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Challenges in international comparison of health care systems

Papanicolas, Irene ORCID: 0000-0002-8000-3185 and Jha, Ashish K. (2017) Challenges in international comparison of health care systems. JAMA, 318 (6). p. 515. ISSN 0098-7484

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Identification Number: 10.1001/jama.2017.9392


International comparisons of health system performance exert major influence on the public and on policy makers. These comparisons allow for reflection on and evaluation of national performance, provide empirical bases to drive reform, and serve as a way to promote accountability. Most international comparisons seek to identify high performers, often conceptualized as health systems with the best outcomes or most value for money. Even though these notions seem relatively straightforward, operationalizing them is difficult. There are at least 3 key challenges of conducting international comparisons: drawing the boundaries of the health system, managing limitations of data, and accounting for different values inherent in national systems. Without understanding and addressing these challenges, cross-national comparisons will fail to improve health policy and may lead to misinterpretations and poor policy making.

Item Type: Article
Official URL:
Additional Information: © 2017 American Medical Association
Divisions: LSE Health
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 05 Sep 2017 10:56
Last Modified: 13 Jun 2024 02:54

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