Volume 18, Issue 4 (3-2026)
ijhe 2026, 18(4): 615-640 |
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Alaei Borujeni N, Gholamnia R, Bagheri A, Kavousi A, Saeedi R. Developing a performance assessment index for urban health, safety, and environmental management using a process–outcome approach: a case study of Isfahan, Iran. ijhe 2026; 18 (4) :615-640
URL: http://ijhe.tums.ac.ir/article-1-7101-en.html
URL: http://ijhe.tums.ac.ir/article-1-7101-en.html
1- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Environmental and Occupational Hazard Control Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,r.saeedi@sbmu.ac.ir
2- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Environmental and Occupational Hazard Control Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5- Department of Health, Safety and Environment, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Workplace Health Promotion Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,
Abstract: (60 Views)
Background and Objective: Performance assessment of health, safety, and environmental (HSE) management is the process of applying and estimating components and indicators through which the extent of achieving organizational objectives, as well as progress and continuous improvement in the HSE domain, can be determined. In this study, a performance assessment index for urban HSE management using a process–outcome approach was developed and applied in Isfahan.
Materials and Methods: The index design process included the following steps: (1) extracting preliminary list of principles and indicators, (2) determining the principles and indicators through expert panel consultation, (3) assigning weights to the components of the index, (4) defining integration functions, and (5) classifying the index score. The required data for evaluating HSE management in Isfahan were collected through visits to relevant organizations, existing reports and studies, and public surveys.
Results: The performance assessment index of urban HSE management, including 16 principles and 61 indicators, was validated based on expert panel opinions, and the total weights of process-oriented and outcome-based indicators were 0.16 and 0.84, respectively. The HSE performance score for Isfahan was 66.4, indicating a medium level. The most important domains identified for improvement of HSE management in Isfahan (based on high weight and low performance score) were ambient air quality, access to health-care services, solid waste management, prevention of resource degradation and loss, public education, and top management commitment.
Conclusion: The developed index demonstrated satisfactory effectiveness in assessing the performance of urban HSE management and due to comprehensiveness and flexibility can be applied to other cities.
Materials and Methods: The index design process included the following steps: (1) extracting preliminary list of principles and indicators, (2) determining the principles and indicators through expert panel consultation, (3) assigning weights to the components of the index, (4) defining integration functions, and (5) classifying the index score. The required data for evaluating HSE management in Isfahan were collected through visits to relevant organizations, existing reports and studies, and public surveys.
Results: The performance assessment index of urban HSE management, including 16 principles and 61 indicators, was validated based on expert panel opinions, and the total weights of process-oriented and outcome-based indicators were 0.16 and 0.84, respectively. The HSE performance score for Isfahan was 66.4, indicating a medium level. The most important domains identified for improvement of HSE management in Isfahan (based on high weight and low performance score) were ambient air quality, access to health-care services, solid waste management, prevention of resource degradation and loss, public education, and top management commitment.
Conclusion: The developed index demonstrated satisfactory effectiveness in assessing the performance of urban HSE management and due to comprehensiveness and flexibility can be applied to other cities.
Keywords: Performance assessment, Top management commitment, Process-oriented indicator, Outcome-based indicator, Urban HSE management
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