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

Highlights • 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 objective...

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Bibliographic Details
Published in:Health policy (Amsterdam) 2017-01, Vol.121 (1), p.9-16
Main Authors: Abelson, Julia, Allin, Sara, Grignon, Michel, Pasic, Dianna, Walli-Attaei, Marjan
Format: Article
Language:English
Subjects:
Accountability
Acute services
Administrative Personnel - psychology
Canada
Clinical outcomes
Colonies & territories
Decision makers
Delivery of Health Care
Goal setting
Health administration
Health care policy
Health Policy
Health Priorities
Health status
Health system
Humans
Internal Medicine
Interviews as Topic
Legislators
Mass media
Organizational Objectives
Patients
Performance indicators
Performance measurement
Policy making
Provinces
Public finance
Qualitative Research
Respondents
Trade policy
Uptake
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Summary:Highlights • 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.
ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2016.10.007