Titel | Development of a Methodology for Collection and Analysis of Data on Efficiency and Effectiveness in Health Care Provision |
Datum | January 2005 |
Auftraggeber | EUROSTAT |
Kontakt | Dr. Markus Schneider, CEPS INSTEAD, IRDES and IGSS |
In order to assess and monitor health system performance in a comparable way a set of indicators are proposed developed from the Health Accounts and other relevant health data. The proposed indicators relate to four dimensions of health system performance:
- Sustainability,
- efficiency,
- effectiveness, and
- access including equity.
The choice of dimensions, and their related indicators have been guided by EU policy objectives for health and health care, and a review of recent and ongoing work on measuring health system performance by academic researchers, national governments and international organisations. For each of the four dimensions the following steps were performed:
- Definition of a conceptual framework;
- Review of the recent attempts to measure health system performance (both in research work and in national projects aiming to monitor performance on a routine basis), and the methodological and practical difficulties;
- Assessment of the content of SHA and other databases to select relevant indicators;
- Final suggestions on a list of indicators and data to collect.
It is proposed that all countries should provide an appropriate Minimal Data Set (MDS) in order to be able to compile Health Accounts indicators over time. This means that both the conceptual approach and the situation in MS should be used to define the MDS, whereas country-specific conditions should determine only the detail of the breakdown of the indicator, but not the indicator as such.