Braithwaite Jeffrey, Hibbert Peter, Blakely Brette, Plumb Jennifer, Hannaford Natalie, Long Janet Cameron, Marks Danielle
Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
Australian Commission on Safety and Quality in Health Care, Sydney, NSW, Australia.
SAGE Open Med. 2017 Jan 4;5:2050312116686516. doi: 10.1177/2050312116686516. eCollection 2017.
Performance indicators are a popular mechanism for measuring the quality of healthcare to facilitate both quality improvement and systems management. Few studies make comparative assessments of different countries' performance indicator frameworks. This study identifies and compares frameworks and performance indicators used in selected Organisation for Economic Co-operation and Development health systems to measure and report on the performance of healthcare organisations and local health systems. Countries involved are Australia, Canada, Denmark, England, the Netherlands, New Zealand, Scotland and the United States.
Identification of comparable international indicators and analyses of their characteristics and of their broader national frameworks and contexts were undertaken. Two dimensions of indicators - that they are nationally consistent (used across the country rather than just regionally) and locally relevant (measured and reported publicly at a local level, for example, a health service) - were deemed important.
The most commonly used domains in performance frameworks were safety, effectiveness and access. The search found 401 indicators that fulfilled the 'nationally consistent and locally relevant' criteria. Of these, 45 indicators are reported in more than one country. Cardiovascular, surgery and mental health were the most frequently reported disease groups.
These comparative data inform researchers and policymakers internationally when designing health performance frameworks and indicator sets.
绩效指标是衡量医疗保健质量以促进质量改进和系统管理的一种常用机制。很少有研究对不同国家的绩效指标框架进行比较评估。本研究识别并比较了经济合作与发展组织选定卫生系统中用于衡量和报告医疗保健组织及地方卫生系统绩效的框架和绩效指标。所涉及的国家有澳大利亚、加拿大、丹麦、英格兰、荷兰、新西兰、苏格兰和美国。
识别了可比较的国际指标，并对其特征以及更广泛的国家框架和背景进行了分析。指标的两个维度——全国一致性（在全国范围内使用而非仅在地区使用）和地方相关性（在地方层面进行衡量和公开报告，例如，一个卫生服务机构）——被认为很重要。
绩效框架中最常用的领域是安全性、有效性和可及性。检索发现有401项指标符合“全国一致且地方相关”的标准。其中，有45项指标在多个国家被报告。心血管、外科手术和心理健康是报告频率最高的疾病类别。
这些比较数据为国际上的研究人员和政策制定者在设计卫生绩效框架和指标集时提供了参考。
