OECD HomeHealthHealth System Performance Assessment Framework for the Czech Republic - en
Health System Performance Assessment Framework for the Czech Republic
The health system performance assessment (HSPA) framework for the Czech Republic is
an initiative designed to help the Czech health system improve policy planning, monitoring,
and decision taking. This report describes the HSPA framework for the Czech Republic,
its development process, governance structure and implementation roadmap. It also
details the Czech HSPA framework domains, populated by indicators selected through
a comprehensive review process. As such, the framework enables the assessment of strengths
and weaknesses of the Czech health system. Its implementation will increase the accountability
of national authorities and principal healthcare stakeholders, improve public involvement,
smooth flow of information across the health sector, and allow reform planning and
The Czech Republic lacked an HSPA framework, which had been considered by the national authorities a valuable approach for measuring and evaluating their health system. Due to the decentralised nature of the Czech healthcare system, in which healthcare responsibilities are shared across the central government, regions, insurers, and healthcare providers, an agreement on the governance structure of the Czech HSPA, together with a broad stakeholder involvement in the framework development process, was identified as a critical success factor from the very beginning of the project.
In mid-2021, the EU-supported project on development of HSPA framework for the Czech Republic was launched. The action was funded by the European Union via the Technical Support Instrument, and implemented by the OECD, in co-operation with the Directorate-General for Structural Reform Support of the European Commission. The expected project outcome was to develop the Czech HSPA framework to enable the national authorities to implement an institutional framework for reporting health system performance indicators.
The present report is one of the key outputs of the Setting up a Framework for Health System Performance Assessment in the Czech Republic project. It describes in detail the final project version of the Czech HSPA framework, its domains and subdomains, and the indicators that were selected for the implementation of the first the Czech HSPA, which should follow up on this project. In addition, the report outlines the HSPA governance structure, agreed on by the main stakeholders, and details out the next steps in the HSPA implementation roadmap. Finally, the report takes stock of the Czech framework development process and the indicator selection process, which all contributed to the necessary HSPA capacity building in the country.
The Czech HSPA framework is composed of 12 domains grouped into 4 areas: Outcomes, Outputs, Processes, and Structures. The domains are further detailed out by 28 subdomains, covering different aspects of the Czech health system to align with the defined HSPA purpose and scope.