Health Systems Performance Assessment: Debates, Methods and Empiricism

by Murray, Christopher J. L.

• ISBN13: 9789241562454
• ISBN10: 9241562455
• Edition: 1st
• Format: Hardcover
• Copyright: 2003-01-01
• Publisher: STYLUS PUBLISHING LLC

Summary

This volume reports on a large body of work led by the World Health Organization that is intended to strengthen the foundations for evidence-based policies aimed at health systems development. This has included work to develop a common conceptual framework for health systems performance assessment, to encourage the development of tools to measure its components, and to collaborate with countries in applying these tools to measure and then to improve health systems performance. It began with the enunciation of a framework that specified a parsimonious set of key goals to which health systems contribute, and the first set of figures on goal attainment and health system efficiency in countries that were Members of the Organization was published in The World Health Report 2000. This book provides a uniquely comprehensive exploration of many different facets of health systems performance assessment. It will be relevant for researchers, students and decision-makers seeking a more detailed understanding of concepts, methods and the latest empirical findings. While most authors in this volume take a global perspective, the findings have important implications for the development of national performance frameworks and the creation of a culture of accountability.

Table of Contents

Foreword	p. xxvii
List of Acronyms	p. xxix
List of Affiliations	p. xxxi
Acknowledgements	p. xxxiii
Introduction
Health Systems Performance Assessment: Goals, Framework and Overview	p. 3
Regional Perspectives on Performance Assessment
African Regional Consultation on Health Systems Performance Assessment	p. 23
American Regional Consultation on Health Systems Performance Assessment	p. 27
Eastern Mediterranean Regional Consultation on Health Systems Performance Assessment	p. 35
European Regional Consultation on Health Systems Performance Assessment	p. 55
South-East Asian Regional Consultation on Health Systems Performance Assessment	p. 69
Western Pacific Regional Consultation on Health Systems Performance Assessment	p. 95
Expert Consultation Reports
Technical Consultation on Measurement of the Efficiency of Health Systems	p. 109
Technical Consultation on Concepts and Methods for Measuring the Responsiveness of Health Systems	p. 115
Technical Consultation on Effective Coverage in Health Systems	p. 125
Technical Consultation on Stewardship	p. 135
Technical Consultation on Statistical Strategies for Cross-Population Comparability	p. 141
Technical Consultation on Fairness in Financial Contribution	p. 147
Technical Consultation on the Measurement of Health Inequalities	p. 155
WHO Meetings of Experts on Measuring and Summarizing Health	p. 163
Methods and Empiricism
Inputs
National Health Accounts: Concepts, Data Sources, and Methodology	p. 185
Patterns of Global Health Expenditures: Results for 191 Countries	p. 195
Financing
Monitoring the Health Financing Function	p. 205
Developing Health Financing Policies	p. 211
Provision and Coverage
Beyond Access and Utilization: Defining and Measuring Health System Coverage	p. 221
Provision of Personal and Non-personal Health Services: Proposal for Monitoring	p. 235
Inequalities in Coverage: Valid DTP3 and Measles Vaccination in 40 Countries	p. 251
Validity of Reported Vaccination Coverage in 45 Countries	p. 265
Resource Generation
Human, Physical, and Intellectual Resource Generation: Proposals for Monitoring	p. 273
Stewardship
Towards Better Stewardship: Concepts and Critical Issues	p. 289
Population Health
Quantifying Individual Levels of Health: Definitions, Concepts, and Measurement Issues	p. 301
Alternative Summary Measures of Average Population Health	p. 319
Life Tables for 191 Countries for 2000: Data, Methods, Results	p. 335
Modified Logit Life Table System: Principles, Empirical Validation, and Application	p. 355
Empirical Evaluation of the Anchoring Vignette Approach in Health Surveys	p. 369
Unpacking Health Perceptions Using Anchoring Vignettes	p. 401
Health State Valuations in Summary Measures of Population Health	p. 409
Methods for Measuring Healthy Life Expectancy	p. 437
Health Inequality
A Framework for Measuring Health Inequality	p. 471
Measuring Total Health Inequality: Adding Individual Variation to Group-Level Differences	p. 485
Determinants of Inequality in Child Survival: Results from 39 Countries	p. 497
Measurement Methods for Inequality in the Risk of Adult Mortality	p. 503
Fairness in Financial Contribution
Assessing the Distribution of Household Financial Contributions to the Health System: Concepts and Empirical Application	p. 513
Household Health System Contributions and Capacity to Pay: Definitional, Empirical, and Technical Challenges	p. 533
Summary Measures of the Distribution of Household Financial Contributions to Health	p. 543
The Impact of Vertical and Horizontal Inequality on the Fairness in Financial Contribution Index	p. 557
Understanding Household Catastrophic Health Expenditures: a Multi-country Analysis	p. 565
Responsiveness
Health System Responsiveness: Concepts, Domains and Operationalization	p. 573
Classical Psychometric Assessment of the Responsiveness Instrument in the WHO Multi-country Survey Study on Health and Responsiveness 2000-2001	p. 597
Weights for Responsiveness Domains: Analysis of Country Variation in 65 National Sample Surveys	p. 631
Patient Experiences with Health Services: Population Surveys from 16 OECD Countries	p. 643
Inequality in Responsiveness: Population Surveys from 16 OECD Countries	p. 653
Composite Attainment
Quality and Equity: Preferences for Health System Outcomes	p. 667
Measuring Health System Attainment: the Impact of Variability in the Importance of Social Goals	p. 677
Efficiency
Health System Efficiency: Concepts	p. 683
Determinants of Health System Performance: Second-Stage Efficiency Analysis	p. 693
Health System Efficiency: Time, Attribution, and Multiple Indicators	p. 699
Measurement Challenges
Cross-Population Comparability of Evidence for Health Policy	p. 705
Towards Evidence-Based Public Health	p. 715
Statistical Models for Enhancing Cross-Population Comparability	p. 727
Estimating Permanent Income Using Indicator Variables	p. 747
WHO Multi-country Survey Study on Health and Responsiveness 2000-2001	p. 761
The World Health Surveys	p. 797
Increasing Policy Relevance
Subnational Health Systems Performance Assessment: Objectives, Challenges and Strategies	p. 809
WHO-CHOICE: CHOosing Interventions That Are Cost-Effective	p. 823
Report of the Scientific Peer Review Group on Health Systems Performance Assessment
Report of the Scientific Peer Review Group on Health Systems Performance Assessment	p. 839
Index	p. 917
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