Advertisement

Assessing Health Systems

  • Irene PapanicolasEmail author
  • Peter C. Smith
Reference work entry
Part of the Health Services Research book series (HEALTHSR)

Abstract

The provision of performance information can play a key role in health system evaluation and perfomrance improvement. In this chapter we review the key debates around the conceptuatlisation of the health system and the domains of perfomrance commonly measured. The chapter outlines the key chanlleges to data measurement such as data availability and methodological concerns. Finally the chapter considers issues related to data presentation. The chapter concludes by summarising progress made in perfomrance assessment and outlining new directions for future work.

References

  1. Aday LA, et al. Evaluating the healthcare system: effectiveness, efficiency, and equity. Chicago: Health Administration Press; 2004.Google Scholar
  2. Atun R, Mendabde N. Health systems and systems thinking. In: Coker R, Atun R, McKee M, editors. Health systems and the challenge of communicable diseases: experiences from Europe and Latin America. European Observatory on Health Systems and Policies Series; 2008.Google Scholar
  3. Commonwealth Fund. Framework for a high-performance health system for the United States. New York: The Commonwealth Fund; 2006.Google Scholar
  4. Davies H. Measuring and reporting the quality of health care. NHS Quality Improvement Scotland; 2005.Google Scholar
  5. Hurst J, Jee-Hughes M. Performance measurement and performance management in OECD health systems. OECD Labour Market and Social Policy Occasional Papers No. 47. Paris: Organisation for Economic Co-operation and Development; 2001.Google Scholar
  6. Iezzoni L. Risk adjustment for measuring health outcomes. Arlington: Health Administration Press/AUPHA; 2013.Google Scholar
  7. IHP. Monitoring performance and evaluating progress in the scale-up for better health: a proposed common framework. Document prepared by the monitoring and evaluating working group of the International Health Partnership and Related Initiatives (IHP+) Led by the WHO and the World Bank; 2008.Google Scholar
  8. Jacobs R, Goddard M, Smith P. How robust are hospital ranks based on composite performance measures? Med Care. 2005;43(12):1177–84.CrossRefGoogle Scholar
  9. Jee M, Or Z. Health outcomes in OECD countries: a framework of health indicators for outcome oriented policymaking. OECD Labour Market and Social Policy Occasional Papers No. 36. Paris: Organisation for Economic Co-operation and Development; 1999.Google Scholar
  10. Mant J. Process versus outcome indicators in the assessment of quality of health care. International J Qual Health Care. 2001;13(6):475–480.CrossRefGoogle Scholar
  11. Naylor DC, Iron K, Handa K. Measuring health system performance: problems and opportunities in the era of assessment and accountability. In: Organization of Economic Co-operation and Development (OECD), editor. Measuring up: improving health system performance in OECD countries. Paris: OECD Publications; 2002.Google Scholar
  12. Papanicolas I, Kringos D, Klazinga NS, Smith PC. Health system performance comparison: new directions in research and policy. Health Policy. 2013;112(1–2):1–3. 2013; ISSN 0168–8510.Google Scholar
  13. Papanicolas I, Smith PC. Theory of system level efficiency in health care. In: Culyer AJ, editor. Encyclopedia of health economics. Philadelphia: Elsevier; 2014. p. 386–394. ISBN 9780123756787.CrossRefGoogle Scholar
  14. Rigby M, Roberts R, Purves I, Robins S. Realising the fundamental role of information in health care delivery & management: reducing the zone of confusion. Research report. Nuffield Trust; 1999.Google Scholar
  15. Roberts MJ, et al. Getting health reform right: a guide to improving performance and equity. Oxford: Oxford University Press; 2008.CrossRefGoogle Scholar
  16. Sicotte C, et al. A conceptual framework for the analysis of health care organizations’ performance. Health Serv Manage Res. 1998;11:24–48.CrossRefGoogle Scholar
  17. Smith PC. Developing composite indicators for assessing health system efficiency. In: Smith PC, editor. Measuring up: improving the performance of health systems in OECD countries. Paris: Organization for Economic Cooperation and Development; 2002.Google Scholar
  18. Smith PC, et al., editors. Performance measurement for health system improvement: experiences, challenges and prospects. Cambridge: Cambridge University Press; 2009.Google Scholar
  19. Terris DD, Aron DC. Attribution and causality in health care performance measurement. In Smith PC, Mossialos E, Leatherman S, Papanicolas I, editors. Performance measurement for health system improvement: Experiences, challenges and prospects. Cambridge: Cambridge University Press; 2009.Google Scholar
  20. WHO. World health report 2000. Health systems: improving performance. Geneva: World Health Organization, 2000.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.The London School of Economics and Political ScienceLondonUK
  2. 2.Harvard T.H. Chan School of Public HealthCambridgeUSA
  3. 3.Imperial CollegeLondonUK
  4. 4.University of YorkYorkUK

Personalised recommendations