Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review
Abstract Background Patients’ increasing needs and expectations require an overall assessment of hospital performance. Several international agencies have defined performance indicators sets but there exists no unanimous classification. The Impact HTA Horizon2020 Project wants to address this aspect...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05879-y |
| _version_ | 1818339969698103296 |
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| author | Elettra Carini Irene Gabutti Emanuela Maria Frisicale Andrea Di Pilla Angelo Maria Pezzullo Chiara de Waure Americo Cicchetti Stefania Boccia Maria Lucia Specchia |
| author_facet | Elettra Carini Irene Gabutti Emanuela Maria Frisicale Andrea Di Pilla Angelo Maria Pezzullo Chiara de Waure Americo Cicchetti Stefania Boccia Maria Lucia Specchia |
| author_sort | Elettra Carini |
| collection | DOAJ |
| description | Abstract Background Patients’ increasing needs and expectations require an overall assessment of hospital performance. Several international agencies have defined performance indicators sets but there exists no unanimous classification. The Impact HTA Horizon2020 Project wants to address this aspect, developing a toolkit of key indicators to measure hospital performance. The aim of this review is to identify and classify the dimensions of hospital performance indicators in order to develop a common language and identify a shared evidence-based way to frame and address performance assessment. Methods Following the PRISMA statement, PubMed, Cochrane Library and Web of Science databases were queried to perform an umbrella review. Reviews focusing on hospital settings, published January 2000–June 2019 were considered. The quality of the studies selected was assessed using the AMSTAR2 tool. Results Six reviews ranging 2002–2014 were included. The following dimensions were described in at least half of the studies: 6 studies classified efficiency (55 indicators analyzed); 5 studies classified effectiveness (13 indicators), patient centeredness (10 indicators) and safety (8 indicators); 3 studies responsive governance (2 indicators), staff orientation (10 indicators) and timeliness (4 indicators). Three reviews did not specify the indicators related to the dimensions listed, and one article gave a complete definition of the meaning of each dimension and of the related indicators. Conclusions The research shows emphasis of the importance of patient centeredness, effectiveness, efficiency, and safety dimensions. Especially, greater attention is given to the dimensions of effectiveness and efficiency. Assessing the overall quality of clinical pathways is key in guaranteeing a truly effective and efficient system but, to date, there still exists a lack of awareness and proactivity in terms of measuring performance of nodes within networks. The effort of classifying and systematizing performance measurement techniques across hospitals is essential at the organizational, regional/national and possibly international levels to deliver top quality care to patients. |
| first_indexed | 2024-12-13T15:35:27Z |
| format | Article |
| id | doaj.art-fc730019ddef42d5b847e6e4ec966af0 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-13T15:35:27Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-fc730019ddef42d5b847e6e4ec966af02022-12-21T23:40:03ZengBMCBMC Health Services Research1472-69632020-11-0120111310.1186/s12913-020-05879-yAssessing hospital performance indicators. What dimensions? Evidence from an umbrella reviewElettra Carini0Irene Gabutti1Emanuela Maria Frisicale2Andrea Di Pilla3Angelo Maria Pezzullo4Chiara de Waure5Americo Cicchetti6Stefania Boccia7Maria Lucia Specchia8Fondazione Policlinico Universitario A. Gemelli IRCCSAlta Scuola di Economia e Management dei Sistemi Sanitari (ALTEMS), Università Cattolica del Sacro CuoreDipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro CuoreDipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro CuoreDipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro CuoreDipartimento di Medicina Sperimentale, Università di PerugiaAlta Scuola di Economia e Management dei Sistemi Sanitari (ALTEMS), Università Cattolica del Sacro CuoreFondazione Policlinico Universitario A. Gemelli IRCCSFondazione Policlinico Universitario A. Gemelli IRCCSAbstract Background Patients’ increasing needs and expectations require an overall assessment of hospital performance. Several international agencies have defined performance indicators sets but there exists no unanimous classification. The Impact HTA Horizon2020 Project wants to address this aspect, developing a toolkit of key indicators to measure hospital performance. The aim of this review is to identify and classify the dimensions of hospital performance indicators in order to develop a common language and identify a shared evidence-based way to frame and address performance assessment. Methods Following the PRISMA statement, PubMed, Cochrane Library and Web of Science databases were queried to perform an umbrella review. Reviews focusing on hospital settings, published January 2000–June 2019 were considered. The quality of the studies selected was assessed using the AMSTAR2 tool. Results Six reviews ranging 2002–2014 were included. The following dimensions were described in at least half of the studies: 6 studies classified efficiency (55 indicators analyzed); 5 studies classified effectiveness (13 indicators), patient centeredness (10 indicators) and safety (8 indicators); 3 studies responsive governance (2 indicators), staff orientation (10 indicators) and timeliness (4 indicators). Three reviews did not specify the indicators related to the dimensions listed, and one article gave a complete definition of the meaning of each dimension and of the related indicators. Conclusions The research shows emphasis of the importance of patient centeredness, effectiveness, efficiency, and safety dimensions. Especially, greater attention is given to the dimensions of effectiveness and efficiency. Assessing the overall quality of clinical pathways is key in guaranteeing a truly effective and efficient system but, to date, there still exists a lack of awareness and proactivity in terms of measuring performance of nodes within networks. The effort of classifying and systematizing performance measurement techniques across hospitals is essential at the organizational, regional/national and possibly international levels to deliver top quality care to patients.http://link.springer.com/article/10.1186/s12913-020-05879-yHospital performancePerformance dimensionsPerformance measurementHospital evaluationQualityIndicator |
| spellingShingle | Elettra Carini Irene Gabutti Emanuela Maria Frisicale Andrea Di Pilla Angelo Maria Pezzullo Chiara de Waure Americo Cicchetti Stefania Boccia Maria Lucia Specchia Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review BMC Health Services Research Hospital performance Performance dimensions Performance measurement Hospital evaluation Quality Indicator |
| title | Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review |
| title_full | Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review |
| title_fullStr | Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review |
| title_full_unstemmed | Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review |
| title_short | Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review |
| title_sort | assessing hospital performance indicators what dimensions evidence from an umbrella review |
| topic | Hospital performance Performance dimensions Performance measurement Hospital evaluation Quality Indicator |
| url | http://link.springer.com/article/10.1186/s12913-020-05879-y |
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