The Application of Objectives and Key Results (OKRs) in Public Health Management: A Theoretical and Implementation Framework
Keywords:
Objectives and Key Results (OKRs); Value-Based Healthcare (VBHC ; Public Health ManagementAbstract
The public health situation is becoming more and more complicated, the strategic objectives being updated as a result of the terms used to evaluate confirmed cases. But few are using goal-setting system OKRs — in Thailand, at least. This system in practice leads to OKRs being mixed with traditional KPIs, which are set in the top-down approach and remain relatively uncoupled from real health outcomes, especially in the context of Value-Based Healthcare (VBHC).
This article seeks to provide a conceptual framework and implementation road map for utilizing OKRs in public health management. Document research is the main methodology of this study, using domestic and overseas materials in the field of OKRs, PM, and VBHC.based on this review, the paper proposes an approach to process integration of OKRs and VBHC. The model highlights the importance of integrating strategic objectives into everyday operations and converting these to measurable health delivery across system levels. It also demonstrates the need for continuous monitoring and periodic review to enable adaptive management. In sum, while this framework provides an applied pathway for public health agencies to better link strategy with results and go beyond a focus on spending to support value-based and sustainable management.
References
BCG. (2024). Unleashing the power of OKRs to improve performance. Boston Consulting Group. www.bcg.com
Doerr, J. (2018). Measure what matters: How Google, Bono, and the Gates Foundation rock the world with OKRs. Portfolio/Penguin.
Engagedly. (2024). How to implement OKR framework for healthcare industry. engagedly.com Foocharoenkalaya, S., & Srijai, A. (2023). Development of a health strategy driving model using Objectives and Key Results (OKRs) for the Chiang Rai Provincial Public Health Office. Chiang Rai Medical Journal, 15(2), 1–19.
Jitnathum, T. (2021). Investigating the relationship between the implementation of OKR and employees' attitude and development [Master’s independent study, Thammasat University]. Thammasat University Digital Library.
Kanokvijit, N., & Kanokvijit, A. (2021). Factors affecting the success of implementing OKRs in performance management of organizations in Thailand. Journal of Association of Private Higher Education Institutions of Thailand (Social Sciences, Humanities, and Arts), 10(2),
–140.
Kunpijit, K. (2023). Consulting project on Objectives and Key Results (OKRs) performance measurement system with a public hospital [Master’s independent study, Thammasat University]. Thammasat University Institutional Repository.
Kuttalam, R. (2025). Empowering healthcare agility: A strategic framework for pandemic-responsive operational planning. Journal of Multidisciplinary Healthcare. https://pubmed.ncbi.nlm.nih.gov/40521392/
Ministry of Public Health. (2017). Twenty-year national strategic plan for public health (2017–2036). Strategy and Planning Division, Office of the Permanent Secretary.
Nilsson, K., Bååthe, F., Erichsen Anderson, A., & Sandoff, M. (2024). Value-based healthcare delivery: A scoping review. International Journal of Environmental Research and Public Health, 21(2), 134. doi.org
Niven, P. R., & Lamorte, B. (2016). Objectives and key results: Driving focus, alignment, and engagement with OKRs. John Wiley & Sons.
Office of the National Economic and Social Development Council. (2018). National strategy 2018–2037. National Strategy Secretariat Office.
O'Neill, T., & McKenna, J. (2024). The impact of OKRs on team dynamics in challenging projects: A case study approach. ResearchGate. www.researchgate.net
Petkong, M., Boonyoung, N., & Chukumnerd, P. (2021). Experience of head nurses in administration based on OKRs concepts. Journal of Nursing and Health Care, 39(2), 101–110.
Porter, M. E., & Kaplan, R. S. (2011). How to solve the cost crisis in health care. Harvard Business Review, 89(9), 46–77.
Porter, M. E., & Teisberg, E. O. (2006). Redefining health care: Creating value-based competition on results. Harvard Business School Press.
Schiemann, W. A., Seibert, J. H., & Morgan, B. S. (2023). Alignment and focus through OKRs: Enhancing organizational clarity and employee success. Journal of Strategic Management, 15(3), 45–62.
Silveira Bianchim, M., Crane, E., Jones, A., Neukirchinger, B., Roberts, G., McLaughlin, L., & Noyes, J. (2023). The implementation, use and impact of patient reported outcome measures in value-based healthcare programmes: A scoping review. PLOS ONE, 18(12), e0290976.
https://doi.org/10.1371/journal.pone.0290976
Stray, V., Moe, N. B., & Sjöberg, D. I. K. (2022). How agile teams make objectives and key results (OKRs) work. Proceedings of the International Conference on Software and System Processes and International Conference on Global Software Engineering, 51–61. doi.org
Trinkenreich, B., Santos, G., Barcellos, M. P., & Conte, T. (2019). Combining GQM+Strategies and OKR: Preliminary results from a participative case study in industry. Proceedings of the XXXIII Brazilian Symposium on Software Engineering, 552-561. doi.org
Zhou, H. (2022). Integrating SMART goals with OKRs for effective performance management. International Journal of Business Administration and Management, 12(1), 88–101.
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