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

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Lauer, Jeremy A. and Lovell, C. A.Knox and 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. pp. 1-8. 19. ISSN 1472-6963 (https://doi.org/10.1186/1472-6963-4-19)

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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.

ORCID iDs

Lauer, Jeremy A. ORCID logoORCID: https://orcid.org/0000-0003-0652-0691, Lovell, C. A.Knox, Murray, Christopher J.L. and Evans, David B.;
CORE (COnnecting REpositories)