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  • Title: World health system performance revisited: the impact of varying the relative importance of health system goals.
    Author: Lauer JA, Knox Lovell CA, Murray CJ, Evans DB.
    Journal: BMC Health Serv Res; 2004 Jul 22; 4(1):19. PubMed ID: 15271220.
    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.
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