Category: Training and Events

Overview Conducting a data-driven analysis of a health system is critical for supporting health reform designs. This idea stems from the Control Knob Framework, where a health system is defined as “a set of relationships where the structural components (means) and their interactions are associated and connected to the goals the system desires to achieve (ends)”. Any successful reform, therefore, must be based on a systematic means-ends analysis. The first…

Continue reading “Health Systems Assessment Session 8: Measuring Efficiency in Health Systems | Dr. Bijetri Bose”

Overview Safety is a fundamental domain of healthcare quality. A number of studies from high income countries estimate that a large number of citizens are injured or killed due to adverse events, placing unsafe care within the top twenty causes of death globally. As India works to expand health coverage, particularly improved access to hospital-based care and acute services, more people than ever before will come into contact with the…

Continue reading “Health Systems Assessment Session 7: Quality in Health Systems: How to Assess Patient Safety | Liana Woskie”

Overview Even as the availability and affordability of healthcare improves, many countries are not experiencing anticipated gains in health outcomes. One potential driver of stagnating health outcomes is the delivery of low-quality health services. While people may have better access to health services, the quality of those services is highly variable. At best, healthcare can improve health and save lives; but it can also cause physical harm and erode trust.…

Continue reading “Health Systems Assessment Session 6: Quality in Health Systems: How to Assess Patient-Centeredness | Liana Woskie”

Overview Quality of care is one of the most important intermediate outcomes of a health system. However, quality has unfortunately, been long neglected by most health reformers in low- and middle-income countries like India. Quality has three distinct aspects: clinical effectiveness, patient centeredness, and patient safety. This session will focus on the first aspect – clinical effectiveness. Clinical effectiveness is the provision of health services based on scientific knowledge and…

Continue reading “Health Systems Assessment Session 5: Quality in Health Systems: How to Assess Clinical Effectiveness | Anuska Kalita”

Overview One of the key goals of a health system, citizen satisfaction is the degree to which citizens or the public are satisfied with the health system. Measuring citizen satisfaction is important because members of the public are beneficiaries and actors in a health system, capable of providing feedback on the quality and responsiveness of services. Their opinions can be important in shaping health policies and bringing legitimacy and accountability…

Continue reading “Health Systems Assessment Session 4: Citizen Satisfaction as a Measure of Health System Performance | Anuska Kalita”

Overview A well-functioning health system ensures that access to care will generate improved population health outcomes. Yet the interrelated and complex dynamics of a health system make it challenging to pinpoint which health systems dynamics will ensure that health care is well organized, delivered effectively, distributed efficiently and accessed fairly. How effectively citizens access care from the health system provides important insights for how well a health system functions. This…

Continue reading “Health Systems Assessment Session 3: Measuring Access to Healthcare | Dr. Jan Cooper”