|
Health system attainment and
efficiency
Aims and scope of
work
|
| The purposes of this work are to measure
the extent to which each health system contributes to defined health system goals, and
whether each system is achieving the maximum possible level of goal attainment for the
available health resources. |
Methods and
measures
|
| For the World Health Report 2000,
attainment was measured in terms of the health system's contributions to five
indicators - the level of health, health inequalities, the level of responsiveness,
inequalities in responsiveness, and fairness in financial contributions. A composite
attainment index was then constructed as a weighted sum of attainment on the five
indicators. In addition, efficiency in terms of health and the composite attainment index
was measured using frontier production function technology in which the maximum possible
outcome achieveable for the observed levels of health expenditure was estimated, and
current levels of attainment compared with that maximum. Current work involves evaluating
the extent to which the weights for the five indicators might vary across settings, and
exploring alternative ways of measuring health system efficiency. |
| Further
readings and discussion |
Efficiency/Attainment - Chronological list with
downloads of relevant documents
|
Technical
consultation dates
|
Summary measures - Marrakech, Morocco, December 1999
Frontier production functions - New Orleans, USA,
January 2001
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