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The share of people using ambulatory care that feel they were given the chance to ask questions or raise concerns varies three-fold across health systems…
… but we lack such critical information for nearly every other health care sector.
Source: OECD Health Statistics, 2016
PaRISPatient – Reported
Indicators SurveyThe next generation of OECD health statistics
We need to better understand what people themselves think of health care.
�l The OECD benchmarks some aspects of patient
experience in 19 countries, in ambulatory care…
… but we need to expand this survey to other
care settings (such as in-patient and mental
health care facilities), and to more countries.
�l Patient-reported outcome measures are in use for
some conditions, such as hip and knee surgery…
… but different measures in different countries
make international comparisons difficult.
�l And the biggest users of health care – people with multiple, long-term conditions – are not being asked at all.
The PaRIS initiative will address each of these critical information gaps and build a people-centred view of health system performance.
For further information contact:
Francesca ColomboHead of the OECD Health Division
www.oecd.org/health/PaRIS.htm
Follow us on Twitter: @OECD_Social
Information on data for Israel:
http://oe.cd/israel-disclaimer 33.6
69.8
75.8
78.4
82.8
83.2
83.4
85.0
86.7
88.3
88.3
91.8
92.0
92.2
92.5
94.0
94.0
94.4
95.3
97.7
0 20 40 60 80 100
Poland 1, 2
Japan 1
Sweden 2
Israel 1
France 2
Estonia 1, 2
Norway 2
OECD 19
United States 2
Australia 2
Canada 2
Portugal 1
New Zealand 2
United Kingdom 2
Netherlands 2
Germany 2
Czech Republic 1
Switzerland 2
Luxembourg 1
Belgium 1
Age-standardised rates per 100 patients1. National sources. 2. Data refer to patient experiences with regular doctor.Note: 95% confidence intervals represented by H.
Doctor giving opportunity to ask questions or raise concerns, 2013 (or latest year)
Images ©
Shutterstock.com
When is health care successful? When patients state that their well-being is better as a result.
Health systems seek to improve people’s well-being
and their ability to play an active role in society. Yet
health systems know very little about how often they
achieve this.
Cure and survival rates give only a partial picture of health system performance.
The success of health systems is typically measured by survival rates, or rates of cure, after treatment. Often, though, differences in clinical outcomes between the best- and worst-performing providers of care are small.
It is only when we measure outcomes reported by patients themselves – such as quality of life – that important differences in the outcomes of care emerge.
Patient-reported indicators measure whether people benefit from health care, not what their care providers do.
Patients report on outcomes that matter to them – whether treatment reduced their pain, for example, or if it helped them live more independently.
People also report on their experience of being treated – whether the treatment was properly explained, for example, or if they felt involved in decisions about their care.
Monitoring these indicators internationally will provide new tools to improve health care policy and practice.
Rates of knee replacement vary hugely across OECD health systems. Is this justified?
…asking the people who have had the operation is the way to find out. Source: Trends in knee replacement surgery, 2000–2014, selected countries; OECD Health Statistics, 2016
PaRIS will…
WHY THE OECD?
The OECD is a global leader in collecting, reporting and benchmarking health system performance and health care quality indicators.
The OECD is experienced in developing new surveys to benchmark international performance across diverse policy areas.
WHO WILL PaRIS HELP?
PATIENTS, by having their say on what treatments work best for them.
CLINICIANS, by better understanding how to improve the quality of the care they provide.
POLICY MAKERS, by having better information on where to focus quality improvement efforts and prioritise spending.
Accelerate and standardise international monitoring, in population groups where patient-reported indicators are already used.
– Priority groups will be patients who have experienced stroke, heart attack, cancer, hip and knee surgery, and mental illness.
– Close collaboration with international partners such as The Commonwealth Fund and the International Consortium for Health Outcomes Measurement will ensure state of the art indicators and surveys.
Develop new patient-reported indicators in critical areas of health care, where none currently exist.
– Priority groups in this case are patients with complex, long-term conditions such as diabetes or dementia and – in particular – patients with several conditions.
– We will survey these patients and carers directly, and publish new international benchmarks of health system performance.
0
50
100
150
200
250
300Austria Denmark
Finland France
Germany Portugal
Spain United Kingdom
Per 100 000 population
20002001
20022003
20042005
20062007
20082009
20102011
20122013
2014
When is health care successful? When patients state that their well-being is better as a result.
Health systems seek to improve people’s well-being
and their ability to play an active role in society. Yet
health systems know very little about how often they
achieve this.
Cure and survival rates give only a partial picture of health system performance.
The success of health systems is typically measured by survival rates, or rates of cure, after treatment. Often, though, differences in clinical outcomes between the best- and worst-performing providers of care are small.
It is only when we measure outcomes reported by patients themselves – such as quality of life – that important differences in the outcomes of care emerge.
Patient-reported indicators measure whether people benefit from health care, not what their care providers do.
Patients report on outcomes that matter to them – whether treatment reduced their pain, for example, or if it helped them live more independently.
People also report on their experience of being treated – whether the treatment was properly explained, for example, or if they felt involved in decisions about their care.
Monitoring these indicators internationally will provide new tools to improve health care policy and practice.
Rates of knee replacement vary hugely across OECD health systems. Is this justified?
…asking the people who have had the operation is the way to find out. Source: Trends in knee replacement surgery, 2000–2014, selected countries; OECD Health Statistics, 2016
PaRIS will…
WHY THE OECD?
The OECD is a global leader in collecting, reporting and benchmarking health system performance and health care quality indicators.
The OECD is experienced in developing new surveys to benchmark international performance across diverse policy areas.
WHO WILL PaRIS HELP?
PATIENTS, by having their say on what treatments work best for them.
CLINICIANS, by better understanding how to improve the quality of the care they provide.
POLICY MAKERS, by having better information on where to focus quality improvement efforts and prioritise spending.
Accelerate and standardise international monitoring, in population groups where patient-reported indicators are already used.
– Priority groups will be patients who have experienced stroke, heart attack, cancer, hip and knee surgery, and mental illness.
– Close collaboration with international partners such as The Commonwealth Fund and the International Consortium for Health Outcomes Measurement will ensure state of the art indicators and surveys.
Develop new patient-reported indicators in critical areas of health care, where none currently exist.
– Priority groups in this case are patients with complex, long-term conditions such as diabetes or dementia and – in particular – patients with several conditions.
– We will survey these patients and carers directly, and publish new international benchmarks of health system performance.
0
50
100
150
200
250
300Austria Denmark
Finland France
Germany Portugal
Spain United Kingdom
Per 100 000 population
20002001
20022003
20042005
20062007
20082009
20102011
20122013
2014
The share of people using ambulatory care that feel they were given the chance to ask questions or raise concerns varies three-fold across health systems…
… but we lack such critical information for nearly every other health care sector.
Source: OECD Health Statistics, 2016
PaRISPatient – Reported
Indicators SurveyThe next generation of OECD health statistics
We need to better understand what people themselves think of health care.
�l The OECD benchmarks some aspects of patient
experience in 19 countries, in ambulatory care…
… but we need to expand this survey to other
care settings (such as in-patient and mental
health care facilities), and to more countries.
�l Patient-reported outcome measures are in use for
some conditions, such as hip and knee surgery…
… but different measures in different countries
make international comparisons difficult.
�l And the biggest users of health care – people with multiple, long-term conditions – are not being asked at all.
The PaRIS initiative will address each of these critical information gaps and build a people-centred view of health system performance.
For further information contact:
Francesca ColomboHead of the OECD Health Division
www.oecd.org/health/PaRIS.htm
Follow us on Twitter: @OECD_Social
Information on data for Israel:
http://oe.cd/israel-disclaimer 33.6
69.8
75.8
78.4
82.8
83.2
83.4
85.0
86.7
88.3
88.3
91.8
92.0
92.2
92.5
94.0
94.0
94.4
95.3
97.7
0 20 40 60 80 100
Poland 1, 2
Japan 1
Sweden 2
Israel 1
France 2
Estonia 1, 2
Norway 2
OECD 19
United States 2
Australia 2
Canada 2
Portugal 1
New Zealand 2
United Kingdom 2
Netherlands 2
Germany 2
Czech Republic 1
Switzerland 2
Luxembourg 1
Belgium 1
Age-standardised rates per 100 patients1. National sources. 2. Data refer to patient experiences with regular doctor.Note: 95% confidence intervals represented by H.
Doctor giving opportunity to ask questions or raise concerns, 2013 (or latest year)
Images ©
Shutterstock.com
