2013
DOI: 10.1016/j.healthpol.2013.01.018
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Resolving the challenges in the international comparison of health systems: The must do's and the trade-offs

Abstract: Countries are increasingly publishing health system performance statistics alongside those of their peers, to identify high performers and achieve a continuously improving health system. The aim of the paper is to identify, and discuss resolution of, some key methodological challenges, which arise when comparing health system performance. To illustrate the issues, we focus on two OECD flagship initiatives: the System of Health Accounts (SHA) and the Health Care Quality Indicators (HCQI) project and refer to tw… Show more

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Cited by 29 publications
(30 citation statements)
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“…The DHCPR is connected to several international networks, such as the OECD Health Data, and exchanges experiences with several other countries. Organizations like the WHO, OECD, and the European Observatory on Health Systems and Policies contributed largely to the body of knowledge on the HSPA from which we can profit [21]. …”
Section: Lessons Learnedmentioning
confidence: 99%
“…The DHCPR is connected to several international networks, such as the OECD Health Data, and exchanges experiences with several other countries. Organizations like the WHO, OECD, and the European Observatory on Health Systems and Policies contributed largely to the body of knowledge on the HSPA from which we can profit [21]. …”
Section: Lessons Learnedmentioning
confidence: 99%
“…• Co-payment 2 2 We use the term 'co-payment' to refer to co-payments and co-insurance. Both are cost-sharing arrangements which require the individual covered to pay part of the cost of care.…”
Section: Definitionsmentioning
confidence: 99%
“…Health data have a central role to play in supporting stewardship and decision-making by both policy makers and other stakeholders [1][2][3]. OECD Health Data are a well-known source for detailed information about health expenditure.…”
Section: Introductionmentioning
confidence: 99%
“…3 Finally, even if much policy attention has been drawn to the large and persistent geographical variation in health-care expenditure, 4-6 we focused our analysis at country level. The use of more granular data would have made international comparisons diffi cult, 7 although we acknowledge that analyses at a lower geographical level might provide additional information about the possible causes of the trends observed. Data from OECD collections were complemented by national sources and publications.…”
Section: Introductionmentioning
confidence: 99%