Combining patient, clinical and system perspectives in assessing performance in healthcare: an integrated measurement framework

Background The science of measuring and reporting on the performance of healthcare systems is rapidly evolving. In the past decade, across many jurisdictions, organisations tasked with monitoring progress towards reform targets have broadened their purview to take a more system-functioning approach. Their aim is to bring clarity to performance assessment, using relevant and robust concepts – and avoiding reductionist measures – to build a whole-of-system view of performance. Existing performance frameworks are not fully aligned with these developments.