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The purpose of this article is to analyze and compare between the frameworks of performance measurement in primary health care in the world. The subject of search is to…
The purpose of this article is to analyze and compare between the frameworks of performance measurement in primary health care in the world. The subject of search is to compare if the frameworks of performance measurement in primary health care have an influence on performances of health centers.
We conducted a systematic review of the literature to (1) identify the conceptual framework for measuring quality management systems, (2) assess the effects of conceptual framework on quality improvement and quality of care outcomes. We opted for the frameworks that are more cited in the literature and we analyzed and compared between these frameworks.
Eight dimensions were identified for assessing performance in Primary Health Care Facilities “PHCF” in more than 50% frameworks: Effectiveness, Safety, Accessibility, Equity, Efficiency, Acceptability, Patient Centeredness and Timeliness.
The limits of this study can be represented by the following elements: (1) lack of exhaustiveness with regard to the current Frameworks. (2) The evaluation of reliability and validity of the qualitative studies remains difficult to appreciate. (3) Most of the evaluation tools of the primary health care are not validated yet. (4) The difference in performance levels between countries, especially for the developed countries and the multitude of the frames of measure of performance, limits the comparability of the results.
This study provides a conceptual and descriptive literature on the different conceptual frameworks for performance measurement in primary health care, and a practical and useful tool for comparison between the different conceptual frameworks. Several organisations of accreditation or certification introduced, developed, incorporated and checked the indicators of clinical quality in the organizations of health care. Some studies revealed links with the governance, the access, the continuity, the coordination, the efficiency and the strength primary care (Dionne Kringos, 2018). Improvements in the quality of care have been observed in the results of accreditation and certification bodies regarding hospital infection control infrastructure, organization and performance.
Even if the links are not established within the framework of a scientific research, quality approaches are generally recognized as an essential tool to help establishments to improve the quality and the safety of the patients. Until now, it is not still common to make evaluation of the quality of care in the “PHCF” to obtain the relevant information. The necessity of having performance measurement tools, which puts in coherence the piloting of the operational level with the strategy, to integrate the organizational objectives into the measures of operational performances and make estimate its structures towards a real management by the quality.
Several research models have been proposed in the existing literature to understand the intention to use Islamic banking where conventional bank customers are not…
Several research models have been proposed in the existing literature to understand the intention to use Islamic banking where conventional bank customers are not primarily addressed. Upon measuring the level of Islamic financial literacy (IFL) among the customers of conventional banks in the UAE, the purpose of this paper is to examine the direct and indirect effects of IFL, awareness, cost and benefit, reputation and attitude towards Islamic banking on the intention of potential customers to use Islamic banking.
Using judgmental sampling techniques, questionnaires were distributed to working individuals who did not have accounts with Islamic banks. A total of 350 completed and usable questionnaires were received and used for further analysis. The SmartPLS 3.0 software was used to analyse the data.
The results revealed that the level of IFL was high across the respondents and differed significantly as a function of gender, income level and years of work experience. The findings showed that IFL, awareness, reputation and attitude towards Islamic banking significantly influenced the intention to use Islamic banking, while cost and benefit appear not to. Interestingly, IFL was negatively correlated with the intention to use Islamic banking, but when the attitude towards Islamic banking mediated the relationship between IFL and the intention to use Islamic banking it then became positive.
Future research should consider looking at non-Muslim economies, which might be more vulnerable to IFL. In addition, a comparison between the current customers of Islamic banks and potential customers might be relevant to see whether the IFL of the current customers differs from the new customers.
The implications of the research are twofold. First the study suggests that IFL is crucial for an Islamic bank’s potential new customers. Islamic bank managers should design and focus their policies toward enriching the knowledge of the public about Islamic banks and their products. Second, IFL alone does not lead to a higher level of intention to use Islamic banks unless there is a positive attitude towards such banks.
To the authors’ knowledge, this is one of the first studies to consider the IFL measure used in this paper. Therefore, this study will be the foundation for future research on IFL.