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The extent to which research into the design and development of environmental health indicators (EHIs) has translated into operational programmes is unclear. The purpose of this paper is to identify EHI initiatives worldwide, distil the EHIs and draw lessons from the experience.

A systematic internet-based review was undertaken. Programmes were selected for inclusion if they: first, had the ability to monitor both the physical environment and associated health outcomes; and second, the parent agency had the ability to influence policies related to the environment and health.

The small number of eligible programmes indicates EHI initiatives are not yet well established, especially in developing countries. The use of indicators was also limited by uncertainties in the exposure-response relationships that they implied, and the consequent inability to translate the indicators into a common measure of health impact. In addition, there is no information on the extent to which the indicators have been applied in decision making, nor on the policy implications of using indicators.

More effort is needed to encourage the development and use of more balanced and informative sets of indicators, and to evaluate their use and outcomes in terms of health benefits.

The time is right for a substantial review paper on EHIs as they are now being used by a number of organisations and to the knowledge this is the first review of operational EHI programmes worldwide.

Due to the frenetic and dynamic working conditions ascribed to architecture, engineering and construction (AEC) project organizations, enormous research has addressed the poor mental health propensity of project management practitioners (PMPs). However, research has not considered the distant factors related to organizational design causing poor mental health. Therefore, this study addresses the problem by integrating institutional theory, agency theory and resource-based theory (RBT) to explore the relationship between organizational design elements: project governance, knowledge management, integrated project delivery, project management skills and mental health management indicators. Examples of mental health management indicators include social relationships, work-life balance and project leadership.

Purposive sampling method was adopted to collect survey data from 90 PMPs in 60 AEC firms in Australia. Structural equation modelling (SEM) was utilized to test the relationship between the variables.

The research found that project governance, knowledge management and integrated project delivery are positively correlated to mental health management indicators. However, the research finding suggests that project management skills have a negative impact on mental health management indicators.

The findings offer guidelines to AEC firms on achieving positive mental health management outcomes through concentration on project governance, knowledge management and integrated project delivery. It further calls for a reconsideration of existing project management skills causing poor mental health management outcomes.

Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older persons who live with complex health and social care requirements. A core set of indicators is needed from which to assess the quality and impact of integrated care on these older persons and care partners.

A modified Delphi process was employed that comprised of the following steps: (1) selection of an indicator inventory (2) defining criteria for ranking and achieving consensus, (3) recruiting participants, (4) iterative voting rounds and analysis and (5) selection of a core indicator set.

The study produced a core set of 16 indicators of integrated care that pertain to older persons who live with health and social care requirements. The set can be applied by health and social care organizations and systems to assess the quality and impact of integrated care for this population across the continuum of care.

Although the gap in the availability of relevant indicators was the impetus for the study, this also meant there was a dearth of validated indicators to draw from. There are significant gaps in commonly used data sets with respect to indicators of integrated care as it relates to older persons and care partner.

The indicator set is intended to follow the older person and care partner throughout their health journey, enabling a whole systems view of their care. The set can be used in full or in part by health and social care systems and organizations across various primary, acute, rehabilitative and community settings for program development and evaluation purposes.

The core set of indicators that emerged out of this study is a first step toward ensuring that older persons who live with complex health and social care requirements and their care partners receive quality integrated care across the continuum of care.

The findings are informed by the perspectives of older persons, care partners and healthcare professionals. Future research is needed to test, validate and potentially expand the indicator set.

The growing interest in the mental health and well‐being of populations raises questions about traditional measures of public mental health, which have largely focused on levels of psychiatric morbidity. This paper describes work in progress to identify a set of national mental health and well‐being indicators for Scotland that could be used to establish a summary mental health profile, as a starting point for monitoring future trends. The process in taking this work forward involves identifying a desirable set of indicators, scoping the data that are currently collected nationally in Scotland, identifying additional data needs, and ensuring existing data collection systems include mental health and well‐being. It is expected that an indicator set for adults will have been identified by 2007. The paper presents some of the conceptual and practical challenges involved in defining and measuring positive mental health and is presented here as a contribution to ongoing debates in this field.

The purpose of this paper is to assess whether current routinely available population level data are adequate for assessing the health needs of vulnerable children.

The paper presents a review of routinely available population level data relating to 23 vulnerable child groups.

Data were available to measure how many children may be affected locally for seven groups (30 per cent) (looked after children, care leavers, absent or excluded pupils, children in poverty, young offenders, children in need and children assessed to be at risk of social services). Partial data were available for 11 (48 per cent) groups and no data were identified for five (22 per cent) groups. At least one measure of health and well being status was identified for three groups (13 per cent) (care leavers, children assessed to be in need of social services and children assessed to be at risk by social services). For seven groups (30 per cent), a measure of health status was identified for some children in the group. No measure of health status was identified for 13 groups (57 per cent).

The review only considered routinely published data that can be reported for all counties or unitary authorities in England. Although every effort was taken to ensure complete identification, it is still possible that some data sources may have been missed.

The gaps in available data to monitor vulnerable children's health will make the task of ensuring their needs are appropriately represented in local needs assessment and health strategies more difficult. The current service reforms offer an opportunity to address the data gaps.

Data relating to some vulnerable child groups was reviewed in 2006 when a number of recommendations were made. This paper updates and broadens that review and reports on progress made against the 2006 recommendations. The findings of the paper have implications for policy makers and commissioners of children's services.

This study aims to explore the nexus of equality and efficiency by considering public hospitals' development dynamics, capacity and technology indicators.

Data was collected from the Ministry of Health Public Hospital Almanacs from 2014 to 2017. The Gini index (GI) is used to estimate the inequality of distribution of hospital performance indicators. A bias-corrected efficiency analysis is calculated to obtain efficiency scores of public hospitals for the year 2017. A path analysis is then constructed to better identify patterns of causation among a set of development, equality and efficiency variables.

A redefined path model highlights that development dynamics, equality and efficiency are causally related and health technology (path coefficient = 0.57; t = 19.07; p < 0.01) and health services utilization (path coefficient = 0.24; t = 8; p < 0.01) effects public hospital efficiency. The final path model fit well (X²/df = 50.99/8 = 6; RMSEA = 0.089; NFI = 0.95; CFI = 0.96; GFI = 0.98; AGFI = 0.94). Study findings indicate high inequalities in distribution of health technologies (GI > 0.85), number of surgical operations (GI > 0.70) and number of inpatients (GI > 0.60) among public hospitals for the years 2014–2017.

Study results highlight that, hospital managers should prioritize equal distribution of health technology and health services utilization indicators to better orchestrate equity-efficiency trade-off in their operations.

Since its introduction in 1992, the balanced scorecard (BSC) has rapidly gained in importance throughout the world. Harvard Business Review even selected it as one of the most important management tools of the past 75 years. This paper takes the performance indicators used in an offshore health‐and‐safety benchmarking study carried out by Aberdeen University on 13 offshore installations operating on the UK Continental Shelf and relates them to the BSC framework. The results from the benchmarking study are discussed from the perspective of suggesting which indicators should populate each perspective of the BSC: financial, customer, internal business and learning and growth. In addition the paper includes the results of interviews conducted with senior managers in the UK and Norwegian oil and gas sector, about use of the BSC in general and with regard to health and safety performance indicators in particular. Reasons for including occupational health and safety in the BSC and reports/papers covering occupational health and safety indicators and the BSC are discussed.

The purpose of this paper is to verify whether general budget support is a favorable aid modality under SDGs in developing countries.

The authors use panel data on government revenue, expenditure, and social indicators for the ten-year period from 1997 to 2006 to reflect the result for sustainable development goals (SDGs). The authors focus on the health sector as a representative social sector.

The results show that GBS in fact increases the budget allocation for the health sector more than tax revenue does. However, the effect of government health expenditure on health indicators is not necessarily improved by the introduction of GBS, which indicates that the introduction of GBS alone has limited impact.

The paper suggests that the complementarity between GBS and projects/programs focusing on human and institutional capacity development should be seriously considered. These results shall be considered even under SDGs.

This paper attempts to assess the effect of GBS in developing countries by using panel data on government revenue, expenditure, and social indicators for the ten-year period from 1997 to 2006 to reflect the result for SDGs.

A bewildering variety of performance measures and indicators in health management is evident in the literature and in practice. Reviews measures useful for health management performance accountability, and expands on the traditional notion of health performance measures to incorporate nominal and ordinal measures. The research is performed in the interest of stimulating discussion in the public domain and with the intent of expanding current notions of the term “performance indicator”. Develops a comprehensive framework from measurement and accountability theory, and the medical management, accounting and accountability literatures are reviewed. Highlights the importance of using non‐ratio measures to capture outcomes, structure and processes influenced by management; and suggests that disclosures which include measures from all elements of the framework would most closely account for management activity.

The purpose of this study is to investigate the influences of the characteristics of procurement strategies, in this instance labour-only, on project performance concerning health and safety (H&S), a project performance indicator.

Using non-probability purposeful and snowballing sampling methods, questionnaires were used to collect data from construction professionals in Nigeria. This was then analysed using descriptive (frequency and mean scores) and inferential statistics (Mann–Whitney-U and Kendall's Tau_b tests).

The findings indicate a statistically significant negative correlation between ‘the level of client involvement and ‘fatalities' and a positive one with ‘conducting of health and safety risk assessment' and ‘conducting employee surveys on health and safety attitude’. Poor hygiene is found to be the worst lagging indicator, while conducting of inspection is the most adopted leading indicator of project health and safety performance. It also emerged that there is no significant difference in the health and safety performance of projects procured through the procurement strategy in urban and rural areas.

The study provides valuable insight into the complexities in H&S management due to the high level of client involvement in labour-only procurement system (LoPS) projects and the level of diversity in their responsibilities therein. It creates a fundamental direction for developing a detailed framework or guidance notes for client involvement in the integration of H&S into LoPS projects.

This is the first study that examines the influence of the characteristics of procurement strategy on project health and safety performance. Evidence in the literature shows that project delivery outcomes significantly improve if procurement is strategically used, including when it is considered early in projects. However, integrating H&S into procurement strategies has received little attention.