Yet, results show that more multidisciplinary work is needed to ensure the availability of accurate efficiency indicators which are comparable across countries. ![]() The survey allowed to quantify overlaps and gaps in HSPA indicators, their expert allocation to domain areas and establishment of an informed hierarchy structure. Conclusions: HSPA indicators from different initiatives largely overlap and public health indicators dominate over health systems aspects. Percentage of households experiencing high levels/catastrophic of out-of-pocket health expenditures results as the top headline indicator for domain equity. Latest OECD estimates point to average health expenditure growth of 5 in 2020, driven by the exceptionally high growth in spending by government and compulsory schemes (+8.1) in response to the additional needs to address the COVID-19 pandemic. In the domain efficiency, the highest rank was given to Total health care expenditure by all financing agents, and in the domain quality of care to rate of hospital-acquired infections. In the domain access experts assessed share of population covered by health insurance as the top headline indicator. ![]() In the 2nd stage, a more balanced set of 95 indicators was constructed and assessed by 72 experts from 22 EU MSs and 3 non-EU countries. After adjusting for overlaps, a total of 361 indicators were assessed by 28 experts in the 1st stage of the survey. Results: We identified 2168 health and health system indicators listed in 43 relevant initiatives. access, efficiency, quality of care, equity, for a specific indicator, and ii) the importance of indicators regarding their information content, i.e. The survey sought to elicit preferences from a wide range of HSPA experts on i) the most relevant HSPA domain(s), i.e. On that basis, we conducted a two-stage online survey, the european Health System_Indicator (euHS_I) survey. Methods: We identified overlaps and gaps in the availability of reported indicators by looking at HSPA initiatives in Member States (MSs) of the European Union (EU), the European Commission as well as international institutions (e.g. The goal of this paper is to propose a set of headline indicators to frame and describe health system performance. Selected "leading" or "headline" HSPA indicators may provide early warnings of policy impacts. Clear evidence is needed on the prioritization of health system performance assessment (HSPA) indicators. view moreīackground: Cross-country comparisons of health system performance have become increasingly important. Selected "leading" or "headline" HSPA indicators may provide early warnings of policy impac. Accidents at work: number of accidents, causes and circumstances of accidents.įor more detailed information on the data covered, please see the page ' Information on data' in this section.Background: Cross-country comparisons of health system performance have become increasingly important.Causes of death: national and regional mortality by causes of death.Disability: prevalence of disability, employment, barriers to the social integration of disabled persons.Health care: health care expenditure, resources (staff and facilities) and activities (hospital and ambulatory services).Health determinants: overweight and obesity, physical activity, risky behaviours such as tobacco and alcohol consumption.Health status: self-reported health and morbidity, functional and activity limitations, injuries. ![]() They cover different kinds of health-related aspects, including key indicators on the functioning of the health care systems and health and safety at work.ĭata available in this section covers the following main topics: Health statistics measure both objective and subjective aspects of people's health.
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