Table 2What are the key intermediate and final health systems goals in the existing assessment frameworks and tools?

FRAMEWORK/TOOLAGENCYMAIN OBJECTIVE OF THE TOOL
WHO Performance Framework (2000)
  • Access
  • Coverage
  • Quality
  • Safety
  • Level and distribution of health
  • Level and distribution of responsiveness
  • Fairness in financing
  • Efficiency
Control Knobs Framework (2003)
  • Efficiency
  • Quality
  • Access
  • Health status
  • Citizen satisfaction
  • Risk protection
OECD HCQI Framework (2006)
  • Improving health
  • Macroeconomic efficiency/ sustainability
  • Microeconomic efficiency/value for money
  • Equity
HQSS High-Quality Health System Framework (2018)Processes of care:
  • Competent care and systems
  • Positive user experience
Quality impacts:
  • Better health
  • Confidence in system
  • Economic benefit
Health System Assessment Approach: A How-To Manual (USAID)
  • Equity
  • Efficiency
  • Access
  • Quality
  • Sustainability
  • Improved health
  • Responsiveness
  • Risk protection
Health System Performance Assessment (WHO/EURO)
  • Equity
  • Efficiency
  • Health improvement
  • Risk protection
  • Responsiveness
Health System Analysis for better health system strengthening (World Bank)
  • Access
  • Quality
  • Efficiency
  • Health status
  • Financial protection
  • Customer satisfaction
Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies (WHO) (2007)
  • Improved health
  • Responsiveness
  • Social and financial protection
  • Improved efficiency
Health system reviews (HiTs) (2019)
  • Population health
  • Quality
  • Efficiency
  • Transparency and accountability

Source: Papanicolas et al. (2022).

From: POLICY BRIEF

Cover of Health system performance assessment
Health system performance assessment: A primer for policy-makers [Internet].
Policy Brief, No. 49.
Rajan D, Papanicolas I, Karanikolos M, et al.
© World Health Organization 2022 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)

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