1. Niek Klazinga, Trnava, Thursday 20 2011
Measuring Health System Performance OECD’s Health Care Quality Indicator project
Niek Klazinga, Trnava, Thursday

2. .
Why measuring health system outcomes is important; from life expectancy to well-being
Combining public health research with Health Services research
Some observations on the Slovak Republic in OECD data on quality of care
How research can help

4. From PH to HSR Infectious diseases Cardio-vascular Diseases Cancer
Functioning acute care
Functioning primary care
Functioning cancer governance

5. Conceptual Framework OECD Health Care Quality Indicator
(HCQI) Project.
(shaded area represents the current focus of the HCQI Project)
Source: Arah OA, et al. A conceptual framework for the OECD Health Care Quality Indicators Project. International Journal Quality Health Care. 2006; Sep 18; Suppl.1:5-13. 5 5 5

6. Observations on Slovakia
Life expectancy at birth 74.3 (79.1)
Life expectancy at (20.2)
Adults in good health 34.4%(69.1)
Adult smoking 25 (23.6)
Alcohol use 8.9(9.7)
Obesitas 16.7 (15.4)

7. 30 day case fatality rates for AMI are improving

9. Breast Cancer survival is improving

10. Mammography screening, percentage of women aged 50- 69 screened, 2000 to 2009 (or nearest year)
1. Programme. 2. Survey.
Source: OECD Health Data 2011.

11. COPD hospital admission rates, population aged 15 and over, 2009 (or nearest year)
Portugal
France
Switzerland
Mexico
Slovenia
Italy
Malta
Sweden
Spain
Finland
Czech Republic
Netherlands
Latvia
Singapore
Canada
OECD
Germany
Slovak Republic
United Kingdom
Poland
Korea
Belgium
Iceland
United States
Israel
Norway
Hungary
Denmark
Austria
Australia
New Zealand
Ireland
Note: Rates are age-sex standardised to 2005 OECD population. 95% confidence intervals are represented by H.
Source: OECD Health Data 2011.

12. Asthma hospital admission rates, population aged 15 and over, 2009 (or nearest year)
Portugal
Canada
Mexico
Italy
Sweden
Germany
Netherlands
Switzerland
Iceland
Hungary
Denmark
Czech Republic
Slovenia
France
Ireland
Spain
Norway
Belgium
OECD
Austria
Australia
Israel
Poland
United Kingdom
Finland
Malta
New Zealand
Singapore
Korea
United States
Latvia
Slovak Republic
Note: Rates are age-sex standardised to 2005 OECD population. 95% confidence intervals are represented by H.
Source: OECD Health Data 2011.

13. How (outcome) research can help
Improving the underlying national data-infrastructure (registries, administrative databases, surveys)
Interpretation of the scores of Slovakia in international comparisons
Developing indicators
Analysing findings and differences
Evaluating policy interventions