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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


MORERA-SALAS, Melvin. Systematic review of hospital performance assessment indicators. Acta méd. costarric [online]. 2013, vol.55, n.2, pp.70-78. ISSN 0001-6002.

Background: The objective of this study is to undertake a systematic review of the international scientific literature to identify hospital performance indicators which have the potential to be implemented in the Costa Rican public hospital system. Methods: A literature review was undertaken using MEDLINE to identify relevant studies published between March 1, 2000 and September 30, 2011. The following search terms were used: “hospital performance indicators”, “hospital inpatient quality indicators”, “hospital performance and top 100 hospitals”. Afiliación del autor: Dirección Compra de Servicios de Salud, Caja Costarricense de Seguro Social * Results: From 994 potentially relevant articles, 56 met the inclusion criteria: 5% measure the impact of quality-strategies on hospital final outputs, 13% are systematic reviews about hospital performance indicators, 22% describe the conceptual framework and the indicators for quality projects and 60% include various methodological topics about hospital performance indicators. We identified 23 agencies that measure hospital performance. There are 383 indicators related to these agencies: 51% are indicators on patient safety, 29% on efficiency and 10% are related to the timeliness and patient-centered care. Conclusion: There is large number of available hospital performance indicators that could be applied in the Costa Rican public hospital system. In order to be successfully implemented, they must meet certain requirements: review of the current quality framework, definition of the measures, data collection, adequate analysis and interpretation and action upon the results.

Keywords : Quality of healthcare; quality of healthcare indicators; quality assurance in healthcare. (source: MESH)..

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