Login

Join for Free!
118252 members
table of contents table of contents

Canada expressed interests in cross-national comparisons in an effort to promote knowledge …


Biology Articles » Health and Medicine » Adults' Health » Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

Abstract
- Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

Ali R Tawfik-Shukor1,2, Niek S Klazinga1 and Onyebuchi A Arah1,3

1Department of Social Medicine, Academic Medical Center, University of Amsterdam, PO Box 22700, 1100 DE Amsterdam, The Netherlands

2Netherlands Institute for Health Sciences, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, The Netherlands

3Center for Prevention and Health Services Research, National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven, The Netherlands

BMC Health Services Research 2007, 7:25doi:10.1186/1472-6963-7-25. [Open Access]

Abstract

Background

Given the proliferation and the growing complexity of performance measurement initiatives in many health systems, the Netherlands and Ontario, Canada expressed interests in cross-national comparisons in an effort to promote knowledge transfer and best practise. To support this cross-national learning, a study was undertaken to compare health system performance approaches in The Netherlands with Ontario, Canada.

Methods

We explored the performance assessment framework and system of each constituency, the embeddedness of performance data in management and policy processes, and the interrelationships between the frameworks. Methods used included analysing governmental strategic planning and policy documents, literature and internet searches, comparative descriptive tables, and schematics. Data collection and analysis took place in Ontario and The Netherlands. A workshop to validate and discuss the findings was conducted in Toronto, adding important insights to the study.

Results

Both Ontario and The Netherlands conceive health system performance within supportive frameworks. However they differ in their assessment approaches. Ontario's Scorecard links performance measurement with strategy, aimed at health system integration. The Dutch Health Care Performance Report (Zorgbalans) does not explicitly link performance with strategy, and focuses on the technical quality of healthcare by measuring dimensions of quality, access, and cost against healthcare needs. A backbone 'five diamond' framework maps both frameworks and articulates the interrelations and overlap between their goals, themes, dimensions and indicators. The workshop yielded more contextual insights and further validated the comparative values of each constituency's performance assessment system.

Conclusion

To compare the health system performance approaches between The Netherlands and Ontario, Canada, several important conceptual and contextual issues must be addressed, before even attempting any future content comparisons and benchmarking. Such issues would lend relevant interpretational credibility to international comparative assessments of the two health systems.


rating: 0.00 from 0 votes | updated on: 22 Jul 2009 | views: 4372 |

Rate article:







excellent!bad…