Canadian Institute for Health Information, 4110 Yonge Street, Suite 300, Toronto, Ontario, Canada M2P 2B7.
Health Policy. 2013 Sep;112(1-2):141-7. doi: 10.1016/j.healthpol.2013.03.015. Epub 2013 Apr 16.
This paper presents, discusses and evaluates methods used by the Canadian Institute for Health Information to present health system performance international comparisons in ways that facilitate their understanding by the public and health system policy-makers and can stimulate performance benchmarking.
We used statistical techniques to normalize the results and present them on a standardized scale facilitating understanding of results. We compared results to the OECD average, and to benchmarks. We also applied various data quality rules to ensure the validity of results. In order to evaluate the impact of the public release of these results, we used quantitative and qualitative methods and documented other types of impact.
We were able to present results for performance indicators and dimensions at national and sub-national levels; develop performance profiles for each Canadian province; and show pan-Canadian performance patterns for specific performance indicators. The results attracted significant media attention at national level and reactions from various stakeholders. Other impacts such as requests for additional analysis and improvement in data timeliness were observed.
The methods used seemed attractive to various audiences in the Canadian context and achieved the objectives originally defined. These methods could be refined and applied in different contexts.
本文介绍、讨论和评估了加拿大健康信息研究所（Canadian Institute for Health Information）用于以公众和卫生系统决策者能够理解的方式呈现卫生系统绩效国际比较的方法，这些方法可以促进绩效基准比较。
我们使用统计技术对结果进行标准化处理，并将其呈现于标准化的尺度上，以帮助理解结果。我们将结果与经合组织（OECD）的平均值和基准进行了比较。我们还应用了各种数据质量规则，以确保结果的有效性。为了评估公开这些结果的影响，我们使用了定量和定性方法，并记录了其他类型的影响。
我们能够在国家和次国家层面呈现绩效指标和维度的结果；为每个加拿大省份制定绩效概况；并展示特定绩效指标的全加绩效模式。这些结果在国家层面引起了媒体的广泛关注，并引发了来自不同利益相关者的反应。还观察到了其他影响，例如对额外分析的请求以及数据及时性的提高。
在加拿大背景下，这些方法似乎吸引了不同受众，并实现了最初定义的目标。这些方法可以在不同的背景下进行改进和应用。
