Health Care Quality Framework

Health care quality is a core dimension of health system performance. Quality in health care means that the care provided is:

Effective: achieving desirable outcomes, given the correct provision of evidence-based healthcare services to all who could benefit, but not to those who would not benefit
Safe: reducing harm caused in the delivery of health care processes
Patient-centred: placing the patient/user at the center of its delivery of healthcare

OECD Framework for Health System Performance Measurement

Health-system-performance-measurement-framework

The Health Care Quality and Outcomes programme previous known as Health Care Quality Indicators (HCQI) Project was initiated in 2001. The aim was to develop and report indicators for international comparisons of health care quality. Over the past twenty years, data collection and analysis have been carried out, progressively expanding the coverage of the dimensions within the framework above and the number of countries involved. A continuous dialogue occurs between the OECD secretariat and a representative group of experts from OECD and non-OECD countries, international organisations including the World Health Organization and the European Commission and other relevant collaborating institutions, including universities, subject matter experts and research organisations.

DATA

In 2018, the OECD HCQI data collection process included a total of 59 indicators covering the following ‘themes’: Primary Care, Prescribing, Acute Care, Mental Health Care, Cancer Care, Patient Safety, and Patient Experiences. The collection reports data from 35 countries, including non-OECD member countries such as Singapore.

All indicators are available in the OECD Health Statistics database in the Health Care Quality Indicators dataset in OECD.Stat:

Health Care Quality Indicators (full dataset)	Primary Care
Prescribing in Primary Care	Acute Care
Mental Health Care	Patient Safety
Patient Experiences	Cancer Care

Data and information on quality indicators for communicable diseases (screening and immunisation), cancer (screening and mortality) along with various other indicators related to lifestyle and prevention can be found through the database OECD Health Statistics and in Health at a Glance 2017: Chapter 6 on Quality and Outcomes of Care.

Health policies and data

Health Care Quality Framework