposes of social medicine activities, modified BSC helps achieve the set objectives and report critical outcomes through a strategic map. This research confirms the applicability and flexibility of BSC and contributes to developing a set of common indicators that will maintain qualitative aspects of the activities and enable effectiveness measurement.

Public social medicine ; BSC ; Effctiveness ; Assessment

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