Bennett Sara, Peters David H
Department of International Health ; Johns Hopkins University Bloomberg School of Public Health ; Baltimore , MD USA.
Health Syst Reform. 2015 Jan 2;1(1):9-17. doi: 10.1080/23288604.2014.997107.
-In reviewing national health systems assessments (HSAs), we identify four primary rationales for doing HSAs: (i) to motivate health systems reform, (ii) to promote harmonization and alignment across actors in the health system, (iii) to help translate health systems reforms into meaningful ways to track performance, and (iv) to facilitate learning through cross-country comparisons. We propose a set of principles to guide HSAs. These include that the HSA should be , addressing the purpose for which it was designed; in terms of being of high quality, rigorous and credible in the eyes of stakeholders; and considering the health system as a meaningful whole with linkages across system components. Given diverse rationales for undertaking HSAs, there is no one standardized framework to guide them. Frameworks and tools should be selected to reflect proposed use, and careful thought should be given to stakeholder engagement and developing local capacity for HSAs.
在审视各国卫生系统评估（HSAs）时，我们确定了开展卫生系统评估的四个主要理由：（i）推动卫生系统改革；（ii）促进卫生系统中各行为主体之间的协调与一致；（iii）帮助将卫生系统改革转化为跟踪绩效的有意义方式；（iv）通过跨国比较促进学习。我们提出了一套指导卫生系统评估的原则。这些原则包括：卫生系统评估应具有针对性，要符合其设计目的；在利益相关者眼中应具备高质量、严谨且可信；应将卫生系统视为一个各组成部分相互关联的有意义整体。鉴于开展卫生系统评估的理由多种多样，不存在一个标准化框架来指导这些评估。应选择能反映预期用途的框架和工具，并应慎重考虑利益相关者的参与以及培养开展卫生系统评估的当地能力。
