ArticleArchives of public health = Archives belges de sante publique2018
Headline indicators for monitoring the performance of health systems: findings from the european Health Systems_Indicator (euHS_I) survey.
Article in Archives of public health = Archives belges de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Impact of hospital-related indicators on healthcare-associated infections and appropriateness of antimicrobial use according to a national dataset.Scientific reports · 2024Article
- Health system description and assessment: a scoping review of templates for systematic analyses.Health research policy and systems · 2024Article
- Regular measurement is essential but insufficient to improve quality of healthcare.BMJ (Clinical research ed.) · 2023Article
- Improving the Effectiveness of Healthcare: Diagnosis-Centered Care Vs. Person-Centered Health Promotion, a Long Forgotten New Model.Frontiers in public health · 2022Article
- Integrating the Population Perspective into Health System Performance Assessment (IPHA): Study Protocol for a Cross-Sectional Study in Germany Linking Survey and Claims Data of Statutorily and Privately Insured.International journal of health policy and management · 2020Article
- European Union state of health from 1990 to 2017: time trends and its enlargements' effects.International journal of public health · 2020Article
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Authors and funding
3 authors.
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Abstract
backgroundCross-country comparisons of health system performance have become increasingly important. Clear evidence is needed on the prioritization of health system performance assessment (HSPA) indicators. Selected "leading" or "headline" HSPA indicators may provide early warnings of policy impacts. The goal of this paper is to propose a set of headline indicators to frame and describe health system performance.
methodsWe identified overlaps and gaps in the availability of reported indicators by looking at HSPA initiatives in Member States (MSs) of the European Union (EU), the European Commission as well as international institutions (e.g. OECD, WHO-EUR). On that basis, we conducted a two-stage online survey, the european Health System_Indicator (euHS_I) survey. The survey sought to elicit preferences from a wide range of HSPA experts on i) the most relevant HSPA domain(s), i.e. access, efficiency, quality of care, equity, for a specific indicator, and ii) the importance of indicators regarding their information content, i.e. headline, operational, explanatory. Frequency analysis was performed.
resultsWe identified 2168 health and health system indicators listed in 43 relevant initiatives. After adjusting for overlaps, a total of 361 indicators were assessed by 28 experts in the 1st stage of the survey. In the 2nd stage, a more balanced set of 95 indicators was constructed and assessed by 72 experts from 22 EU MSs and 3 non-EU countries. In the domain
conclusionsHSPA indicators from different initiatives largely overlap and public health indicators dominate over health systems aspects. The survey allowed to quantify overlaps and gaps in HSPA indicators, their expert allocation to domain areas and establishment of an informed hierarchy structure. Yet, results show that more multidisciplinary work is needed to ensure the availability of accurate efficiency indicators which are comparable across countries.
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