Performance measurement and performance management in OECD health systems

Health systems in OECD countries are under pressure to improve their performance. Against that background, this paper has three main aims: 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.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.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. 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 ... Toutes sortes de pressions s’exercent actuellement pour que les systemes de sante des pays de l’OCDE s’ameliorent. Dans ce contexte, on a adopte dans la presente etude trois principaux objectifs, a savoir : Comparer la definition de la performance des systemes de sante elabores par l’OMS et l’OCDE avec les cadres d’evaluation de la performance adoptes dans plusieurs pays de l’OCDE.Comparer les indicateurs cles de performance etablis a partir de ces definitions proposees. Un deuxieme objectif dans ce contexte, pourrait etre d’identifier de nouveaux parametres de performance qui pourraient eventuellement etre inclus dans Eco-Sante OCDE.Comparer les differents mecanismes de gestion de la performance dans les pays de l’OCDE retenus et faire ressortir les differences ; evaluer dans quelle mesure les faits indiquent que de nouveaux indicateurs et de nouvelles institutions ont ete mis en œuvre avec succes pour ameliorer la performance elle-meme. On a etudie les cadres ...