Rethinking Healthcare Performance Evaluation Systems towards the People-Centredness Approach: Their Pathways, their Experience, their Evaluation

Abstract

Patient experience should be the starting point to achieve a high quality of care. Coherently, healthcare performance evaluation systems, driving the change in line

Performance of care for end‐of‐life cancer patients in Tuscany: The interplay between place of care, aggressive treatments, opioids, and place of death. A retrospective cohort study

“…Moreover, the socioeconomic characteristics of individuals, their functional and care needs, and their support networks can have an impact together with local care practice patterns and capacity of healthcare services . An advanced debate on the appropriateness and quality of EOL care has been possible thanks to the availability of large‐scale administrative data on healthcare service use and the introduction of performance measurement systems in the healthcare sector as well as for specific clinical pathways …”

Technocratic recentralization in the French health care system: A critical evaluation

“…The focus on DRG accounting has, until recently, ignored quality issues. Though quality indicators are prerequisite to patient‐centeredness and pay‐for‐performance mechanisms, they are nearly nonexistent in France, as are measures of patient satisfaction due to a lack of a structured policy. Payments to hospitals are based on outputs (eg, volume and type of procedures) rather than outcomes (eg, quality of these procedures).…”

From Volumes to Valued Experiences: Measurement and the Challenge before Us

“…We were delighted to learn about the performance measurement system that has been successfully implemented by our Italian contributors (Nuti et al 2017). Since 2004, Tuscany (later to be joined by 12 other regions) has implemented a performance measurement system that enables them to measure an entire clinical pathway of specific patient groups (including maternal care, chronic care, oncology, among others).…”

“…Policy planners can get a systems' view of experience to inform policy priorities and planning. While mapping out a pathway for people with multiple co-morbidities and social care needs may be less straightforward than the examples shared by Nuti et al (2017), her example demonstrates that cross-sectoral performance measurement structures are not only possible but can be scaled up and spread to other jurisdictions. This Italian example addresses Wojtak's (2017) concern that, in focusing on cross-sectoral measurement, we would minimize a focus on "within sector" measurement, as Nuti et al (2017) suggest that we can do both.…”

“…First, Nuti et al (2017) described how the concept of value in healthcare is changing -from volumes (numbers of procedures, throughputs, etc.) to meaningful experiences of people; however, adopting this into performance measurement systems is challenging.…”