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

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Table 1
- Comparing health system performance assessment and management approaches in the Netherlands and Ontario, Canada

2006 Zorgbalans: Dutch health care performance report [21, 22]
Chapter 2: what is the quality of the care?	Chapter 3: how accessible is the health care?	Chapter 4: how much costs the health care?

The effectiveness of prevention (12 indicators, s, p, o*) The effectiveness of curative care services (20, p, o) The effectiveness of long-term care (8, o) The effectiveness of mental health care and substance abuse care (5, o) Consumer experiences with health care (2, o) Patient safety (6, p, o) Quality systems in health care (4, s) Innovation in health care (6, s, p)	Choice and access to care (2, p) Access to acute and life-saving care (5, o) Waiting times for regular care (4, o) Access according to needs (4, o) Financial access to care (8, o) Geographical access and regional distribution of care (2, o) Personnel and staffing (5, s, o) Health care professions and health care training (7, s)	Macro costs (10, s) The health care market (8, s) Labour productivity in health care (3, s, p) The financial position of care institutions (5, s)
Scope – 63 indicators, with a mix of s, p, o, within 8 themes	Scope – 37 indicators, mainly outcome, within 7 themes	Scope – 26 indicators, mainly structure, within 4 themes

* s – structure, p – process, o – outcome

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