Measuring Up
Improving Health System Performance in OECD Countries
How can we measure the performance of different health systems, and how can we use such information to support on-going health systems improvement? Those are the central questions addressed in this volume. Health policy makers have a growing interest in finding ways of encouraging health systems to improve their performance, where performance is measured against quality, efficiency or equity goals. Improving performance has the potential to reduce the tensions between rising demands and limited resources. There is also a growing demand for accountability among funders and providers of health services.
This book highlights the core elements of a possible performance measurement framework to assess health systems at the international and national levels. It also addresses further challenges which remain: how do we overcome the lack of health outcome measures? How do we better align performance information and incentives with policy objectives? And how do we reconcile the traditional professional self-regulation approach with greater public accountability for health care quality?
Also available in: French
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Applying Performance Indicators to Health System Improvement
The cycle of performance measurement and management begins with explicitly establishing goals which are reflected in the adoption of specific performance indicators, followed by analysis and actions aimed at producing change to improve performance in a variety of dimensions such as equity, access, effectiveness, efficiency and social responsiveness. The application of performance indicators may involve simply reporting data to actors for accountability purposes, or it may involve, in addition, taking action to stimulate change…
Also available in: French
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