Uncomfortable trade-offs: Canadian policy makers’ perspectives on setting objectives for their health systems

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• 作者：Julia Abelson^a ; ^b ; ^{abelsonj@mcmaster.ca} ; Sara Allin^c ; ^{sallin@cihi.ca} ; Michel Grignon^b ; ^d ; ^e ; ^{grignon@mcmaster.ca} ; Dianna Pasic^b ; Marjan Walli-Attaei^b ; ^f ; ^{walliam@mcmaster.ca}
• 关键词：Health system ; Decision makers ; Qualitative research ; Performance measurement
• 刊名：Health Policy
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：121
• 期：1
• 页码：9-16
• 全文大小：125 K
• 卷排序：121

文摘

Studies of health system performance can benefit from seeking health policy makers' views about health system objectives and desired outcomes. Health care delivery and population health goals are the most clearly stated objectives for health systems. Acute care system objectives are routinely prioritized over population health, prevention and chronic disease management. Policy makers face challenges operationalizing objectives into measurable outcomes, which involve setting priorities and making trade offs. The results of this study can be used to improve the quality and uptake of health system performance studies.