Measuring Up

Improving Health System Performance in OECD Countries

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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?

English Also available in: French

Measuring Health System Performance

Problems and Opportunities in the Era of Assessment and Accountability

A common goal among the health systems of OECD nations is to optimise the health of individual patients and populations in an equitable, efficient and effective manner that is acceptable to patients, providers and administrators. No “magic bullets” have been found that will achieve this goal through reforms of service delivery or finance. Instead, improvement appears to require incremental change at all levels of health systems. This evolutionary process, in turn, depends on systematic measurement of health system performance, coupled to decision-making processes grounded in evidence...

English Also available in: French

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