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Measuring Up

Improving Health System Performance in OECD Countries

image of Measuring Up

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?

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Improving Acountability in a Decentralised System

A Swedish Perspective

Swedish health care is publicly financed through local county taxes. Care is delivered either by institutions run by the county councils or, increasingly, by private organisations, often owned by the county councils. The National Board of Health and Welfare is independent from the Ministry of Health and is non-political. It has two tasks: to issue guidelines on evidence-based medicine and good practice; and to undertake surveillance of institutions and personnel providing health care...

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