Case studies on health system performance assessment. A long-standing development in Europe (2012)

Health system performance assessment (HSPA) is a country-specific process of evaluating and communicating the achievement of high-level health system goals based on health system strategies. The scope of the assessment is the health system as a whole. Growing interest in HSPA as a health governance tool is reflected in the increasing number and variety of national experiences across the WHO European Region. This report presents the findings of the country case studies for Armenia, Belgium, England, Estonia, Kyrgyzstan, Portugal and Turkey.  There are a number of approaches to HSPA, suggesting ample opportunity to benefit from the lessons learned in those countries implementing HSPA.