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Health system frameworks and performance indicators in eight countries: A comparative international analysis
Jeffrey Braithwaite1, Peter Hibbert1, Brette Blakely1
1Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
SAGE Open Medicine
|February 24, 2017
Summary
This study compares healthcare performance indicators across eight Organisation for Economic Co-operation and Development countries. Safety, effectiveness, and access were common domains, with 45 indicators used internationally to improve healthcare quality.
Area of Science:
- Health Services Research
- Comparative Health Policy
- Healthcare Quality Measurement
Background:
- Performance indicators are crucial for healthcare quality assessment and management.
- International comparisons of healthcare performance indicator frameworks are limited.
- Selected Organisation for Economic Co-operation and Development (OECD) countries utilize diverse frameworks for measuring healthcare performance.
Purpose of the Study:
- To identify and compare healthcare performance indicator frameworks and specific indicators used in selected OECD health systems.
- To analyze the characteristics of nationally consistent and locally relevant performance indicators.
- To provide insights for designing international health performance frameworks.
Main Methods:
- Comparative analysis of performance indicator frameworks and indicators across eight OECD countries.
- Identification of indicators that are nationally consistent and locally relevant.
- Assessment of indicator domains and disease-specific reporting.
Main Results:
- Safety, effectiveness, and access were the most frequently reported domains in performance frameworks.
- 401 indicators met the criteria of being nationally consistent and locally relevant.
- 45 indicators were reported in more than one country, with cardiovascular, surgery, and mental health being common disease groups.
Conclusions:
- Comparative data on healthcare performance indicators can guide international policy and research.
- The findings inform the design of robust and comparable health performance indicator sets.
- This study highlights commonalities and differences in healthcare performance measurement across OECD systems.
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