There is growing interest in improving the performance of health systems in OECD countries. Many countries are developing initiatives to measure performance to guide and inform the improvement process. Indeed, measurement and improvement are increasingly linked, as is indicated by familiar phrases such as ‘evidence-based medicine’ and ‘evidence-based policy’.

This paper summarises the findings of an investigation of recent initiatives to better measure and improve health performance in four OECD countries: France, the Netherlands, New Zealand and Sweden. It highlights a number of case studies in these countries, which have been chosen to illustrate initiatives to improve performance, which paid greater or lesser attention to measurement issues. An attempt has also been made to describe the role of institutional arrangements as well as various policy and management “levers” which are used to bring about change. The case studies and discussion presented in this paper draw upon a more ...

Les pays de l’OCDE sont de plus en plus soucieux d’améliorer les performances de leur système de santé. De nombreux pays prennent actuellement des initiatives pour que la mesure des performances puisse orienter et éclairer leurs efforts d’amélioration. De fait, la mesure des performances et l’amélioration des systèmes sont de plus en plus liées, ainsi qu’en témoignent des expressions comme médecine et/ou politique fondée sur des données objectives.

Le présent document résume les résultats de recherches portant sur des initiatives récentes visant à mieux mesurer et à améliorer les performances de système de santé de quatre pays de l’OCDE: la France, la Nouvelle-Zélande, les Pays-Bas, et la Suède. Il met en lumière un certain nombre d’études de cas retenues pour illustrer les initiatives qui ont été prises pour améliorer les performances en accordant une plus ou moins grande attention aux questions de mesure. Il tente également de mettre en lumière le rôle du contexte ...

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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 57.

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Date of creation: 25 Jan 2002
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1. Frederik T. Schut & Wynand P. M. M. Van de Ven, 2005. "Rationing and competition in the Dutch health-care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S59-S74. [Downloadable!]

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