Measures and Methodology for International Comparisons of Health Care System Performance: Final Report

2021 ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Performance ◽  
International Comparisons ◽  
Final Report ◽  
Care System

Monitoring Health Care System Performance in Iowa

1997 ◽  
Vol 10 (1-2) ◽  
pp. 107-112
Author(s):  
J. E. Rohrer ◽  
M. Vaughan
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
System Performance ◽  
Hospital Admissions ◽  
High Rate ◽  
Average Risk ◽  
Care System ◽  
Ambulatory Care Sensitive

Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.

Assessing Health-Care System Performance against the Four Core Aims of Health-Care Policy

2017 ◽  
pp. 202-236
Author(s):  
Gunnar Almgren
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Health Care Access ◽  
System Performance ◽  
Health Care Policy ◽  
Care Policy ◽  
Access And Quality ◽  
Risk Protection ◽  
Care System

Previous chapters have provided the historical context and the justification for a set of four core aims of health care policy in light of the requisites of citizenship in a democratic society, and then the basic structure of a reformed national health care system designed to achieve those core aims. Briefly stated, the four core policy aims include: comprehensive health insurance coverage with adequate and equal risk protection, the amelioration of disparities in health care access and quality, equitable comprehensive care and public health investments, and compensatory investments in health care services and public health infrastructure for groups adversely affected by health disparities. This chapter illuminates the major dimensions of health care system performance that are most closely linked to these core policy aims, the range of health care system measures specific to each dimension of performance, and those that appear optimal in light of validity and the pragmatics of data system design and sustainability. The chapter then concludes with a discussion of the criteria for health care policy “success”.

scholarly journals Towards Excellence in Asthma Management: Final Report of an Eight-Year Program Aimed at Reducing Care Gaps in Asthma Management in Quebec

2008 ◽  
Vol 15 (6) ◽  
pp. 302-310 ◽  
Author(s):  
Louis-Philippe Boulet ◽  
Eileen Dorval ◽  
Manon Labrecque ◽  
Michel Turgeon ◽  
Terrence Montague ◽  
...  
Keyword(s):  
Health Care ◽  
Disease Management ◽  
Health Care System ◽  
Inhaled Corticosteroids ◽  
Asthma Management ◽  
Final Report ◽  
Asthma Care ◽  
Treatment Needs ◽  
Care Gaps ◽  
Care System

BACKGROUND AND OBJECTIVES: Asthma care in Canada and around the world persistently falls short of optimal treatment. To optimize care, a systematic approach to identifying such shortfalls or ‘care gaps’, in which all stakeholders of the health care system (including patients) are involved, was proposed.METHODS: Several projects of a multipartner, multidisciplinary disease management program, developed to optimize asthma care in Quebec, was conducted in a period of eight years. First, two population maps were produced to identify regional variations in asthma-related morbidity and to prioritize interventions for improving treatment. Second, current care was evaluated in a physician-patient cohort, confirming the many care gaps in asthma management. Third, two series of peer-reviewed outcome studies, targeting high-risk populations and specific asthma care gaps, were conducted. Finally, a process to integrate the best interventions into the health care system and an agenda for further research on optimal asthma management were proposed.RESULTS: Key observations from these studies included the identification of specific patterns of noncompliance in using inhaled corticosteroids, the failure of increased access to spirometry in asthma education centres to increase the number of education referrals, the transient improvement in educational abilities of nurses involved with an asthma hotline telephone service, and the beneficial effects of practice tools aimed at facilitating the assessment of asthma control and treatment needs by general practitioners.CONCLUSIONS: Disease management programs such as Towards Excellence in Asthma Management can provide valuable information on optimal strategies for improving treatment of asthma and other chronic diseases by identifying care gaps, improving guidelines implementation and optimizing care.

Health care system performance of 27 OECD countries

2012 ◽  
Vol 27 (2) ◽  
pp. 104-129 ◽  
Author(s):  
Éric N. Tchouaket ◽  
Paul A. Lamarche ◽  
Lise Goulet ◽  
André Pierre Contandriopoulos
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Performance ◽  
Oecd Countries ◽  
Care System

The Impact of Variability and Patient Information on Health Care System Performance

2010 ◽  
Vol 20 (6) ◽  
pp. 848-859 ◽  
Author(s):  
Peter A. Salzarulo ◽  
Kurt M. Bretthauer ◽  
Murray J. Côté ◽  
Kenneth L. Schultz
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Patient Information ◽  
System Performance ◽  
The Impact ◽  
Care System

Market-Oriented, Demand-Driven Health Care Reforms and Equity in Health and Health Care Utilization in Sweden

2009 ◽  
Vol 39 (2) ◽  
pp. 271-285 ◽  
Author(s):  
Bo Burström
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Services ◽  
Health Care System ◽  
Health Care Services ◽  
International Comparisons ◽  
Care Utilization ◽  
Health Care Reforms ◽  
Swedish Health Care ◽  
Care System

In international comparisons, the Swedish health care system has been seen to perform well. In recent years, market-oriented, demand-driven health care reforms aimed at free choice of provider by patients and free establishment of doctors are increasingly promoted in Sweden. The stated objective is to improve access and efficiency in health services and to provide more and/or better services for the money. Swedish health policy aims to provide equal access to care, based on equal need. However, the social and economic gradient in disease and ill health does not translate into the same social and economic gradient in demand for health services. A market-oriented, demand-driven health care system runs the risk of defeating the health policy aims and of further increasing gaps between social groups in access and utilization of health care services, to the detriment of those with greater needs, unless it is coupled with need-based allocation of resources and empowerment of these groups.

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