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Health system frameworks and performance indicators in eight countries: A comparative international analysis

OBJECTIVES: Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries’ performance indicator frameworks. This study identifies and compares fram...

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Autores principales: Braithwaite, Jeffrey, Hibbert, Peter, Blakely, Brette, Plumb, Jennifer, Hannaford, Natalie, Long, Janet Cameron, Marks, Danielle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308535/
https://www.ncbi.nlm.nih.gov/pubmed/28228948
http://dx.doi.org/10.1177/2050312116686516
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author Braithwaite, Jeffrey
Hibbert, Peter
Blakely, Brette
Plumb, Jennifer
Hannaford, Natalie
Long, Janet Cameron
Marks, Danielle
author_facet Braithwaite, Jeffrey
Hibbert, Peter
Blakely, Brette
Plumb, Jennifer
Hannaford, Natalie
Long, Janet Cameron
Marks, Danielle
author_sort Braithwaite, Jeffrey
collection PubMed
description OBJECTIVES: Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries’ performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems. Countries involved are Australia, Canada, Denmark, England, the Netherlands, New Zealand, Scotland and the United States. METHODS: Identification of comparable international indicators and analyses of their characteristics and of their broader national frameworks and contexts were undertaken. Two dimensions of indicators – that they are nationally consistent (used across the country rather than just regionally) and locally relevant (measured and reported publicly at a local level, for example, a health service) – were deemed important. RESULTS: The most commonly used domains in performance frameworks were safety, effectiveness and access. The search found 401 indicators that fulfilled the ‘nationally consistent and locally relevant’ criteria. Of these, 45 indicators are reported in more than one country. Cardiovascular, surgery and mental health were the most frequently reported disease groups. CONCLUSION: These comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets.
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spelling pubmed-53085352017-02-22 Health system frameworks and performance indicators in eight countries: A comparative international analysis Braithwaite, Jeffrey Hibbert, Peter Blakely, Brette Plumb, Jennifer Hannaford, Natalie Long, Janet Cameron Marks, Danielle SAGE Open Med Original Article OBJECTIVES: Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries’ performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems. Countries involved are Australia, Canada, Denmark, England, the Netherlands, New Zealand, Scotland and the United States. METHODS: Identification of comparable international indicators and analyses of their characteristics and of their broader national frameworks and contexts were undertaken. Two dimensions of indicators – that they are nationally consistent (used across the country rather than just regionally) and locally relevant (measured and reported publicly at a local level, for example, a health service) – were deemed important. RESULTS: The most commonly used domains in performance frameworks were safety, effectiveness and access. The search found 401 indicators that fulfilled the ‘nationally consistent and locally relevant’ criteria. Of these, 45 indicators are reported in more than one country. Cardiovascular, surgery and mental health were the most frequently reported disease groups. CONCLUSION: These comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets. SAGE Publications 2017-01-04 /pmc/articles/PMC5308535/ /pubmed/28228948 http://dx.doi.org/10.1177/2050312116686516 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Braithwaite, Jeffrey
Hibbert, Peter
Blakely, Brette
Plumb, Jennifer
Hannaford, Natalie
Long, Janet Cameron
Marks, Danielle
Health system frameworks and performance indicators in eight countries: A comparative international analysis
title Health system frameworks and performance indicators in eight countries: A comparative international analysis
title_full Health system frameworks and performance indicators in eight countries: A comparative international analysis
title_fullStr Health system frameworks and performance indicators in eight countries: A comparative international analysis
title_full_unstemmed Health system frameworks and performance indicators in eight countries: A comparative international analysis
title_short Health system frameworks and performance indicators in eight countries: A comparative international analysis
title_sort health system frameworks and performance indicators in eight countries: a comparative international analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308535/
https://www.ncbi.nlm.nih.gov/pubmed/28228948
http://dx.doi.org/10.1177/2050312116686516
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