Challenges to Performance Management: logical analysis of an Evaluation Policy in Health Surveillance

Abstract Acknowledging the contributions of the assessment area in supporting the performance of health policies, is to admit it in an ongoing and permanent way in the management context. This requires a set of procedures that go beyond monitoring and evaluation practices, known as performance management. The goal of this study was to analyze the logic of the Health Surveillance (HS) Evaluation Policy of Pernambuco, comparing it with the corresponding Canadian policy. For this purpose, a qualitative study of logical analysis of the program theory was carried out, using as a tool the design of the logical model of performance management and its respective matrix of analysis and judgment with the criteria to be evaluated. In HS, 9 key-informants were interviewed, and documents were analyzed; the Canadian model was analyzed based on a paper written by Lahey (2010). Both policies analyzed by this study are convergent and have the necessary elements for performance management. While the evaluation featured largely in the Canadian model, monitoring was the driving force behind the institutionalization of assessment practices in HS. Some lessons learned in the Canadian model can be recommended, such as the development of an assessment plan, based on the strategic and decision-making level of HS.

摘要 承认评估领域对卫生政策执行的支撑作用，意味着要在管理语境中将其纳入常态化、持续性的工作范畴。这需要一套超越常规监测与评估实践的流程体系，即所谓的绩效管理。本研究旨在剖析伯南布哥州卫生监督（Health Surveillance, HS）评估政策的逻辑框架，并与加拿大对应政策展开对比分析。为此，本研究采用以绩效管理逻辑模型设计及其配套的评估标准分析判断矩阵为分析工具，开展了针对项目理论逻辑的质性研究。针对伯南布哥州卫生监督体系，本研究访谈了9名关键知情人并对相关文件进行了文本分析；加拿大政策模型则基于Lahey（2010）的研究论文展开剖析。本研究分析的两项政策均具备绩效管理所需的核心要素，且二者逻辑趋同。加拿大政策模型以评估为核心抓手，而伯南布哥州卫生监督体系的评估实践制度化进程则以监测为核心驱动力。可借鉴加拿大政策模型的经验启示，例如结合卫生监督体系的战略决策层级制定评估计划。