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Table 3 Clustering of terms used in the literature according to the framework’s constructs

From: Combining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework

Constructs Mapped terms Constructs Mapped terms
1. Measurable constructs
 Patients’ needs and expectations Health care needs / Healthcare needs / Living with illness or disability / chronic care / Risk behaviours / Non-health care determinants of health / Social determinants - genetic endowment, social position, life conditions, physical environment, individual response Resources and structures Acquisition of resources / Care cost / Cost / Expenditure / Health workforce, information, medical products vaccines and technologies / Health system resources / Infrastructure / Per capita cost / Resource allocation / Staff
 Services Provision / Volume of care and services / Health promotion / Prevention / Service use Outcomes Helping people to recover form episodes of ill health or following injury / Getting better / / Improve health status / Coping with end of life / Enhancing quality of life for people with long-term conditions / Health improvement / Choice /
 Processes and functions and context Organisation and regulation / Climate / Individual engagement / Coordination / Care coordination / Coordinated care / Integrated care / Integration of production / Leadership and governance / Stewardship / Health system design, policy and context / Financing, leadership and governance / Community engagement / Community support / Consensus on values / Context – political, demographic, economic / Context – environmental, demographic, epidemiological, political, legal, economic, social, technological / Work environment
2. Functional and relational constructs of performance – Patient perspective
 Coverage Comprehensiveness / Coverage / Financial risk protection / Social and financial risk protection Accessibility Access / Access to comprehensive integrated health services / Access to care / Accessibility / Affordability / Cost related problems / Timely / Timeliness / Quality (access safety effect)a
 Appropriateness Appropriate treatment / Appropriateness / Conformity to standards / Art of care and respect / Consumer satisfaction / Ensuring that people have a positive experience of care / Experience of care / Individual patient experiences / Patient experience / Patient experience with health services / Patient centredness / Person centred / Responsiveness / Engaged people / Continuity Safety Safe care / Safety / Treating and caring for people in a safe environment and protecting them from avoidable harm / Quality, safety and appropriateness of health services / Quality (access safety effectiveness)a
3. Functional and relational constructs of performance – static system perspective 4. Functional and relational constructs of performance – dynamic system perspective
 Productivity Inputs per output unit / Productivity Adaptability Adaptation to population health needs / Adjustment to population health needs / Health system innovation and learning capacity / Improve health systems responsiveness / Innovation and learning / System and workforce innovation.
 Effectiveness Clinical effectiveness / Effectiveness / Effective treatment / Effective care / Program effectiveness / Quality (access safety effectiveness)a Resilience Responsive governance
 Efficiency Cost effectiveness / Efficiency / Efficient allocation of resources / Improve value for money Sustainability Attraction of clientele / Creating resources / Employees’ health / Sustainability / Work satisfaction
5. Goal attainment constructs of performance – population perspective
 Equity Equity / Equity in financing Impact Healthy lives / living / Healthy people / Healthy behaviours / Healthy social circumstances / Health / Health status / Improved health (level and equity) / Population health / Preventing people from dying prematurely / Primary prevention / Stakeholder satisfaction.
  1. aMapped to more than one construct