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Measuring Up Improving Health System Performance in OECD Countries: The evolution of WHO's approach to health system performance assessment

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Policy makers have long been concerned with improving the performance of their health systems with reforms targeting all system functions ‐ financing, provision, stewardship and resource generation (Maynard and Bloor, 1995; Collins et al., 1999). Yet the evidence of what types of changes to health systems improve their performance is limited, inconsistent and inconclusive. Accordingly, WHO has developed a wide ranging work plan to develop the scientific basis to ensure that its technical advice on health system development is based on the best available evidence. One component of this work was to summarise and disseminate the available evidence on the links between health policy, system design and system performance in the World Health Report 2000 (WHO, 2000) and the Executive Board of WHO has committed the Organization to report on the health system performance of all WHO Member States regularly...

Document Type: Review Article

Publication date: April 1, 2002


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