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An EU approach to health system performance assessment: Building trust and learning from each other

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  • Paoli, Federico
  • Schmidt, Ingrid
  • Wigzell, Olivia
  • Ryś, Andrzej

Abstract

EU countries have recently joined forces to carry out common work on health systems performance assessment (HSPA). After the signature of the Tallinn Charter in 2008, a small group of countries brought the issue of HSPA on the EU agenda; this led the European commission and member states to set up an expert group on HSPA in 2014. This group started by facilitating the exchange of best practices and lessons learnt, with an eye to avoiding duplications with activities of international organisations. While progressing on its work, the group broadened its scope: it stepped into concrete work on policy priorities such as the assessment of quality of care, integrated care and primary care. It also moved into the organisation of country-tailored events and of advocacy activities. We identify three main strength factors of the EU expert group on HSPA. First, it is built through a bottom-up participatory approach, which promotes a sense of ownership by the members. Second, it developed a flexible and pragmatic attitude, which makes it able to constantly adapt to emerging needs and priorities. Finally, the group positioned itself in a niche that was still to be exploited: the identification of ways to translate HSPA findings into effective policy making.

Suggested Citation

  • Paoli, Federico & Schmidt, Ingrid & Wigzell, Olivia & Ryś, Andrzej, 2019. "An EU approach to health system performance assessment: Building trust and learning from each other," Health Policy, Elsevier, vol. 123(4), pages 403-407.
  • Handle: RePEc:eee:hepoli:v:123:y:2019:i:4:p:403-407
    DOI: 10.1016/j.healthpol.2019.02.004
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    References listed on IDEAS

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    1. Jeremy Hurst & Melissa Jee-Hughes, 2001. "Performance Measurement and Performance Management in OECD Health Systems," OECD Labour Market and Social Policy Occasional Papers 47, OECD Publishing.
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    1. Guido Noto & Ilaria Corazza & Kristīne Kļaviņa & Jana Lepiksone & Sabina Nuti, 2019. "Health system performance assessment in small countries: The case study of Latvia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1408-1422, October.
    2. Lenzi, Jacopo & Noto, Guido & Corazza, Ilaria & Lepiksone, Jana & Fantini, Maria Pia, 2020. "Measuring the quality of care in small countries: the empirical analysis of 30-day mortality following acute myocardial infarction and ischaemic stroke in Latvia," Health Policy, Elsevier, vol. 124(7), pages 695-700.

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