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Examination of the Validity of the Thought and Perception Assessment System: A Behavioral Measure of Psychotic SymptomsEblin, Joshua J. January 2015 (has links)
No description available.
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從員工認知的觀點來探討360度回饋模式在臺北市政府可行性之研究 / Study on the Applicability of 360 Ddegree Feedback Model in Taipei City Government : from the Perspectives of Employees林琪蓉, Lin, Chi-Jung Unknown Date (has links)
面對多元化、國際化及全球競爭的壓力,私人企業莫不採行新的績效管理制度,來創造員工、管理者及組織三贏之局面。公部門面對資源相對有限,民眾要求與日俱增之窘況,欲改進績效管理並縮小顧客不滿意之缺口,應透過全方位回饋訊息之蒐集,將民意轉化為施政知識,鼓勵人力資源管理能創新改革,以建構人力資源組織的策略地圖,因此,接受多元評估已是無法避免之趨勢。
本研究擬透過文獻分析法、問卷調查法及質化訪談法,從臺北市政府員工認知之觀點,來探究360度回饋模式在臺北市政府實施之可行性,進一步提出臺北市政府實施該模式之構想與建議。
本文計分為五章,第一章說明研究動機、目的及相關概念之界定;第二章為相關文獻之檢視,萃取國內外實證研究中影響360度回饋模式實施之相關因素,以建構第三章問卷設計及質化訪談內容;第四章則從員工認知觀點對「不同評估來源」及「360度回饋模式實施可行性」,進行知覺、差異及相關性之實證分析;第五章則針對研究發現,提出實務上的改進建議及後續研究者未來思考的新方向。
經由本研究發現,在量化問卷部分:(一)不同評估來源方面:員工認為透過不同評估來源者所提供之評估訊息,確實能提高信任感、改善彼此關係及提昇工作效率。(二)360度回饋模式實施之可行性方面:高達66.4%的受訪者支持在臺北市政府實施該模式;選擇由誰擔任評估者較適合,則以其它(視業務相關的利害關係人而定或核稿的其他長官)、自己及外部顧客(民眾)居多;以及不同評估者所提供的回饋訊息應有不同權重之限制。在質化問卷部分:八位受訪者中有五位(占63%)認為該模式在公部門應屬可行,能補充現行由上而下考核制度之不足,並針對可能遭遇的阻礙及每一類別評估者的考評分數應否有一定權重限制等,提出諸多寶貴建議。
最後,根據以上的研究發現,筆者提出對政策、組織及實務操作等三種層面的建議,在臺北市政府推動行政變革作為改進組織績效時,不妨擷取360度全方位回饋模式之精髓,並參考國外政府及企業界實行該模式之成功經驗,設計一套可補充或替換目前績效評估方式不足的評估方法。
關鍵詞:人力資源管理、績效管理、績效評估、傳統績效評估方式、360度回饋模式 / Facing the pressure of diversity, nationalization and global competition, enterprises have been adopting new performance management systems to create the win-win situation between employees and organizations. For public sector, the resources are relatively limited, and the demand of citizens is gradually growing. In order to improve the performance management and minimize the gap of customer dissatisfaction, government should collect the over-all feedback message, translate public opinions into policy context, encourage innovative human resource management. Therefore, it’s necessary to implement multi-source assessment in public sector.
This study is aimed at exploring the feasibility of 360° feedback model in Taipei City Government (TCG) from the employees’ perspectives, and offering the suggestion about how to implemented this model in TCG in the future. The research methods in this study include: literature review, questionnaire survey and interview method.
This study consists of 5 chapters. In Chapter 1, the motives and objectives of the study are mentioned, and the definitions of relative concepts are clarified. In Chapter 2, the relative literatures are reviewed and the factors that will influence the implementation of 360°feedback model are abstracted from domestic and foreign studies, in order to construct the quantitative and qualitative questionnaires in Chapter3 . Chapter 4 is about the positive analysis on “different evaluation sources” and “the feasibility of implementing 360°feedback model” from employee’s perspective. Based on the research findings, some suggestions and recommendations of practice and further research are offered in Chapter 5.
The research findings include two parts. First, in the part of quantitative questionnaire, some conclusions have inducted: 1) about different rater sources: employees do believe that multi-source evaluation indeed could increase trust, improve relationship, and enhance efficiency. 2) about the feasibility of 360° feedback model: (A)Over 66.4% responders agree to implement 360° feedback model in TCG; (B) Majority of responders would choice the item “others” (stakeholders related with business or other superiors charged with official papers), “myself” and external customers (citizens) as the proper evaluators; (C) The feedback messages from different evaluators should be given certain limitation in weight.
Second, in the part of qualitative interview, 5 of 8 (63%) interviewees thought 360°feedback model is feasible in public sector, and can compensate the shortcomings of current top-down performance system. They also offered many precious opinions and suggestions in themes such as: how to overcome the possible obstacles, and if we should limit the weights of scores from different evaluators.
Ultimately, according to the research findings above, this study presents many helpful suggestions from the aspects of policy, organization and practice. If the officials of TCG would like improve the performance through administrative reform, they can adopt the spirit and essence of 360°feedback model, and learn the successful foreign experiences both from public and private sectors, then develop a performance assessment model that can compensate or even replace the current one.
Key words: Human Resource Management, Performance Management, Performance Assessment, Traditional Performance Assessment Model, 360°Feedback Model.
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Quality improvement in primary health care settings in South AfricaTshabalala, Myrah Kensetseng 06 1900 (has links)
This study aimed to explore existing quality improvement activities in primary health care setting in South Africa. Two sets of questionnaires were used to collect data from both patients and nurse managers. Findings indicated that clinics were generally acceptable and affordable to patients, but should operate for longer time-periods, that sorting of patients and long waiting times, coupled with short consultation time-periods, warranted immediate remedial actions. Only five of the fourteen listed quality initiatives were satisfactorily practised. It was concluded that despite many obstacles and difficulties as mentioned by respondents, the issue of quality-improvement in primary health care is receiving attention, but should still be improved to a greater extent. / Health Studies / M.A. (Advanced Nursing Sciences)
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台灣高等教育國際化之衡量 / Measuring Taiwan's higher education internationalization莊俊儒, Ching, Gregory Siy Unknown Date (has links)
全球化的到來,象徵正式進入國際化的時代,同時也引爆東西方各學術界的許多辯論。台灣也搭上了全球化發展的列車,著手在教育結構和政策上進行轉型。有鑒於此,本研究首先將會討論台灣高等教育國際化的背後因素,試著從國際與當地觀點來討論國際化,並且了解台灣高等教育國際化之目標與所採用的策略。本研究採用了混合方法的研究架構,採用了個人和焦點團體訪談的方式,訪談了國外國際化專家、國內的外國教師與學生、國內大學國際單位的工作者……等。同時也使用了紙本與網路問卷調查來強化研究上的數據訊息。分析結果後並提出一種國際化評估系統,來衡量台灣高等教育的國際化。期望研究發現將可以當作當代東南亞國家的高等教育國際化在該國家的一個衡量指標。 / The advent of globalization has ushered in the era of internationalization. Much debate on such processes has occurred in academe both in the East and the West. Taiwan has kept pace with these developments by ensuring that measures and changes in both structure and policy are being implemented at all levels. This research attempts to discuss the factors behind the internationalization of Taiwan’s higher education. Discussions on global views, local contextual perspectives and concepts on internationalization, and strategies and rationales behind Taiwan’s internationalization are included. Interviews were conducted with local internationalization officers, internationalization scholars and experts, and international students in Taiwan. Results were then analyzed together with the changing trends and issues on the importance of internationalization, which led to the quest for a set of performance indicators. An analysis of previous assessment practices and mechanisms from both foreign and local sources was completed, which culminated in the proposal of a set of performance indicators to measure internationalization in Taiwan’s higher education institutions. An actual assessment of Taiwan’s HEIs internationalization using the proposed indicators was then accomplished. Findings shall serve as a point of reference for contemporary visions of the internationalization of an East Asian higher education exemplar in the age of globalization.
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Les dimensions négligées de l'évaluation de la performance : les valeurs et la qualité de vie au travailThiebaut, Georges-Charles 11 1900 (has links)
L’objet de cette thèse est l’élaboration d’un modèle logique de mesure du maintien des valeurs, ainsi que son opérationnalisation afin d’entreprendre l’évaluation de la performance des systèmes de santé. Le maintien des valeurs est l’une des quatre fonctions de la théorie de l’action sociale de T.Parsons permettant d’analyser les systèmes d’action. Les autres fonctions sont l’adaptation, la production et l’atteinte des buts. Cette théorie est la base du modèle EGIPSS (évaluation globale et intégrée de la performance des systèmes de santé), dans lequel cette thèse s’insère. La fonction étudiée correspond, dans l’oeuvre de T.Parsons, au sous-système culturel. Elle renvoie à l’intangible, soit à l’univers symbolique par lequel l’action prend son sens et les fonctions du système s’articulent.
Le modèle logique de mesure du maintien des valeurs est structuré autour de deux concepts principaux, les valeurs individuelles et organisationnelles et la qualité de vie au travail. À travers les valeurs individuelles et organisationnelles, nous mesurons la hiérarchie et l’intensité des valeurs, ainsi que le niveau de concordance interindividuelle et le degré de congruence entre les valeurs individuelles et organisationnelles. La qualité de vie au travail est composée de plusieurs concepts permettant d’analyser et d’évaluer l’environnement de travail, le climat organisationnel, la satisfaction au travail, les réactions comportementales et l’état de santé des employés. La mesure de ces différents aspects a donné lieu à la conception de trois questionnaires et de trente indicateurs. Ma thèse présente, donc, chacun des concepts sélectionnés et leurs articulations, ainsi que les outils de mesure qui ont été construits afin d’évaluer la dimension du maintien des valeurs. Enfin, nous exposons un exemple d’opérationnalisation de ce modèle de mesure appliqué à deux hôpitaux dans la province du Mato Grosso du Sud au Brésil. Cette thèse se conclut par une réflexion sur l’utilisation de l’évaluation comme outil de gestion soutenant l’amélioration de la performance et l’imputabilité.
Ce projet comportait un double enjeu. Tout d’abord, la conceptualisation de la dimension du maintien des valeurs à partir d’une littérature abondante, mais manquant d’intégration théorique, puis la création d’outils de mesure permettant de saisir autant les aspects objectifs que subjectifs des valeurs et de la qualité de vie au travail. En effet, on trouve dans la littérature de nombreuses disciplines et de multiples courants théoriques tels que la psychologie industrielle et organisationnelle, la sociologie, les sciences infirmières, les théories sur le comportement organisationnel, la théorie des organisations, qui ont conçu des modèles pour analyser et comprendre les perceptions, les attitudes et les comportements humains dans les organisations.
Ainsi, l’intérêt scientifique de ce projet découle de la création d’un modèle dynamique et intégrateur offrant une synthèse des différents champs théoriques abordant la question de l’interaction entre les perceptions individuelles et collectives au travail, les conditions objectives de travail et leurs influences sur les attitudes et les comportements au travail. D’autre part, ce projet revêt un intérêt opérationnel puisqu’il vise à fournir aux décideurs du système de santé des connaissances et données concernant un aspect de la performance fortement négligé par la plupart des modèles internationaux d’évaluation de la performance. / The purpose of my thesis is to develop a logical model to measure the latency that we also call the values maintenance and its operationalization in order to evaluate health systems performance. Latency is one of the four functions of the general theory of action developed by T. Parsons. His theory is the basis of the EGIPSS model (Comprehensive and Integrated Assessment of the Performance of Health Systems), in which my thesis is inserted. The function of latency is viewed by Parsons as a sub-cultural system. This function reflects the intangible or symbolic universe in which the action takes its meaning. It connects the four functions of the system together.
The logical model for measuring latency is structured around two main dimensions, individual and organizational values and quality of life at work. Through individual and organizational values, we measure the intensity and the hierarchy of values, and the level of concordance between individuals and the degree of congruence between the individual and organizational values. Quality of work life is composed of several concepts to analyze and assess work environment, organizational climate, job satisfaction, behavioural responses and health status of employees. The measurement of these aspects has led to the design of questionnaires and thirty three indicators.
Thus, my thesis presents each of the selected concepts, as well as, their articulation and measurement tools that were built to assess the latency function. Finally, I present an example of the operationalization of the measurement model and the results of the evaluation which have been taken place in two hospitals in the state of Mato Grosso of south in Brazil. This thesis ends with a reflection on the use of evaluation as a management tool supporting performance improvement and accountability.
This project involved a dual challenge. On the one hand, the conceptualization of the construct of maintenance of values from an extensive literature, but lacking of theoretical integration, and the creation of measurement tools to capture all aspects of objective and subjective values and quality of work life. Indeed, we find in the literature many disciplines and multiple theoretical approaches such as industrial and organizational psychology, sociology, nursing, theories of organizational behavior, organizational theory, which developed models to analyze and understand the perceptions, attitudes and human behavior in organizations. Thus, the scientific interest of this project arises from the creation of a dynamic and integrated model which synthesizes different theoretical fields addressing the issue of the interaction between individual and collective perceptions at work, the objective conditions of work and their influence on attitudes and behaviors at work. In addition, this project has an operational interest because it aims to provide to decision-makers knowledge and evidences on aspects of performance that have been neglected by most international models for performance evaluation.
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The Effect of Professional Development in Performance Assessment on Mathematics Achievement and AttitudeMcAdoo, Penny Coyne 05 1900 (has links)
The problem of this study was to determine the effect of professional development in the use of performance assessment in fourth grade mathematics on student achievement and attitude toward mathematics. Achievement was measured by subtest and total mathematics scores on norm-referenced and criterion-referenced tests. Attitude was measured by a survey of student attitudes.
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Gestion de la réponse à une crise par la performance : vers un outil d'aide à la décision. Application à l'humanitaire / Towards a crisis performance measurement system. Humanitarian case studyRongier, Carine 07 November 2012 (has links)
Il ne passe pas une semaine sans que l'on entende les termes « crise », « catastrophe » ou « désastre ». Ces notions font donc maintenant partie de notre quotidien, mais connaît- n vraiment leur signification. Sait-on réagir face à ces situations, et surtout comment peut- n être sûrs de les résoudre de la façon la plus performante possible ? Ces interrogations sont le point de départ de ce travail. En effet, nos recherches ont consisté à mettre en œuvre une méthode pour aider les acteurs d'une crise à mieux contrôler la réponse à apporter pour la résoudre. Lors de la survenu d'une crise, quelle qu'elle soit, le système est déstabilisé, il faut donc réagir vite afin de revenir à une situation stable. Or, actuellement les décideurs ne disposent pas de suffisamment d'éléments (1) pour prendre des décisions sereinement et (2) pour suivre l'impact de leur décision. C'est pour pallier ce manque que nous avons développé une méthode d'évaluation de performance qui permet aux décideurs de suivre et d'évaluer, selon les critères qu'ils ont définis, de façon précise le déroulement de la réponse à la crise. Ainsi les décideurs peuvent réagir, c'est-à-dire prendre une décision a posteriori, lorsqu'ils découvrent un problème dans la réponse et également anticiper, c'est-à-dire, prendre une décision a priori avant même que le problème ait lieu, en se fondant sur des prévisions renseignant sur l'état futur de la crise. Ces travaux ont un intérêt d'un point de vue académique étant donné qu'ils se positionnent sur une problématique en plein essor dans la recherche et d'un point de vue opérationnel car la méthode mise en oeuvre répond à un réel besoin émis par des acteurs de la réponse aux crises. De plus, comme le montre le dernier chapitre, nos travaux sont déjà applicables. Ce sujet est donc utile à tous, puisque chacun peut être victime d'une crise et en particulier aux acteurs de la gestion de crise qui y sont confrontés quotidiennement. / During a crisis, the main goal for decision-makers consists in restoring a stabilized nominal mode. The stakeholders face considerable pressure and drastic constraints in response time and coordination. This study proposes a method to support these stakeholders in making responsive and accurate decisions while carrying out a performance evaluation of the activities run during the crisis response process. This method is composed of four steps: (1) characterization of the crisis response system, (2) selection of system components to evaluate in priority, (3) determination of performance dimensions to consider and (4) creation of indicators. Currently, performance evaluation is only used subsequent to a crisis, due to difficulties in gathering and aggregating information into trustable performance indicators. This paper proposes a method to obtain a relevant and dynamic decision-support system. Decision-makers will use it to resolve the crisis based on performance evaluation, in addition to the essential experience they undergo. A case study of crisis management within the French Red Cross non-governmental organization is developed, through a web-based prototype, in order to explain how performance indicators can both support crisis response management and also improve the collaboration of stakeholders.
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Palladium/Alloy-based Catalytic Membrane Reactor Technology Options for Hydrogen Production: A Techno-Economic Performance Assessment StudyMa, Liang-Chih 22 January 2016 (has links)
Hydrogen (H2) represents an energy carrier endowed with the potential to contribute to the design of a robust and reliable global energy system by complementing electricity as well as liquid fuels use in an environmentally responsible manner provided that the pertinent H2 production technologies (conventional and new ones) can reach techno-economically attractive performance levels in the presence of irreducible (macroeconomic, fuel market, regulatory) uncertainty. Indeed, the role of H2 in the global energy economy is widely recognized as significant in light also of fast-growing demand in the petrochemical and chemical processing sector as well as future regulatory action on greenhouse gas emissions. Pd and Pd/Alloy-based catalytic membrane reactor (CMR) modules potentially integrated into H2 production (HP-CMR) process systems offer a promising technical pathway towards H2 production with enhanced environmental performance in a carbon-constrained world. However, the lack of accumulated operating experience for HP-CMR plants on the commercial scale poses significant challenges. Therefore, any preliminary attempt to assess their economic viability is certainly justified. A comprehensive techno-economic performance assessment framework has been developed for HP-CMRs with CO2 capture capabilities. A functional Net Present Value (NPV) model has been developed first to evaluate the economic viability of HP-CMRs. The plant/project value of HP-CMR is compared to other competing technology options such as traditional coal-gasification and methane steam reforming-based hydrogen production plants with and without CO2 capture. Sources of irreducible uncertainty (market and regulatory) as well as technology risks are explicitly recognized and the effect of these uncertainty drivers on the plant’s/project’s value is taken into account using Monte-Carlo techniques. Therefore, more realistic distribution profiles of the plant’s economic performance outcomes are generated rather than single-point value estimates. It is shown that future regulatory action on CO2 emissions could induce appealing NPV-distribution profiles for HP-CMRs in the presence of uncertainty and technology risks. Finally, the valuation assessment is complemented with a sensitivity analysis for different representative values of the discount rate that span a reasonable range associated with business and financing risks. It apparently indicates that creatively structured financing mechanisms leading to a reduction of the cost of capital/discount rate could induce more appealing economic performance outcomes and valuation profiles. Furthermore, the proposed research work aims at the development of a methodological framework to assess the economic value of flexible alternatives in the design and operation of HP-CMR plants with carbon capture capabilities under the aforementioned sources of uncertainty. The main objective is to demonstrate the potential value enhancement associated with the long-term economic performance of flexible HP-CMR project investments by managing the uncertainty associated with future environmental regulations. Within the proposed context, promising design flexibility concepts for HP-CMR plants are introduced and operational as well as constructional flexibility options are identified and assessed. In particular, operational flexibility will be realized through periodic and temporary shutdowns of the carbon capture unit in response to regulatory uncertainties. Constructional flexibility will be realized by considering the installation of a carbon capture unit at three strategic periods: 1) installation in the initial design phase, 2) retrofitting at a later stage and 3) retrofitting with preinvestment. Monte Carlo simulations and financial analysis will be conducted in order to demonstrate that, in the presence of irreducible uncertainty, design flexibility options could lead to economic performance enhancement of HP-CMR plants by actively responding to the above sources of uncertainty as they get resolved over the plant’s lifetime.
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Critérios de avaliação do desempenho de gerenciamento de projetos: uma abordagem de estudos de casos. / Project management performance evaluation: a multiple case study approach.Lopes, Daniel 18 September 2009 (has links)
O objeto de estudo deste trabalho são os critérios de avaliação do desempenho de gerenciamento de projetos, ou em outras palavras, aqueles critérios que podem ser utilizados pelos stakeholders para avaliar se o projeto está sendo, ou foi, bem gerenciado. O objetivo é contribuir para a pesquisa e melhoria do desempenho de gerenciamento de projetos. A primeira fase da pesquisa consistiu de uma revisão na literatura para mapeamento de critérios identificados por outros autores. Uma relação com 20 critérios foi utilizada no questionário aplicado nos estudos de casos para averiguar se tais critérios são utilizados pelas empresas estudadas, e se a seleção e a atribuição de importância dos critérios são influenciadas pelo papel desempenhado pelo entrevistado no gerenciamento dos projetos (gerente, membro de equipe e patrocinador, mais especificamente), pelas características dos projetos ou pela maturidade da empresa em gerenciamento de projetos. Os estudos de caso foram conduzidos em duas grandes empresas multinacionais com alta maturidade e em uma empresa brasileira de médio porte com baixa maturidade. Concluiu-se que, nas empresas estudadas, a seleção dos critérios está altamente associada à natureza e aos objetivos do projeto, não sendo perceptível a influência do papel desempenhado pelo entrevistado. Além disso, nas três empresas a questão da avaliação do desempenho do gerenciamento de projetos foi considerada muito importante tanto para o sucesso dos projetos como para o sucesso da própria organização, fato explicado pela forte contribuição dos projetos para os resultados das empresas e pela interpretação de que projetos bem gerenciados têm maior chance de satisfazer às necessidades e expectativas dos clientes e, desta forma, aumentam a capacidade da empresa de realizar novos negócios com o mesmo cliente e de se posicionar no mercado para realizar negócios com novos clientes. Concluiu-se, também, que a empresa com baixa maturidade apresenta uma tendência a preferir critérios financeiros para avaliação do gerenciamento de seus projetos, enquanto as empresas com alta maturidade preferem um conjunto de critérios multidimensionais. / The object of study of this research is the criteria for project management performance evaluation, in other words, those criteria used by the key stakeholders to assess whether or not a project is being or has been well managed. The objective is to contribute to the research and improvement of the project management performance. The first phase of the research consisted by the review of the literature for mapping criteria identified by other authors. A list of 20 criteria has been created and utilized for the preparation of the questionnaire applied to the case studies to verify if those criteria are used by the studied companies and if the selection and importance given are influenced by the role played in the project management by the interviewee (manager, team member and sponsor, more specifically), by the projects characteristics or by the maturity in project management of the company. The case studies were conducted in two large multinationals companies with high-maturity in project management and in a medium size Brazilian company with low maturity in project management. It was concluded that in the companies studied the selection of criteria is highly associated with the nature and objectives of the project and not influenced by the role played by the interviewee. Moreover, the three companies considered the issue of project management performance assessment very important for the success of the projects as well as the companys, fact explained by the strong contribution that projects bring to the results of the companies and by the interpretation that well managed projects are more likely to meet the customers needs and expectations, increasing the company\'s ability to conduct new business with existing clients and to position itself in the market to do business with new clients. Another conclusion is that the low maturity company is more likely to prefer financials criteria to the project management performance assess; on other hand the high maturity companies are more likely to adopt a multidimensional set of criteria.
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Gestão dos fatores determinantes para sustentabilidade de Centros de Telemedicina / Management of determinant factors for the sustainability of the telemedicine centersGundim, Rosângela Simões 23 September 2009 (has links)
Este estudo trata do desenvolvimento e aplicação de um instrumento de gestão dos fatores indicadores de sustentabilidade de centros de telemedicina e telessaúde. Com base em referencial teórico da administração e na experiência profissional da pesquisadora foram elencadas inicialmente 36 perguntas, categorizadas em 7 áreas de domínio, para avaliação de concordância com 04 pessoas com experiência em telemedicina. As categorias de domínio foram: Institucional, Relacional, Funcional, Econômico-Financeira, Renovação, Técnica-Científica e Bem-Estar Social, que compuseram o roteiro semiestruturado para entrevistas qualitativas individuais de avaliação de desempenho com 10 centros de telemedicina e telessaúde brasileiros, originários das regiões sul, sudeste, norte, nordeste e centro-oeste. As entrevistas foram realizadas em dois momentos distintos, com um intervalo de tempo em torno de 12 meses. Em ambos os momentos foi aplicado o mesmo roteiro aos mesmos entrevistados com o ano de 2007 como períodos de referência de avaliação. As respostas das perguntas de cada centro foram convertidas em valores numéricos. Depois foram apresentados graficamente em forma de um polígono, que tinham morfologia e área própria. Não foi possível comparar os polígonos de um centro com outro. Foi feita a avaliação das diferenças das pontuações das categorias de perguntas entre as 2 entrevistas. Verificou-se que as pontuações nas avaliações feitas na 2ª entrevista foram menores que as da primeira. A esta diferença, foi denominada de fator de ajuste, e foi associado como decorrente da experiência e maturidade adquiridas pelos entrevistados ao longo do tempo. O instrumento foi aplicado para avaliar retrospectivamente a evolução de um centro ao longo de 10 anos de atividades, em cortes bianuais de 1998 a 2008. Essa aplicação do instrumento gerou morfologias e áreas de ocupação do polígono com coerência evolutiva dos traçados. Para completar o monitoramento deste centro foram levantados os acontecimentos relevantes de cada período, o que mostrou a existência de sincronia dos fatos com os indicadores numéricos. Esse procedimento possibilitou verificar que o instrumento desenvolvido foi útil quando aplicado numa mesma instituição ao longo de um período de tempo. O trabalho mostrou que foi possível criar um instrumento que representasse graficamente as 7 categorias de sustentabilidade, e que quando utilizado numa mesma instituição ao longo do tempo, permitiu acompanhar o processo de gestão, principalmente quando complementados com fatos relevantes. Quando utilizado para avaliar o momento atual, foi mostrado a necessidade de uma contra-checagem num período posterior, para evitar falhas de avaliação (fator de ajuste). Quando aplicado com sistemática para levantamento e identificação das características específicas do CTMS, este instrumento pode ser utilizado para fins de desenvolvimento organizacional dos CTMS. / This study is about the development and application of an instrument for the management of indicative factors of the sustainability of the telemedicine and telehealth centers (TMHC). Based on different theoretical sources of data and the professional experience of the researcher, some questions regarding the determinant factors of sustainability of TMHC were elaborated, categorized into 7 groups and submitted to four other telemedicine experts for evaluation. The seven categories were: Institutional, Relational, Functional, Financial, Renovation, Tech-Scientific and Social Welfare, all part of the semi-structured question script to be used as an instrument to carry out individual interviews with the coordinators of ten Brazilian telemedicine and telehealth centers. The interviews were done in two distinct moments at interval of 12 months. The interviews were conducted to the same group of ten people individually to evaluate the year 2007 as reference. The answers were converted into numbers and from numbers in graph form of a polygon. Each TMHC had its own graphic. It was not possible to make any comparison between the TMHC graphics because of the differences of economics, culture and services provided by the different TMHC. In order to analyze the collected data in a different perspective, it was made a comparison of the data collected in the first interview (group a) with the data collected in the second interview (group b). It was verified that the scores of the second evaluation were lower, considered to be under an adjustment factor. This adjustment was associated to the larger experience and maturity the coordinators achieved as time passed by. The instrument was also applied to a 10-year TMHC. Its coordinator answered the same questions taking 1998, 2000, 2002, 2004, 2006 and 2008 as the years of evaluation. All the answers were converted into numbers and from numbers to graphics. The 10-year morphologies and relative graphic areas were compared, and . an evolutionary tendency was noticed. To complete the monitoring of this TMHC, the relevant facts over the period of evaluation were registered, which demonstrated a synchronicity with the found sustainability indicators. The study showed that it was possible to develop an instrument that depicted in graph form, the seven categories of sustainability of a TMHC and it was useful to monitor the management process, especially when used in the same institution for a long period of time, and complemented with relevant facts to support the numerical indicators. When used to evaluate the present moment, it was clear that a second evaluation in a later period is necessary, in order to avoid misinterpretation (adjustment factor). When systematically applied, it can also be of utility to identify the specific characteristics of the TMHC in order to support its organizational development.
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