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The expert group on Health Systems Performance Assessment (HSPA) was activated in the autumn of 2014. It was mandated to focus each year on a particular policy area and to identify tools and methodologies to support national policy makers in developing HSPA in that specific area.

Following its first report in April 2016 on assessing the quality of care (So What? Strategies across Europe to assess quality of care), the expert group directed its focus onto the assessment of integrated care. This area is a fundamental component of health system reforms: it is considered central to addressing challenges due to population ageing, the rising burden of chronic diseases and constraints in public resources. However, in spite of its political relevance there is a lack of widely available information in terms of tools, methodologies and indicators to assess this area of care delivery.

Measuring integration is different from measuring the performance of integrated care. This report addresses this dual challenge: on the one hand it focuses on design principles, building blocks, and system levers, to identify principles and factors that enable successful and effective integration of care. On the other hand the report looks for tailored ways to assess the performance of integrated care models in such a way that is able to capture the specific added value brought in by the integration. The report takes into consideration the likelihood of being meaningful to service users, carers and the public when selecting indicators for measuring the quality of integrated care.

To access the report, please click here.