An evidence-based evaluation of quality and efficiency indicators

Qual Manag Health Care. 2002 Summer;10(4):41-52. doi: 10.1097/00019514-200210040-00008.


The goal of this study was to identify and appraise quality and efficiency indicators relevant to hospitals or physicians' practices by performing a systematic literature search. Process indicators were limited to 11 diagnoses and treatments. To appraise the indicators identified, a framework for grading health care recommendations was expanded to categorize evidence on cost-effectiveness. Seven indicators of structural quality and 34 indicators of process quality were identified and appraised. The set of performance indicators could serve as a state-of-the-art system of measurement for governments and organizations evaluating the quality and efficiency of health care.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Clinical Medicine / standards*
  • Efficiency, Organizational
  • Evidence-Based Medicine
  • Hospital Administration / standards*
  • Humans
  • Process Assessment, Health Care*
  • Quality Indicators, Health Care*