Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view
While most performance judgements are value-relative, in health systems reform it is important to focus on intermediate performance measures like healthcare access, quality of care and efficiency in healthcare on health status of population, the satisfaction of patients, and the degree to which serv...
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| Format: | Article |
| Language: | English |
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Edizioni FS
2020-09-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | https://journalhss.com/wp-content/uploads/jhss_53_309-316.pdf |
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| author | Yamin Tauseef JAHANGIR Elena NEITERMAN Craig R. JANES Samantha B. MEYER |
| author_facet | Yamin Tauseef JAHANGIR Elena NEITERMAN Craig R. JANES Samantha B. MEYER |
| author_sort | Yamin Tauseef JAHANGIR |
| collection | DOAJ |
| description | While most performance judgements are value-relative, in health systems reform it is important to focus on intermediate performance measures like healthcare access, quality of care and efficiency in healthcare on health status of population, the satisfaction of patients, and the degree to which services are made equi- table. However, to date these concepts are not well-defined, remain fairly ambiguous and, consequently, are also not well-measured. Therefore, such concepts do not provide sufficient information to inform changes to the health system that may improve population level outcomes related to structural factors. Our paper established an argument and from our viewpoints we provide a more conceptual clarification on how these three intermediate variables may shape assessments in health system performance, while drawing from the Canadian healthcare system performance gaps and placing them as evidence. We found an immediate need for patient-centred outcome measures in service and clinical quality instead of surrogate outcome measures, need for improved measures on the rate of service utilization such as in terms of service-orientation and pa- tient satisfaction, and a need for more robust approach in measuring allocative efficiency in healthcare to be the key areas of strengthening performance assessments. These intermediate variables can play an important role in Canadian policy and also would have dominant roles in legislative agenda and outcome, which can be both responsive and influential. |
| format | Article |
| id | doaj-art-13cac80f7151472e946536ae887f25c6 |
| institution | Kabale University |
| issn | 2499-5886 2499-2240 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Edizioni FS |
| record_format | Article |
| series | Journal of Health and Social Sciences |
| spelling | doaj-art-13cac80f7151472e946536ae887f25c62025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-58862499-22402020-09-015330931610.19204/2020/hlth2Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service viewYamin Tauseef JAHANGIR0Elena NEITERMAN1Craig R. JANES2Samantha B. MEYER3 PhD, School of Public Health and Health Systems, University of Waterloo, Ontario, N2L 3G1, Canada. Lecturer, Department of Public Health, North South University, Dhaka 1229, BangladeshPhD, Continuing Lecturer, School of Public Health and Health Systems, University of Waterloo, Ontario, N2L 3G1, CanadaPhD, Professor; Director, School of Public Health and Health Systems, University of Waterloo, Ontario, N2L 3G1, CanadaPhD, Associate Professor, School of Public Health and Health Systems, University of Waterloo, Ontario, N2L 3G1, CanadaWhile most performance judgements are value-relative, in health systems reform it is important to focus on intermediate performance measures like healthcare access, quality of care and efficiency in healthcare on health status of population, the satisfaction of patients, and the degree to which services are made equi- table. However, to date these concepts are not well-defined, remain fairly ambiguous and, consequently, are also not well-measured. Therefore, such concepts do not provide sufficient information to inform changes to the health system that may improve population level outcomes related to structural factors. Our paper established an argument and from our viewpoints we provide a more conceptual clarification on how these three intermediate variables may shape assessments in health system performance, while drawing from the Canadian healthcare system performance gaps and placing them as evidence. We found an immediate need for patient-centred outcome measures in service and clinical quality instead of surrogate outcome measures, need for improved measures on the rate of service utilization such as in terms of service-orientation and pa- tient satisfaction, and a need for more robust approach in measuring allocative efficiency in healthcare to be the key areas of strengthening performance assessments. These intermediate variables can play an important role in Canadian policy and also would have dominant roles in legislative agenda and outcome, which can be both responsive and influential.https://journalhss.com/wp-content/uploads/jhss_53_309-316.pdfcanada; healthcare and policy; healthcare access; healthcare outcome indicators; quality of care. |
| spellingShingle | Yamin Tauseef JAHANGIR Elena NEITERMAN Craig R. JANES Samantha B. MEYER Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view Journal of Health and Social Sciences canada; healthcare and policy; healthcare access; healthcare outcome indicators; quality of care. |
| title | Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view |
| title_full | Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view |
| title_fullStr | Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view |
| title_full_unstemmed | Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view |
| title_short | Healthcare access, quality of care and efficiency as healthcare performance measures: A Canadian health service view |
| title_sort | healthcare access quality of care and efficiency as healthcare performance measures a canadian health service view |
| topic | canada; healthcare and policy; healthcare access; healthcare outcome indicators; quality of care. |
| url | https://journalhss.com/wp-content/uploads/jhss_53_309-316.pdf |
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