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Vol. 20. Núm. 4.
Páginas 316-324 (Julio - Agosto 2006)
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Vol. 20. Núm. 4.
Páginas 316-324 (Julio - Agosto 2006)
Revisión
DOI: 10.1157/13091148
Open Access
Measuring the performance of health care services: a review of international experiences and their application to urban contexts
Medir el desempeño de los servicios de salud: revisión de las experiencias internacionales y su aplicación a contextos urbanos
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Anna García-Altésa,??
Autor para correspondencia
agarcia@aspb.es

Correspondence: Dra. Anna García-Altés. Agència de Salut Pública de Barcelona. Pl. Lesseps, 1. 08023 Barcelona. Spain.
, Lauriane Zoncob, Carme Borrella, Antoni Plasènciac, for The Barcelona Group On The Performance Of Health Care Services
a Agència de Salut Pública de Barcelona, Barcelona, Spain
b Department of Health and Medical Services, Dubai, United Arab Emirates
c Direcció General de Salut Pública, Departament de Salut, Barcelona, Spain
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Información del artículo
Abstract
Background

The objective of performance assessment is to provide governments and populations with appropriate information about the state of their health care system. The objective of this paper is to present the most recent developments in performance assessment and their application in urban contexts.

Methods

Literature review in PubMed (1970-2004). We identified additional papers and grey literature from retrieved references.

Results

Performance assessment initiatives were identified in Australia, Canada, the United Kingdom, and New Zealand. The World Health Report 2000 is one of the best known examples of a transnational approach to performance assessment.

Conclusion

The best developed initiatives to date are those that define precise categories, criteria and indicators with which to analyse and assess health care systems, based on a solid conceptual framework. Performance assessment fits perfectly in urban contexts, as it is a useful tool for designing and monitoring policies, assessing the quality of the services provided, and measuring the health status of city dwellers. Barcelona and Montreal are currently collaborating together on a project to assess the performance assessment of their respective health care services.

Key words:
Outcome and process assessment
Health care systems
Health status
Resumen
Objetivos

El objetivo de la evaluación del desempeño es dar información apropiada a los gobiernos y las poblaciones sobre el funcionamiento de su sistema sanitario. El objetivo de este artículo es presentar los desarrollos más recientes en la medida del desempeño y su aplicación en contextos urbanos.

Métodos

Revisión de la bibliografía en PubMed (1970-2004). Se identificaron artículos adicionales y bibliografía gris y de las referencias de los artículos seleccionados.

Resultados

Se identificaron iniciativas de medida del desempeño en Australia, Canadá, Reino Unido y Nueva Zelanda. La iniciativa transnacional del Informe sobre la salud en el mundo 2000 de la Organización Mundial de la Salud (OMS) es una de las más conocidas.

Conclusiones

Las iniciativas más desarrolladas en la actualidad son las que definen categorías, criterios e indicadores para analizar y evaluar los sistemas sanitarios, basándose en un marco conceptual sólido. La medida del desempeño encaja perfectamente en los contextos urbanos, ya que es una herramienta útil para diseñar y hacer un seguimiento del nivel de consecución de las políticas en marcha, medir la calidad de los servicios disponibles y el estado de salud de los habitantes de una población. Barcelona y Montreal están trabajando en un proyecto de colaboración para la evaluación del desempeño de sus servicios sanitarios.

Palabras clave:
Evaluación de resultados y de proceso
Sistemas sanitarios
Estado de salud
El Texto completo está disponible en PDF
Bibliografía
[1.]
Pan American Health Organization.
Health system performance assessment and improvement in the region of the Americas.
PAHO, (2001),
[2.]
Hurst J. Performance measurement and performance management in OECD health systems: an overview of issues and challenges. «Measuring up» Improving health systems performance in OECD countries. OECD health conference on performance measurement and reporting. Ottawa, November 2001.
[3.]
C.J.L. Murray, J. Frenk.
A framework for assessing the performance of health systems.
Bull World Health Organ, 78 (2000), pp. 717-731
[4.]
C. Borrell, M. Pasarín.
Desigualdad en salud y territorio urbano.
Gac Sanit, 18 (2004), pp. 1-4
[5.]
World Health Organization.
The World Health Report 2000: Health systems performance.
World Health Organization, (2000),
[6.]
National Health Performance Committee.
Fourth national report on health sector performance indicators. A report to the Australian Health Ministers’ conference,
[7.]
Canadian Institute for Health Information. Health indicators. Ottawa: Canadian Institute for Health Information; 2003. Catalogue n.o 82-221-XIE, Volume 2003, N.° 2.
[8.]
National Health Service.
NHS Performance Indicators. National Figures: February 2002.
National Health Service, (2003),
[9.]
Or Z. Improving the performance of health care systems: from measures to action (a review of experiences in four OECD countries). Labour market and social policy. Occasional papers n.° 57. Paris: OECD; 2002.
[10.]
New Zealand Ministry of Health. Health Funding Authority Performance Report. Quarter Four 1999/2000. Wellington: New Zealand Ministry of Health; 2000.
[11.]
Hurst J, Jee-Hugues M. Performance measurement and performance management in OECD Health Systems. Labour Market and Social Policy, Occasional Papers N.° 47. Paris: OECD; 2000.
[12.]
D. McIntyre, L. Rogers, E.J. Heiner.
Overview, history and objectives of performance measurement.
Health Care Financing Review, 22 (2001), pp. 7-21
[13.]
R.G.A. Feachem, N.K. Sekhri, K.L. White.
Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente.
BMJ, 324 (2002), pp. 135-141
[14.]
D.B. Evans, T.T. Edejer, J. Lauer, J. Frenk, C.J. Murray.
Measuring quality: from the system to the provider.
Int J Qual Health Care, 13 (2001), pp. 439-446
[15.]
V. Upshaw.
The National Public Health Performance Standards Program: would it strengthen governance of local public health?.
J Public Health Pract, 6 (2000), pp. 1-18
[16.]
B. Mc Pake, A. Mills.
What can we learn from international comparisons of health systems and health system reform?.
Bull World Health Organ, 78 (2000), pp. 811-820
[17.]
R. Mannion, M. Goddard.
Performance measurement and improvement in health care.
Appl Health Econ Health Policy, 1 (2002), pp. 13-23
[18.]
J.C. Knowles, C. Leighton, W. Stinson.
Measuring results of health sector reform for system performance: a handbook of indicators. Special Initiatives Report N.° 1.
Partnerships for Health Reform, Abt Associates Inc., (1997),
[19.]
J.S. Coyne, P. Hilsenrath.
The World Health Report 2000: Can health care systems be compared using a single measure of performance?.
Am J Pub Health, 92 (2002), pp. 30-33
[20.]
J. Appleby, A. Street.
Health system goals: life, death and… football.
J Health Serv Res Policy, 6 (2001), pp. 220-225
[21.]
C. Almeida, P. Braveman, M.R. Gold, C.L. Szwarcwald, J. Mendes Ribeiro, A. Miglionico, et al.
Methodological concerns and recommendations on policy consequences of the World Health Report 2000.
Lancet, 357 (2001), pp. 1692-1697
[22.]
V. Navarro.
Assessment of the World Health Report 2000.
Lancet, 356 (2000), pp. 1598-1601
[23.]
J.M. Fernández-Díaz.
El informe de la Organización Mundial de la Salud 2000: un juego de ordenador políticamente incorrecto.
Gac Sanit, 5 (2001), pp. 453-460
[24.]
C.J.L. Murray, J.A. Salomon, C. Mathers.
A critical examination of summary measures of population health.
Bull World Health Organ, 78 (2000), pp. 981-994
[25.]
Pan American Health Organization.
Final Report on regional consultation of the Americas on health systems performance assessment.
PAHO, (2001),
[26.]
A. Handler, M. Issel, B. Turnock.
A conceptual framework to measure performance of the public health system.
Am J Public Health, 91 (2001), pp. 1235-1239
[27.]
J. Beaulieu, F.D. Scutchfield.
Assessment of validity of the national public health performance standards: the local public health performance assessment instrument.
Public Health Reports, 117 (2002), pp. 28-36
[28.]
Leatherman S. Applying performance indicators to health system improvement. OECD/Canada Conference. Measuring up: improving health systems performance in OECD countries. Ottawa, November 2001.
[29.]
M.N. Marshall, P.G. Shekelle, S. Leatherman, R.H. Brook.
The public release of performance data. What do we expect to gain? A review of the evidence.
JAMA, 283 (2000), pp. 1866-1874
[30.]
J.M. DeRosario.
Healthcare system performance indicators: a new beginning for a reformed Canadian healthcare system.
J Healthc Qual, 21 (1999), pp. 37-41
[31.]
A. Handler, M. Issel, B. Turnock.
A conceptual framework to measure performance of the public health system.
Am J Public Health, 91 (2001), pp. 1235-1239
[32.]
D.B. Evans, A. Tandon, C.J. Murray, J.A. Lauer.
Comparative efficiency of national health systems: cross national econometric analysis.
BMJ, 323 (2001), pp. 307-310
[33.]
The Conference Board of Canada. Challenging Health Care System Sustainability: Understanding Health System Performance of Leading Countries. Ottawa: the Conference Board of Canada; 2004.
[34.]
P.S. Hussey, G.F. Anderson, R. Osborn, C. Feek, V. McLaughlin, J. Millar, A. Epstein.
How does the quality of care compare in five countries?.
Health Aff (Millwood), 23 (2004), pp. 89-99
[35.]
OECD.
Towards High-Performing Health Systems.
OECD, (2004),
[36.]
Jee M, Or Z. Health outcomes in OECD countries: a framework of health indicators for outcome-oriented policymaking. Labour market and social policy. Occasional papers n.° 36. Paris: OECD; 1999.
[37.]
Marshall M, Leatherman S, Mattke S, and the Members of the OECD Health Promotion, Prevention and Primary Care Panel. Selecting indicators of for the quality of health promotion, prevention and primary care at the health system level in OECD countries. OECD Health Technical Papers n.° 16. Paris: OECD; 2004.
[38.]
P. Líndez, J.R. Villalbí, J. Vaqué.
Funciones, actividades y estructuras de salud pública: el papel de los municipios grandes y medianos.
Gac Sanit, 2 (2001), pp. 164-171
[39.]
S.F. Derose, M.A. Schuster, J.E. Fielding, S.M. Asch.
Public health quality measurement: concepts and challenges.
Annu Rev Public Health, 23 (2002), pp. 1-21
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