Mortality-based indicators for measuring health system performance and population health in high-income countries: a systematic review (SYSTEMATIC REVIEW)
Dublin Core
Title
Mortality-based indicators for measuring health system performance and population health in high-income countries: a systematic review (SYSTEMATIC REVIEW)
Subject
mortality indicators, population health, systematic review
Description
Objectives: Mortality-based indicators are commonly used as measures of population health but less frequently applied to measuring health
system performance. This systematic review aimed to identify and describe mortality indicators relevant to the measurement of population
health and health system performance in high-income countries.
Methods: We searched peer-reviewed databases (MEDLINE, Embase, CINAHL, Health Business Elite, Health Policy Reference Center, and
POPLINE) and grey literature (government agencies, professional associations, and international/non-governmental health organizations). The
search was limited to indicators identified for use in high-income countries. We extracted information on indicator characteristics and alignment
with dimensions of effectiveness, efficiency, and equity. We assessed the applicability of the indicator to the context of population health, health
system, or both settings, alignment with SMART criteria (specific, measurable, actionable, relevant, and timely), and potential for analyses of
population subgroups. Health system was defined as encompassing both medical care and public health services and activities.
Results: We extracted 385 mortality-based indicators from 240 sources. Indicators were organized into six major domains: all-cause mortality
(n = 12), premature mortality (n = 92), life expectancy (n = 23), cause-specific mortality (n = 127), infant, child, and adolescent mortality (n = 50),
and hospital-related mortality (n = 81). The majority of indicators (86%) could be applied to measuring health system performance. Premature
mortality indicators showed the most potential to measuring both population health and health system performance.
Conclusions: This review compiled a wide range of mortality indicators relevant to measuring health system performance in high-income
countries. Indicators of premature mortality were most relevant to measuring both population health and health system performance
system performance. This systematic review aimed to identify and describe mortality indicators relevant to the measurement of population
health and health system performance in high-income countries.
Methods: We searched peer-reviewed databases (MEDLINE, Embase, CINAHL, Health Business Elite, Health Policy Reference Center, and
POPLINE) and grey literature (government agencies, professional associations, and international/non-governmental health organizations). The
search was limited to indicators identified for use in high-income countries. We extracted information on indicator characteristics and alignment
with dimensions of effectiveness, efficiency, and equity. We assessed the applicability of the indicator to the context of population health, health
system, or both settings, alignment with SMART criteria (specific, measurable, actionable, relevant, and timely), and potential for analyses of
population subgroups. Health system was defined as encompassing both medical care and public health services and activities.
Results: We extracted 385 mortality-based indicators from 240 sources. Indicators were organized into six major domains: all-cause mortality
(n = 12), premature mortality (n = 92), life expectancy (n = 23), cause-specific mortality (n = 127), infant, child, and adolescent mortality (n = 50),
and hospital-related mortality (n = 81). The majority of indicators (86%) could be applied to measuring health system performance. Premature
mortality indicators showed the most potential to measuring both population health and health system performance.
Conclusions: This review compiled a wide range of mortality indicators relevant to measuring health system performance in high-income
countries. Indicators of premature mortality were most relevant to measuring both population health and health system performance
Creator
Catherine Y. Liang, Kathy Kornas, Catherine Bornbaum, Jennifer Shuldiner, Eric De Prophetis, Emmalin Buajitti, Beata Pach, Laura C. Rosella
Source
DOI:https://doi.org/10.1093/ijcoms/lyad010
Publisher
Oxford University Press
Date
26 July 2023
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Catherine Y. Liang, Kathy Kornas, Catherine Bornbaum, Jennifer Shuldiner, Eric De Prophetis, Emmalin Buajitti, Beata Pach, Laura C. Rosella, “Mortality-based indicators for measuring health system performance and population health in high-income countries: a systematic review (SYSTEMATIC REVIEW),” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11213.