Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects

by Edited by Peter C. Smith , Elias Mossialos , Irene Papanicolas , Sheila Leatherman

• ISBN13: 9780521133487
• ISBN10: 0521133483
• Edition: 1st
• Format: Paperback
• Copyright: 2010-02-15
• Publisher: Cambridge University Press

Summary

In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

Author Biography

Peter C. Smith is Professor of Health Policy in the Business School and Institute for Global Health at Imperial College London. Elias Mossialos is Professor of Health Policy at the London School of Economics and Political Science, Co-Director of the European Observatory on Health Systems and Policies and Director of LSE Health. Irene Papanicolas is Research Associate and Brian Abel-Smith Scholar at LSE Health, the London School of Economics and Political Science. Sheila Leatherman is Research Professor at the Gillings School of Global Public Health, University of North Carolina, and Visiting Professor at the London School of Economics and Political Science.

Table of Contents

Foreword	p. ix
Acknowledgements	p. xi
List of contributors	p. xii
List of boxes, figures and tables	p. xvi
Principles of performance measurement	p. 1
Introduction	p. 3
Dimensions of performance	p. 25
Population health	p. 27
Patient-reported outcome measures and performance measurement	p. 63
Measuring clinical quality and appropriateness	p. 87
Measuring financial protection in health	p. 114
Health systems responsiveness: a measure of the acceptability of health-care processes and systems from the user's perspective	p. 138
Measuring equity of access to health care	p. 187
Health system productivity and efficiency	p. 222
Analytical methodology for performance measurement
Risk adjustment for performance measurement	p. 251
Clinical surveillance and patient safety	p. 286
Attribution and causality in health-care performance measurement	p. 311
Using composite indicators to measure performance in health care	p. 339
Performance measurement in specific domains	p. 369
Performance measurement in primary care	p. 371
Chronic care	p. 406
Performance measurement in mental health services	p. 426
Long-term care quality monitoring using the inteRAI common clinical assessment language	p. 472
Health policy and performance measurement	p. 507
Targets and performance measurement	p. 509
Public performance reporting on quality information	p. 537
Developing information technology capacity for performance measurement	p. 552
Incentives for health-care performance improvement	p. 582
Performance measurement and professional improvement	p. 613
International health system comparisons: from measurement challenge to management tool	p. 641
Conclusions	p. 673
Conclusions	p. 675
Index	p. 707
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