Measuring up : improving health system performance in OECD countries.

Format:

Book

Contributor:

Canada. Health Canada.

Organisation for Economic Co-operation and Development

Language:

English

Subjects (All):

Medical care--OECD countries--Evaluation.

Medical care.

OECD countries.

Evaluation.

Public health--OECD countries--Evaluation.

Public health.

Genre:

Conference papers and proceedings.

Physical Description:

362 pages : illustrations ; 27 cm

Other Title:

Improving health system performance in OECD countries

Place of Publication:

Paris : Organisation for Economic Co-operation and Development, [2002]

Summary:

How can we measure the performance of different health systems, and how can we use such information to support on-going health system 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?

Contents:

Part I Overview of Issues and Challenges

Chapter 1. Measuring Health System Performance: Problems and Opportunities in the Era of Assessment and Accountability / C. David Naylor, Karey Iron, Kiren Handa 13

Chapter 2. Performance Measurement and Improvement in OECD Health Systems: Overview of Issues and Challenges / Jeremy Hurst 35

Part II Performance Measurement and Performance Management from the Perspective of Various Actors: A Review of Experiences in Selected Countries

Chapter 3. Improving Value for Money in the United Kingdom National Health Service: Performance Measurement and Improvement in a Centralised System / Clive H. Smee 57

Chapter 4. Improving Accountability in a Decentralised System: A Swedish Perspective / Nina Rehnqvist 87

Chapter 5. Providing Performance Information for Consumers: Experience from the United States / Thomas Reilly, Gregg Meyer, Carla Zema, Christine Crofton, David Larson, Charles Darby, Katherine Crosson 97

Chapter 6. Can a Tulip Become a Rose? The Dutch Route of Guided Self-Regulation Towards a Community-Based Integrated Health Care System / Niek Klazinga, Diana Delnoij, Isik Kulu-Glasgow 117

Chapter 7. Towards Integrated and Coherent Health Information Systems for Performance Monitoring: The Canadian Experience / Michael Wolfson, Richard Alvarez 133

Part III Performance Measurement Activities at the International Level: How can International Comparisons Assist National Policy-Making?

Chapter 8. Opening the Black Box: What Can Be Learned from a Disease-based Approach? / Stephane Jacobzone, Pierre Moise, Lynelle Moon 159

Chapter 9. The Evolution of WHO's Approach to Health System Performance Assessment / David B. Evans 197

Chapter 10. Measuring and Improving Patients' Experiences: How Can we Make Health Care Systems Work for Patients? / Angela Coulter, Paul Cleary 211

Chapter 11. Equity in the Use of Physician Visits in OECD Countries: Has Equal Treatment for Equal Need Been Achieved? / Eddy van Doorslaer, Xander Koolman, Frank Puffer 225

Part IV Best Practices in Measuring Different Dimensions of Health System Performance

Chapter 12. Measuring the Quality of Hospital Care: The State of the Art / Gerard de Pouvourville, Etienne Minvielle 251

Chapter 13. Measuring the Quality of Long-term Care in Institutional and Community Settings / Naoki Ikegami, John P. Hirdes, Iain Carpenter 277

Chapter 14. Developing Composite Indicators for Assessing Health System Efficiency / Peter Smith 295

Part V Applying Performance Indicators to Health System Improvement

Chapter 15. Applying Performance Indicators to Health System Improvement / Sheila Leatherman 319

Chapter 16. Measuring Up: Lessons and Potential / Jean-Francois Girard, Etienne Minvielle 337

Part VII Ministerial Roundtable: Leadership, Successes and Challenges

Chapter 17. Measuring Health System Performance and the Impact on Political Decision-Making: The Views of OECD Ministers / Julio Frenk, John Hutton, Bernard Kouchner, Allan Rock, Edward Sondik 351.

Notes:

"... the OECD and Health Canada held a conference entitled "Measuring up: Improving health system performance in OECD countries" on 5-7 November 2001 in Ottawa."

Includes bibliographical references.

ISBN:

9264196765

OCLC:

49848817