Correlates of health and healthcare performance: applying the Canadian health indicators framework at the provincial-territorial level

Abstract

Background: Since, at the health system level, there is little research into the possible interrelationships among the various indicators of health, healthcare performance, non-medical determinants of health, and community and health system characteristics, we conducted this study to explore such interrelationships using the Canadian Health Indicators Framework.

Welfare generosity and population health among Canadian provinces: a time-series cross-sectional analysis, 1989–2009

“…In particular, we find that expenditures on medical care and preventive care are the central features of health spending that affect population health 26. Medical care spending includes outlays on drug programmes; dental and visiting-nurse services; and outpatient hospital care services, public residential care facilities, workers’ compensation boards and other public health institutions 33.…”

“…Most studies have examined the cross-national impact of government expenditures among Organisation for Economic Co-operation and Development (OECD)3 17–24 and European countries 7 12 25. Comparatively less work has examined the expenditure–health link within subnational contexts (exceptions include Canada26 and the USA10 27). Similarly, studies have relied heavily on aggregate expenditures such as healthcare17–20 23 25 and social welfare,3 19 21 23 24 and less on disaggregated measures (exceptions include spending on primary, secondary and higher education;10 active labour market programmes;22 and police and roads27).…”

The national Indigenous health performance measurement system

“…47 The Australian framework has been described as non-hierarchical, in that the different tiers do not nest within lower or higher levels of the health system. Rather, the relationships between the different components have been characterised as relational "as it pays atten-Indigenous Health tion to other contextual variables that may considerably influence health care inputs, process, outputs or outcomes" 7 (p. 386).…”

Measuring the performance of urban healthcare services: results of an international experience

“…[14][15][16][17] In fact, some specific studies have been carried out comparing the performance of healthcare services among countries, and within countries, looking for the relationship between health results, health determinants and resources. [18][19][20][21][22][23][24] Additionally, this kind of approach could be used to assess health sector reforms and compare healthcare providers. 25 26 However, the present initiative is the first at the city level, which confirms the uniqueness of this project, and could be an incentive for other cities interested in this kind of framework.…”