Health care performance comparison using a disease-based approach: The EuroHOPE project

Unto Häkkinen, Tor Iversen, Mikko Peltola, Timo T. Seppälä, Antti Malmivaara, Éva Belicza, Giovanni Fattore, Dino Numerato, Richard Heijink, Emma Medin and Clas Rehnberg

Health Policy, 2013, vol. 112, issue 1, 100-109

Abstract: This article describes the methodological challenges associated with disease-based international comparison of health system performance and how they have been addressed in the EuroHOPE (European Health Care Outcomes, Performance and Efficiency) project. The project uses linkable patient-level data available from national sources of Finland, Hungary, Italy, The Netherlands, Norway, Scotland and Sweden. The data allow measuring the outcome and the use of resources in uniformly-defined patient groups using standardized risk adjustment procedures in the participating countries. The project concentrates on five important disease groups: acute myocardial infarction (AMI), ischemic stroke, hip fracture, breast cancer and very low birth weight and preterm infants (VLBWI). The essentials of data gathering, the definition of the episode of care, the developed indicators concerning baseline statistics, treatment process, cost and outcomes are described. The preliminary results indicate that the disease-based approach is attractive for international performance analyses, because it produces various measures not only at country level but also at regional and hospital level across countries. The possibility of linking hospital discharge register to other databases and the availability of comprehensive register data will determine whether the approach can be expanded to other diseases and countries.

Keywords: Performance measurement; Health care; Disease-based approach; Episode; Outcome; Cost (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (10)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:112:y:2013:i:1:p:100-109

DOI: 10.1016/j.healthpol.2013.04.013

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