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A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study
The objective of this article was to provide a consensus-based short list of effective indicators to measure health system responsiveness to the needs of older adults which would be relevant to informing public policy. An e-Delphi study was done with no direct interaction between respondents. Virtua...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392236/ https://www.ncbi.nlm.nih.gov/pubmed/37534053 http://dx.doi.org/10.26633/RPSP.2023.103 |
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author | Gonzalez-Bautista, Emmanuel Morsch, Patricia Gonzalez, Cynthia Vega, Enrique |
author_facet | Gonzalez-Bautista, Emmanuel Morsch, Patricia Gonzalez, Cynthia Vega, Enrique |
author_sort | Gonzalez-Bautista, Emmanuel |
collection | PubMed |
description | The objective of this article was to provide a consensus-based short list of effective indicators to measure health system responsiveness to the needs of older adults which would be relevant to informing public policy. An e-Delphi study was done with no direct interaction between respondents. Virtual surveys were sent to 141 participants with experience in analysis and monitoring of health indicators, management of health systems, and health care of older adults. A baseline list of 24 previously published indicators was used. The criteria for selection as high priority indicators were: usefulness as a tracer of health system responsiveness and usefulness to inform policy. Consensus was defined as: ≥70% agreement among the participants that the indicator was very high or high priority; plus being benchmarked by ≥50% of respondents as having a higher relative weight than other indicators; plus being in the top 10 in the ranking list. The first round of the process included 38 participants with varied professional backgrounds. Consensus was reached for seven indicators after two rounds. Five indicators were related to distal outcomes (mortality, disability, or healthy life expectancy), one to monitoring functional assessments, and one to poverty levels. Health systems professionals should consider these comprehensive priority indicators in their efforts to provide a better health system for older people. |
format | Online Article Text |
id | pubmed-10392236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-103922362023-08-02 A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study Gonzalez-Bautista, Emmanuel Morsch, Patricia Gonzalez, Cynthia Vega, Enrique Rev Panam Salud Publica Special Report The objective of this article was to provide a consensus-based short list of effective indicators to measure health system responsiveness to the needs of older adults which would be relevant to informing public policy. An e-Delphi study was done with no direct interaction between respondents. Virtual surveys were sent to 141 participants with experience in analysis and monitoring of health indicators, management of health systems, and health care of older adults. A baseline list of 24 previously published indicators was used. The criteria for selection as high priority indicators were: usefulness as a tracer of health system responsiveness and usefulness to inform policy. Consensus was defined as: ≥70% agreement among the participants that the indicator was very high or high priority; plus being benchmarked by ≥50% of respondents as having a higher relative weight than other indicators; plus being in the top 10 in the ranking list. The first round of the process included 38 participants with varied professional backgrounds. Consensus was reached for seven indicators after two rounds. Five indicators were related to distal outcomes (mortality, disability, or healthy life expectancy), one to monitoring functional assessments, and one to poverty levels. Health systems professionals should consider these comprehensive priority indicators in their efforts to provide a better health system for older people. Organización Panamericana de la Salud 2023-08-02 /pmc/articles/PMC10392236/ /pubmed/37534053 http://dx.doi.org/10.26633/RPSP.2023.103 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/us/This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. Open access logo and text by PLoS, under the Creative Commons Attribution-Share Alike 3.0 Unported license. |
spellingShingle | Special Report Gonzalez-Bautista, Emmanuel Morsch, Patricia Gonzalez, Cynthia Vega, Enrique A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title | A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title_full | A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title_fullStr | A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title_full_unstemmed | A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title_short | A short list of high-priority indicators of health system responsiveness for aging: an eDelphi consensus study |
title_sort | short list of high-priority indicators of health system responsiveness for aging: an edelphi consensus study |
topic | Special Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10392236/ https://www.ncbi.nlm.nih.gov/pubmed/37534053 http://dx.doi.org/10.26633/RPSP.2023.103 |
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