Towards actionable international comparisons of health system performance: expert revision of the OECD framework and quality indicators

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
F CarinciOECD Health Care Quality Indicators Expert Group

Abstract

To review and update the conceptual framework, indicator content and research priorities of the Organisation for Economic Cooperation and Development's (OECD) Health Care Quality Indicators (HCQI) project, after a decade of collaborative work. A structured assessment was carried out using a modified Delphi approach, followed by a consensus meeting, to assess the suite of HCQI for international comparisons, agree on revisions to the original framework and set priorities for research and development. International group of countries participating to OECD projects. Members of the OECD HCQI expert group. A reference matrix, based on a revised performance framework, was used to map and assess all seventy HCQI routinely calculated by the OECD expert group. A total of 21 indicators were agreed to be excluded, due to the following concerns: (i) relevance, (ii) international comparability, particularly where heterogeneous coding practices might induce bias, (iii) feasibility, when the number of countries able to report was limited and the added value did not justify sustained effort and (iv) actionability, for indicators that were unlikely to improve on the basis of targeted policy interventions. The revised OECD framework for HCQI repr...Continue Reading

Citations

Oct 8, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·James Macinko, Frederico C Guanais
Mar 18, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Alexandru M RotarNiek S Klazinga
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Mar 1, 2020·BMJ : British Medical Journal·Fabrizio Carinci
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Jan 31, 2021·BMJ Global Health·Veronique FilippiCarine Ronsmans
Mar 7, 2021·International Journal of Environmental Research and Public Health·Óscar Brito FernandesPetra Baji

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