World health system performance revisited: the impact of varying the relative importance of health system goals

Lauer, Jeremy A., Lovell, C. A. Knox, Murray, Christopher J. L. and Evans, David B. (2004) World health system performance revisited: the impact of varying the relative importance of health system goals. BMC Health Services Research, 4 19-1-19-8. doi:10.1186/1472-6963-4-19


Author Lauer, Jeremy A.
Lovell, C. A. Knox
Murray, Christopher J. L.
Evans, David B.
Title World health system performance revisited: the impact of varying the relative importance of health system goals
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2004-07
Sub-type Article (original research)
DOI 10.1186/1472-6963-4-19
Open Access Status DOI
Volume 4
Start page 19-1
End page 19-8
Total pages 8
Place of publication London , U.K.
Publisher BioMed Central
Language eng
Subject 14 Economics
1401 Economic Theory
Formatted abstract
Background
In 2002, the World Health Organization published a health system performance ranking for 191 member countries. The ranking was based on five indicators, with fixed weights common to all countries.

Methods

We investigate the feasibility and desirability of using mathematical programming techniques that allow weights to vary across countries to reflect their varying circumstances and objectives.

Results

By global distributional measures, scores and ranks are found to be not very sensitive to changes in weights, although differences can be large for individual countries.

Conclusions

Building the flexibility of variable weights into calculation of the performance index is a useful way to respond to the debates and criticisms appearing since publication of the ranking.
Keyword Economics
Health system
World Health Organization
Q-Index Code C1
Additional Notes Article no. 19

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Economics Publications
 
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Created: Tue, 15 Dec 2009, 13:52:49 EST by Ms Lynette Adams on behalf of Faculty of Business, Economics & Law