Skip to main content

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