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Performance Measurement and Performance Management in OECD Health Systems

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Author Info
Jeremy Hurst
Melissa Jee-Hughes ()
Abstract

  1. Health systems in OECD countries are under pressure to improve their performance. Against that background, this paper has three main aims:
    1. To compare concepts of the ‘performance’ of health care systems developed by the WHO and by the OECD, with ‘performance frameworks’ adopted in selected OECD countries.
    2. To compare the key indicators of performance derived from these proposed performance concepts. A secondary objective, here, is to try to identify new performance variables that might eventually be included in OECD Health Data.
    3. To compare and contrast the different performance management arrangements in the selected OECD countries, and to evaluate the extent to which there is evidence that new indicators and new institutions have been brought together successfully to improve performance itself.
  2. In order to achieve these aims, the paper reviews the performance frameworks and some of the performance indicators adopted recently by WHO, OECD, Australia, Canada, the UK and ...


  1. Toutes sortes de pressions s’exercent actuellement pour que les systèmes de santé des pays de l’OCDE s’améliorent. Dans ce contexte, on a adopté dans la présente étude trois principaux objectifs, à savoir :
    1. Comparer la définition de la performance des systèmes de santé élaborés par l’OMS et l’OCDE avec les cadres d’évaluation de la performance adoptés dans plusieurs pays de l’OCDE.
    2. Comparer les indicateurs clés de performance établis à partir de ces définitions proposées. Un deuxième objectif dans ce contexte, pourrait être d’identifier de nouveaux paramètres de performance qui pourraient éventuellement être inclus dans Eco-Santé OCDE.
    3. Comparer les différents mécanismes de gestion de la performance dans les pays de l’OCDE retenus et faire ressortir les différences ; évaluer dans quelle mesure les faits indiquent que de nouveaux indicateurs et de nouvelles institutions ont été mis en œuvre avec succès pour améliorer la performance elle-même.
  2. On a étudié les cadres ...

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Paper provided by OECD Directorate for Employment, Labour and Social Affairs in its series OECD Labour Market and Social Policy Occasional Papers with number 47.

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Date of creation: 29 Jan 2001
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Handle: RePEc:oec:elsaaa:47-en

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  1. Kjeld Møller Pedersen, 2002. "The World Health Report 2000: dialogue of the deaf?," Health Economics, John Wiley & Sons, Ltd., vol. 11(2), pages 93-101. [Downloadable!]
  2. Patricia Waeger, 2007. "Trade in Health Services - An Analytical Framework Valuation Effects and Interest Rate Changes," Kiel Advanced Studies Working Papers 441, Kiel Institute for the World Economy. [Downloadable!]
  3. Wente, Tobias & Vauth, Christoph, 2003. "Internationales Benchmarking von Gesundheitssystemen - Ansatz zur Problemlösung?," Diskussionspapiere der Wirtschaftswissenschaftlichen Fakultät der Universität Hannover dp-286, Universität Hannover, Wirtschaftswissenschaftliche Fakultät. [Downloadable!]
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