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Health Care Quality Indicators Project: Conceptual Framework Paper


  • Edward Kelley
  • Jeremy Hurst


This paper represents an attempt to set out a conceptual framework for the OECD’s Health Care Quality Indicator (HCQI) Project. Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be measured. The need for a conceptual framework for the Project was expressed by a large group of participating countries. In interviews by the OECD Secretariat with member countries in April and May 2005, country experts and delegates to the Group on Health reiterated the need for a framework for the OECD’s health care quality work. Countries stated that the framework should be: a) based on country experience and b) could be used to guide both current and future work by the OECD in health care quality measurement and monitoring. Ce document a pour objet de présenter le cadre conceptuel du projet de l’OCDE sur les indicateurs de la qualité des soins de santé (projet HCQI). Deux grandes questions y sont traitées : quels concepts, ou aspects, de la qualité des soins convient-il d’évaluer et comment ceux-ci doivent-ils en théorie être évalués. La nécessité d’élaborer un cadre conceptuel pour le projet a été exprimée par un grand nombre de pays participants. Lors des entretiens menés par le Secrétariat de l’OCDE avec les pays membres en avril et mai 2005, les experts et délégués nationaux auprès du Groupe sur la santé ont réaffirmé la nécessité d’élaborer un cadre pour les travaux de l’OCDE sur la qualité des soins de santé. Les pays ont indiqué que ce cadre devait a) être fondé sur l’expérience des pays et b) pouvoir être utilisé pour éclairer les travaux actuels et futurs de l’OCDE dans le domaine de l’évaluation et du suivi de la qualité des soins de santé.

Suggested Citation

  • Edward Kelley & Jeremy Hurst, 2006. "Health Care Quality Indicators Project: Conceptual Framework Paper," OECD Health Working Papers 23, OECD Publishing.
  • Handle: RePEc:oec:elsaad:23-en

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    Cited by:

    1. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    2. Nakkeeran, Senthil kumar & G, Thiagarajan, 2010. "Optimizing the stake holder’s perspective on enhancing the service quality in health care," MPRA Paper 28057, University Library of Munich, Germany, revised 01 Nov 2010.
    3. Greß, Stefan & Maas, Stephanie & Wasem, Jürgen, 2008. "Effektivitäts-, Effizienz- und Qualitätsreserven im deutschen Gesundheitssystem," Arbeitspapiere 154, Hans-Böckler-Stiftung, Düsseldorf.
    4. Bernal-Delgado, Enrique & García-Armesto, Sandra & Peiró, Salvador, 2014. "Atlas of Variations in Medical Practice in Spain: The Spanish National Health Service under scrutiny," Health Policy, Elsevier, vol. 114(1), pages 15-30.
    5. Terraneo, Marco, 2015. "Inequities in health care utilization by people aged 50+: Evidence from 12 European countries," Social Science & Medicine, Elsevier, vol. 126(C), pages 154-163.
    6. Zeynep Or & Laure Com-Ruelle, 2008. "La qualité des soins en France : comment la mesurer pour l'améliorer ?," Working Papers DT19, IRDES institut for research and information in health economics, revised Dec 2008.
    7. Olga Kudelina & Sofya eremina, 2016. "Regional Healthcare Effectiveness," Economy of region, Centre for Economic Security, Institute of Economics of Ural Branch of Russian Academy of Sciences, vol. 1(1), pages 211-225.
    8. Stöver, Jana & Vöpel, Henning & Manouguian, Maral-Sonja & Verheyen, Frank, 2010. "Qualität und Effizienz der Gesundheitsversorgung im internationalen Vergleich," HWWI Policy Papers 55, Hamburg Institute of International Economics (HWWI).
    9. Miteniece, Elina & Pavlova, Milena & Rechel, Bernd & Groot, Wim, 2017. "Barriers to accessing adequate maternal care in Central and Eastern European countries: A systematic literature review," Social Science & Medicine, Elsevier, vol. 177(C), pages 1-8.
    10. Veillard, Jeremy & Moses McKeag, Alexandra & Tipper, Brenda & Krylova, Olga & Reason, Ben, 2013. "Methods to stimulate national and sub-national benchmarking through international health system performance comparisons: A Canadian approach," Health Policy, Elsevier, vol. 112(1), pages 141-147.
    11. Mariola Zalewska, 2015. "Limitations of the set of public health indicators monitored in the context of sustainable development (Ograniczenia wskaznikow zdrowia publicznego monitorowanych w kontekscie zrownowazonego rozwoju )," Problemy Zarzadzania, University of Warsaw, Faculty of Management, vol. 13(53), pages 247-260.
    12. Schwartz, Robert & Deber, Raisa, 2016. "The performance measurement–management divide in public health," Health Policy, Elsevier, vol. 120(3), pages 273-280.

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