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Int J Qual Health Care. 2006 Sep;18 Suppl 1:5-13.

A conceptual framework for the OECD Health Care Quality Indicators Project.

Author information

1
Department of Social Medicine, University of Amsterdam, Amsterdam, The Netherlands. o.a.arah@amc.uva.nl

Abstract

ISSUES:

The Health Care Quality Indicator (HCQI) Project of the Organization for Economic Cooperation and Development (OECD), which is aimed at developing a set of indicators for comparing the quality of health care across OECD member countries, requires a balanced conceptual framework that outlines the main concepts and domains of performance that should be captured for the current and subsequent phases of the project.

ADDRESSING THE ISSUES:

This article develops a conceptual framework for the OECD's HCQI Project. It first argues that developing such a framework should start by addressing the question, 'performance of what-and to what ends?' We identify at least two different major classes of frameworks: (i) health and (ii) health care performance frameworks, both of which are in common use. For the HCQI, we suggest a conceptual framework that is largely a purposeful modification of the existing performance frameworks and which is driven by the health determinants model.

CONCLUSIONS:

The conceptual basis for performance frameworks can be traced back to the health determinants model. A health performance framework takes a broader, societal or public health view of health determination, whereas a health care performance takes a narrower, mostly clinical or technical view of health care in relation to health (needs). This article proposes an HCQI framework that focuses on the quality of health care, maintains a broader perspective on health and its other determinants, and recognizes the key aims of health policy.

PMID:
16954510
DOI:
10.1093/intqhc/mzl024
[Indexed for MEDLINE]
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