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Table 1 Examples of Core CHS Performance indicators

From: Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China

Category (n)

Examples of Core Indicators

Source of data

Inputs (31)

Health Human Resources

• % of qualified health care providers (physicians, nurses, nurse practitioners) in CHS

Health authority records

 

Material Resources

• % of sub-districts who have at least one community health center

Health authority records

 

Fiscal Resources

• Amount of financial investment for capital infrastructure

Health authority records

Activities (64)

Policy and governance level

• The percentage of CHS facilities that can be reimbursed through publicly funded health insurance

Health authority records

 

Health care management level

• % of PHC providers who completed a two-way referral of patients-a patient is referred for more specialized services or services unavailable through the CHS and that more specialized services (e.g., internal medicine) refer patients to CHS facilities as their place of first contact with the health system

Health authority records

 

Clinical level

• % of CHS facilities who can offer Chinese traditional medicine

Health authority records

Outputs (105)

Type

• % of PHC organizations who currently provide the following public health services (health education, illness prevention, etc

CHS facility

 

Volume

• % of patients with hypertension who have health care coordinated by a case manager

CHS facility

 

Quality

• % of patients who have a regular doctor

• % of patients who were referred to other doctors and have information back.

• % of patients who report that they were given enough time to discuss their feeling, fears and concerns

• % of patients who rated the quality of CHS good or excellent

Patient survey

Immediate outcomes (65)

Increased individual capacity

• % of residents who have increased knowledge, skills, and confidence to manager their health

Patient survey

 

Reduced risk of ill-health and duration and effects of acute conditions

• Incidence rate of 0-3 year old children with low weight

CHS facility

 

Stabilization of Chronic Conditions

• Control rate of patients with chronic diseases (such as hypertension)

CHS facility

 

Maintain or improve satisfaction of health care workforce

• CHS provider satisfaction with CHS sector

Provider survey

Intermediate outcomes (15)

Healthy Choices and Behaviors

• % of population who currently engage in regular physical activity

Patient survey

 

Improve prevention of complications and acute exacerbations

• Hospitalization rate of patients with chronic diseases

Patient survey

 

Public acceptability of CHS

• Patients' satisfaction with CHS

Patient survey

 

Appropriateness of place and provider

• % of patients who first see a CHS physician

Patient survey

Final outcomes (7)

Better health outcome

• Decreased premature mortality

National reports (government)

 

Health care system equity

• Distribution of health outcome among different populations

National reports (government)

 

Lower costs of health system

• Health expenditure per capita in international dollars

National reports (government)

 

Public satisfaction with health system

• Residents' satisfaction with health system

Patient survey