SciELO - Scientific Electronic Library Online

vol.24 issue5Risky alcohol use and heavy episodic drinking among Spanish University students: a two-year follow-upIncidence of permanent disability in a cohort of social security-affiliated workers (2004-2007) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Gaceta Sanitaria

Print version ISSN 0213-9111


VILLALBI, Joan R. et al. Indicators for the management of public health services. Gac Sanit [online]. 2010, vol.24, n.5, pp.378-384. ISSN 0213-9111.

Objectives: 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.

Keywords : Public health; Management indicators; Administration; Program evaluation; Costs and cost analysis.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License