Determinin g the Factors Affecting of the Performance A ssessment of District Health Network (By Exploratory Factor Analysis)

Nowadays, with the amazing advances in the management knowledge, existence of organization's performance assessment system is inevitabl e. Health System Performance Assessment helps to decision - makers and Policymakers to be ensure responsiveness of their decisions. History of Health System Performance Assessment returns to decade before 2000, but after World Health Organization Report (2000), the issue of Health System Performance Assessment has officially entered in the health literature. In this study, using related key words and related electronic and library resources from 1998 to 2012 have been investigated in both Persian and Engl ish language. Initially, the most common and most important of international models of performance assessment in the health has been studied and compared and About 150 criteria and 450 indicators that are involved in the performance assessment of the healt h system have been extracted. Then by using the survey form of the experts and professionals, 49 criteria related to the performance assessment of the district health network is extracted. Then by using the questionnaire the amount of effect of each criter ion on the performance assessment of the district health network has been measured. By performing exploratory factor analysis on the resulting data, five main components have been discovered. In total, these five factors have explained about 65% of the var iances. The first main component that has been named Characteristics of Service Delivery has the largest share (16%) and the fifth main component that has been named Primary Health Care has the lowest share (10%) of the performance assessment of the distri ct health network. Because any assessment model is not complete and perfect, to correction of the defects by the constructive criticism of experts and professionals, designed models should be published both before and after applying. It is recommended that the designed model in this study be applied practically to performance assessment of the district health networks, and then the policymakers and decision - makers should be informed of the results of the practice to identify the strengths and weaknesses of the model and to give recommendations for modification of the model. ( Bahram Tahmasby, Ahmad Barati Marnani, Mohammadreza Maleki, Sodabe Vatankhah, Ezzatollah Mohammadi . Determining the Factors Affecting of the Performance Assessment of District Health Net work (By Exploratory Factor Analysis) . Life Sci J 2013;10(6s): 426 - 432 ) (ISSN:1097 - 8135). http://www.lifesciencesite.com . 64