TABLE 1. Indicators of health system responsiveness identified by expert consultants as having high priority because of their usefulness to inform public policy and their availability in national information systems.
Indicators with high usefulness |
Availability |
||
---|---|---|---|
|
High |
Variable |
Low |
1. Premature mortality from noncommunicable diseases (mortality occurring at an age less than life expectancy) |
✓ |
|
|
2. Disability-free life expectancy at age 60 (healthy life expectancy) |
✓ |
|
|
3. Prevalence of disability in people ≥60 years |
✓ |
|
|
4. Prevalence of obesity in people ≥60 years |
✓ |
|
|
5. Influenza vaccine coverage |
✓ |
|
|
6. Proportion of out-of-pocket spending on health for people >60 years with respect to total spending on health (rate of out-of-pocket health spending to total health spending; ratio of those ≥60 to those ≤59 years) |
✓ |
|
|
7. Population coverage by health financing scheme for people ≥60 years |
✓ |
|
|
8. Percentage of older adults receiving a noncontributory pension |
✓ |
|
|
9. Percentage of older adults living in poverty |
✓ |
|
|
10. Average years of schooling of older adults |
✓ |
|
|
11. Proportion of older people who have had a functional evaluation in the past year |
|
|
✓ |
12. Mortality rate attributable to poor-quality health care (total and people aged ≥60 years) |
|
✓ |
|
13. Mortality rate due to falls |
|
✓ |
|
14. Disability prevalence (rates and prevalence of disability and dependency) |
|
✓ |
|
15. Insufficient physical activity in adults ≥60 years |
|
|
✓ |
16. Proportion of older people who have had a periodic health assessment |
|
✓ |
|
17. Polypharmacy and multimorbidity index (percentage of health care units with tools to reduce inappropriate polypharmacy) |
|
✓ |
|
18. Percentage of the population >60 years experiencing catastrophic out-of-pocket health expenses |
|
✓ |
|
19. Percentage or number of undergraduate medical and nursing programs that include geriatrics |
|
✓ |
|
20. Suicide rate in people ≥60 years |
|
✓ |
|
21. Effective coverage of cataract surgery for adults ≥50 years |
|
✓ |
|
22. Number of geriatricians per older adult and other health and social care professionals with training in aging or gerontology |
|
✓ |
|
23. Older adults’ self-reported level of satisfaction with health services |
|
✓ |
|
24. Percentage of older adults living alone |
|
✓ |
|
25. Cost associated with long-term care |
|
✓ |
|
Source: Table prepared by the authors as a result of the meetings with experts. Technical data sheets for these indicators are available in Spanish from the authors upon request.