[Indicators for the management of public health services].
OBJECTIVE
To define a set of indicators for the management of the various services of an agency responsible for comprehensive public health in a defined area and population.


METHODS
We analyzed the agency's activity and held discussions with those responsible for the distinct services to define indicators whose estimation is viable and which optimally describe three aspects: the services' activity, coverage, quality or effectiveness, and cost.


RESULTS
Quantitative indicators were defined for all the productive public health services inventoried in the agency's services portfolio, but not all three aspects could be covered in all areas. In addition, for coordination and liaison services, the indicators were often less quantitative and less sensitive to change. Costs were estimated for the main areas of productive activity and for the 47 services or products, with indirect costs being estimated as 14% of expenditure.


CONCLUSIONS
We defined a system of indicators for management control, allowing comparisons over time and with other geographical areas, and with activity indicators covering all production areas. Defining indicators reflecting coverage, quality or impact for all services is more difficult. Cost can be estimated by unit of production for some services, but less successfully for others. The yearly cost by population is always a good synthetic indicator of the cost of public health services.
Villalbí
Joan R
JR
Agència de Salut Pública de Barcelona, Barcelona, España. jrvillal@aspb.cat
Casas
Conrad
C
Bartoll
Xavier
X
Artazcoz
Lucía
L
Ballestín
Manuela
M
Borrell
Carme
C
Camprubí
Esteve
E
Durán
Julia
J
García
Riánsares
R
Rodríguez
Pau
P
Salamero
Marta
M
D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D011635:Public Health Administration; D013030:Spain