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A short list of high-priority indicators of health system responsiveness for aging

An eDelphi consensus study

Bibliographic Data

ID14967893
AuthorsEmmanuel Gonzalez-Bautista (0000-0001-9844-3034, Gerontopole, Toulouse University Hospital, Toulouse, France., corresponding author), Patricia Morsch (0000-0001-7186-8219, Health Systems and Services, Pan American Health Organization, Washington, D.C., United States of America.), Cynthia González (Independent researcher, Mexico.), Enrique Vega (0000-0002-6647-5258, Health Systems and Services, Pan American Health Organization, Washington, D.C., United States of America.)
Year2023
Volume47
Pages1
Publication date2023-08-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2023.103
PMID37534053
OpenAlexW4385456029
LanguageEN
Citations received2
References cited13

The objective of this article was to provide a consensus-based short list of effective indicators to measure health system responsiveness to the needs of older adults which would be relevant to informing public policy. An e-Delphi study was done with no direct interaction between respondents. Virtual surveys were sent to 141 participants with experience in analysis and monitoring of health indicators, management of health systems, and health care of older adults. A baseline list of 24 previously published indicators was used. The criteria for selection as high priority indicators were: usefulness as a tracer of health system responsiveness and usefulness to inform policy. Consensus was defined as: ≥70% agreement among the participants that the indicator was very high or high priority; plus being benchmarked by ≥50% of respondents as having a higher relative weight than other indicators; plus being in the top 10 in the ranking list. The first round of the process included 38 participants with varied professional backgrounds. Consensus was reached for seven indicators after two rounds. Five indicators were related to distal outcomes (mortality, disability, or healthy life expectancy), one to monitoring functional assessments, and one to poverty levels. Health systems professionals should consider these comprehensive priority indicators in their efforts to provide a better health system for older people

Climate Change and Health Impacts · Delphi Technique in Research · Health Systems, Economic Evaluations, Quality of Life · Medicine · Psychology · Gerontology

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    Open Access•Kathryn Oliver, Paul Cairney•Palgrave Communications•2019

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    Open Access•Tolib Mirzoev, Sumit Kane•BMJ Global Health•2017

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    Open Access•Margaret E Kruk, Anna D Gage et al.•The Lancet•2018

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Unique citing works2
Citations per year1
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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