Rethinking Health System Performance Assessment

This document presents the OECD's renewed health system performance assessment framework. It incorporates new performance dimensions, notably people-centredness, resilience, and environmental sustainability, and places increased emphasis on addressing inequalities, including those related to ge...

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Detalles Bibliográficos
Formato: Libro electrónico
Idioma:Inglés
Publicado: Paris : Organization for Economic Cooperation & Development 2024.
Edición:1st ed
Ver en Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009805110506719
Tabla de Contenidos:
  • Intro
  • Foreword
  • Acknowledgements
  • Executive summary
  • Towards a future-proof OECD Health System Performance Assessment Framework
  • 1 Revising the OECD's Health System Performance Assessment Framework
  • 1.1. Recent OECD frameworks for health
  • 1.1.1. The 2015 Health System Performance Assessment Framework
  • 1.1.2. The People-Centred Health Systems Framework
  • 1.1.3. The Resilience Shock Cycle Framework
  • 1.2. Towards an integrated and updated OECD HSPA Framework
  • 1.2.1. The need to adjust the Framework to the world we live in
  • 1.2.2. Using a renewed HSPA Framework
  • 2 General structure of the renewed Health System Performance Assessment Framework
  • 2.1. General structure of the renewed HSPA Framework
  • 2.2. Socio-economic, demographic, and environmental conditions
  • 2.3. Individual and population health
  • 2.4. Putting people's needs and preferences at the centre of health system resources and interventions
  • 2.5. Four cross-cutting dimensions traverse the Framework
  • 2.6. Relationships across dimensions
  • 3 Populating each dimension of the Framework with indicators
  • 3.1. Health system outcomes
  • 3.2. Health system context
  • 3.2.1. Health and environmental threats
  • 3.2.2. Commercial determinants of health
  • 3.2.3. Economic and social impact
  • 3.2.4. Risk factors
  • 3.3. Measuring healthcare services and public health interventions
  • 3.3.1. People's needs and preferences
  • 3.3.2. Access and coverage
  • 3.3.3. Quality
  • 3.4. Measuring health systems resources, characteristics and policy
  • 3.4.1. Expenditure and financing
  • 3.4.2. Workforce
  • 3.4.3. Data and digital
  • 3.4.4. Technologies and pharmaceuticals
  • 3.4.5. Knowledge and innovation
  • 3.4.6. Governance
  • 3.5. Measuring cross-cutting dimensions of the Framework
  • 3.5.1. Efficiency and equity
  • 3.5.2. Sustainability and resilience
  • References.
  • Annex A. Three decades of health system performance assessment
  • A first glance at performance: OECD comparisons of goals of health system reforms (1992-94)
  • Measuring "performance": A growing need for more and better data (2000-02)
  • Defining "performance": Development of health system performance through the quality agenda (2000-06)
  • Practicing "performance": Strengthening the link between indicators and health systems policy action (2015-16)
  • Rethinking "performance": People-centredness, shocks and megatrends (2017-22)
  • Notes.