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A performance measurement framework for the Canadian health system : Cadre de mesure de la performance du système de santé canadien : mise à jour en novembre 2013




These outcomes are the improvement of the level and distribution of health in the population, the health system’s responsiveness to the needs and demands of Canadians and value for money to ensure health system sustainability. [...] Well-being reflects the level of physical, mental and social well-being of individuals and of populations as it relates to material conditions, quality of life and sustainability of well-being over time.1 Health system responsiveness corresponds to the capacity of the health system to respond to the needs and expectations of the population.2 It also includes the element of trust in the health syst [...] Health system inputs and characteristics (framework quadrant 4) refer to the relatively stable characteristics of the health system, including the governance and leadership capacities in the system, the resources available for use, the distribution and allocation of those resources, the capacity to adjust and adapt to meet population health needs, and the innovation and learning capacities of the [...] The dimension of equity spans the first two of these goals and other dimensions of the framework, as shown in Figure 1. The first and defining goal of the health system is to improve the health status of the population,2 where “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”14 As such, this dimension is subdivided into thr [...] This is a second ultimate health system goal that the World Health Organization (WHO) calls health system responsiveness.2 Trust corresponds to the population’s confidence in the health system;3 it results from the quality of interactions between patients and providers and the congruence between the health system and societal values.16 Some authors argue that the organization and practices of the


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