ArticleSAGE open medicine2017
Health system frameworks and performance indicators in eight countries: A comparative international analysis.
Article in SAGE open medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
73 citing papers in PubMed, 2 syntheses or guidelines pooled it, 176 citations in OpenAlex.
- Implementation of patient safety monitoring systems in hospitals: a systematic review.BMJ health & care informatics · 2025Pooled it
- Guideline-based quality assurance: a conceptual framework for the definition of key elements.BMC health services research · 2021Pooled it
- Innovation in Acute Adolescent Mental Healthcare: Evaluating a Responsive and Sustainable Mental Healthcare Model.Healthcare (Basel, Switzerland) · 2026Article
- Factors influencing implementation of telemedicine in rural dementia care services in high-income countries: a scoping review.BMC health services research · 2026Article
- Global surveillance quality gaps in antimicrobial resistance monitoring: a composite-index and inequality analysis of 85 countries.JAC-antimicrobial resistance · 2026Article
- Determinants, patterns, and gaps in patient safety and quality of care research in Israel: a scoping review.Israel journal of health policy research · 2026Article
- Quality of care in an era of global challenges: a transformational vision for WHO European Region and beyond.European journal of public health · 2026Article
- A trust-wide quality improvement programme to reduce out-of-area placements, length of stay and costs across inpatient mental health services.Future healthcare journal · 2026Article
- Cost-Effectiveness and Efficacy of Biodegradable Pancreatic Stents for Preventing Post-ERCP Pancreatitis: A Retrospective Multi-Center Study.JGH open : an open access journal of gastroenterology and hepatology · 2026Article
- Article
- Trend analysis and modelling of universal health coverage, Ethiopia.Bulletin of the World Health Organization · 2026Article
- Ranking and clustering G20 healthcare systems: a framework for U.S. reform.Frontiers in public health · 2026Article
- [Early warning scores: implementation, challenges and solutions within the initiative of quality in medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Article
- Evolution and interaction mechanisms of China's high-performing national healthcare system.BMC health services research · 2025Article
- Prevalence of surgery in Indigenous people with cancer: a systematic review and meta-analysis.The Lancet regional health. Western Pacific · 2025Article
- From Theory to Practice: Viewpoint on Economic Indicators for Trust in Digital Health.Journal of medical Internet research · 2025Article
- Transforming healthcare: Saudi Arabia's vision 2030 healthcare model.Journal of pharmaceutical policy and practice · 2025Article
- Trust Performance Indicators and Trust Stress Tests: A Conceptual Proposition for Trustworthy Health Data Spaces.International journal of public health · 2025Article
- Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPerformance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries' performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems. Countries involved are Australia, Canada, Denmark, England, the Netherlands, New Zealand, Scotland and the United States.
methodsIdentification of comparable international indicators and analyses of their characteristics and of their broader national frameworks and contexts were undertaken. Two dimensions of indicators - that they are nationally consistent (used across the country rather than just regionally) and locally relevant (measured and reported publicly at a local level, for example, a health service) - were deemed important.
resultsThe most commonly used domains in performance frameworks were safety, effectiveness and access. The search found 401 indicators that fulfilled the 'nationally consistent and locally relevant' criteria. Of these, 45 indicators are reported in more than one country. Cardiovascular, surgery and mental health were the most frequently reported disease groups.
conclusionThese comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.