Print version ISSN 0213-9111
GARCIA-ALTES, Anna and GRUPO DE ANALISIS DEL DESEMPENO DE LOS SERVICIOS SANITARIOS DE CATALUNA et al. Performance assessment of health services in Catalonia (Spain): evaluation of initial results of the Catalan healthcare service project. Gac Sanit [online]. 2009, vol.23, n.5, pp. 465-472. ISSN 0213-9111. http://dx.doi.org/10.1590/S0213-91112009000500019.
Performance assessment of healthcare services is receiving greater attention due to increasing health care expenditures, greater expectations among the population, and the need to obtain results from the invested resources. Taking advantage of the existing experience of the Agència de Salut Pública de Barcelona and the Consorci Sanitari de Barcelona, which compared the healthcare services of Barcelona and Montreal, a grant from the Agència d'Avaluació de Tecnologia i Recerca Mèdiques, and the health planning interest of the Departament de Salut, the performance assessment of the Catalan healthcare service project was started in Catalonia in 2005. This article aims to present the development of the project, to provide some examples that illustrate the kind of numerical and graphical information that could be obtained and the kind of analysis that could be performed, to provide possible explanations for the results shown, and to discuss some limitations and implications. Currently, the added value of this project is that it identifies the extent to which the healthcare system is achieving its objectives, establishes a set of homogeneous indicators that could be used in the future, and is a key tool in the development of the Central de Resultats del Departament de Salut de la Generalitat de Catalunya.
Keywords : Outcome assessment (health care); Clinical practice variations; Health inequalities.