Success of health systems
Introduction[edit]
National health systems have a significant impact on the health of the population. This impact can be analysed and assessed with various methodological tools presented by an increasing number of global studies.
World Health Organization (WHO) Director-General Dr Gro Harlem Brundtland stated in 2000 “... the health and wellbeing of people around the world depend critically on the performance of the health systems that serve them. Yet there is wide variation in performance, even among countries with similar levels of income and health expenditure. It is essential for decision-makers to understand the underlying reasons so that system performance, and hence the health of populations, can be improved." WHO World Health Report 2000
Key principles[edit]
According to the WHO World Health Report 2000, the key factors to measure the performance of health systems are:
- Overall Level of Health
- Distribution of Health in the Populations
- Responsiveness to the needs of the population
- Distribution of Financing (for funding models see https://en.wikipedia.org/wiki/Universal_health_care)
The overall success of these health systems can be measured by factors related to the ultimate goal of health systems: keeping entire populations in good health regardless of race/ethnicity, socio-economic status, geographical location and gender.
- Life expectancy (See the different lists in List of countries by life expectancy)
- HLY: healthy life years (Healthy Life Years).
- HALE: Health-adjusted life expectancy HALE
Foundations of global comparative rankings[edit]
The World Health Organisation published the first ever assessment of the performance of health system in 2000 (The World Health Report 2000 – Health systems: Improving performance) This report is the first of the various comparative studies of health systems published in the World Health Report, a series of reports produced regularly by the World Health Organization). It analyses and compares various aspects of health systems of countries around the world. It presents insights into factors explaining the performance of health system, and provides advice on how to assess performance of the health systems.
A groundbreaking study was published in May 2017 based on the principle of Healthcare Quality and Access (HAQ) index, ranking national levels of personal health-care access and quality measured according to mortality rates from causes that should not be fatal in the presence of effective medical care. Healthcare Access and Quality Index based on mortality
See also[edit]
List of OECD countries by health care outcome
List of countries by life expectancy
References[edit]
Harvey V. Fineberg, M.D., Ph.D. A Successful and Sustainable Health System — How to Get There from Here (http://www.nejm.org/doi/full/10.1056/NEJMsa1114777#t=article) N Engl J Med 2012; 366:1020-1027 March 15, 2012 DOI: 10.1056/NEJMsa1114777
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015, The Lancet, Published: 18 May 2017 https://dx.doi.org/10.1016/S0140-6736(17)30818-8
WHO (2003) Health Systems Performance Assessment, Debates, Methods and Empiricism, Edited by: Christopher J.L. Murray and David B. Evans
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