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Table 4 Top three indicators ranked by HSPA domain frequency

From: Headline indicators for monitoring the performance of health systems: findings from the european Health Systems_Indicator (euHS_I) survey

Domain

Name of indicator

Ranking bya

Frequencies

HSPA domain

Headline

Individual preferences

HSPA domainb

Headlinec

N responded

assessed for domain %

N responded

assessed for headline per HSPA domain %

Access

Share of population covered by health insurance

1

1

1

69

96%

43

65%

Self-reported unmet need for medical care (total by reason: cost, waiting time, distance)

2

3

na

68

91%

25

40%

Accessibility to acute care

3

2

3

66

92%

26

43%

Efficiency

Average length of stay (ALOS), total and selected diagnoses

1

39

1

58

84%

7

14%

Hospital beds

2

2

na

61

79%

18

38%

Hospital day-cases, total and selected diagnoses

3

14

na

60

78%

11

23%

Quality of Care

Prevalence and incidence rate of hospital-acquired infections (% of patients hospitalised)

1

4

3

50

90%

21

47%

Vaccination coverage in children

2

1

na

52

85%

29

66%

Rate of patients with colorectal tumour receiving chemotherapy whose treatment started within two months following surgery

2

35

na

65

68%

8

18%

Screening rates for selected cancers (breast, cervical, colon)

4

5

na

51

84%

29

66%

Equity

Percentage of households experiencing high levels/catastrophic of out-of-pocket health expenditures

1

7

3

68

63%

14

33%

Self-reported unmet need for medical care (total by reason: cost, waiting time, distance)

2

2

na

68

62%

20

48%

Private household out-of-pocket expenditure as a proportion of total health expenditure

3

19

na

67

61%

10

24%

Health Status

Life expectancy

1

2

1

52

90%

35

74%

Healthy Life Years (HLY)

2

3

1

51

82%

26

62%

Infant mortality rate

3

1

4

50

78%

30

77%

Health Determinants

At risk of poverty or social exclusion rate

1

34

na

45

89%

7

18%

Body Mass Index

2

3

2

44

82%

17

47%

Prevalence of different smoking status, self-reported

2

4

1

43

84%

16

44%

Unemployment rate

4

56

na

45

78%

5

14%

  1. na not available
  2. athe statistical rank of the respective indicator based on the HSPA domain or headline level per HSPA domain frequency. If there are duplicate values in the ranking, these are given the same rank
  3. b\( HSPA\ {domain\ frequency}_{i\ d}=\sum \limits_{r=1}^N{x}_r \),
  4. c\( Headline\ level\ per\ {HSPA\ frequency}_{i\ d\ h}=\sum \limits_{r=1}^N{y}_r \)where i is indicator ID, d is domain name (access / efficiency / equity / quality of care / health status / health determinants), h is headline level, x is received score for domain, y is received score for headline level, r is questionnaire ID