A conceptual framework for the OECD Health Care Quality Indicators Project

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ID: 296553
2006
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Abstract
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.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.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.
Reference Key
openalex_W2098987619 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Onyebuchi A. Arah, Gert P. Westert, Jeremy Hurst, Niek Klazinga
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Journal International journal for quality in health care : journal of the International Society for Quality in Health Care
Year 2006
DOI
10.1093/intqhc/mzl024
URL
https://academic.oup.com/intqhc/article-pdf/18/suppl_1/5/5090640/mzl024.pdf
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