Rethinking Health System Performance Assessment
A Renewed Framework
Health systems are under intense pressure to adapt to evolving needs and megatrends
driven by population ageing, digitalisation, and climate change. They also need to
be better prepared to withstand sudden, large-scale shocks such as pandemics, financial
crises, natural disasters, or cyberattacks. This shifting policy context and emerging
challenges called for a revision in how OECD countries assess health system performance,
to help ensure that health systems meet people’s health needs and preferences while
providing quality healthcare for all. This document presents the OECD’s renewed health
system performance assessment framework. It incorporates new performance dimensions,
notably people-centredness, resilience, and environmental sustainability, and places
increased emphasis on addressing inequalities, including those related to gender.
This framework expands on existing OECD efforts in these domains and integrates the
most recent advancements in health system performance assessment. By offering common
definitions and fostering a shared understanding among policy makers, stakeholders
and organisations, the updated framework will enhance international collaboration.
Furthermore, it lays the foundation for developing future indicators, facilitating
data collection, policy analysis, and the integration of knowledge.
Available from January 23, 2024Also available in: French
In series:OECD Health Policy Studiesview more titles