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Considerations on methodology used in the World Health Organization 2000 Report.

A D Ugá1, C M Almeida, C L Szwarcwald

  • 1Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 21041-210, Brasil. domingue@ensp.fiocruz.br

Cadernos De Saude Publica
|June 8, 2001
PubMed
Summary

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The 2000 World Health Organization Report on health system performance has methodological flaws. A revision is needed to accurately assess global health systems and their indicators.

Area of Science:

  • Health Policy and Systems Research
  • Global Health Surveillance
  • Health Economics and Outcomes Research

Background:

  • The 2000 World Health Organization (WHO) Report aimed to monitor and classify the performance of member states' health systems.
  • This report utilized specific indicators to compare the health systems of 191 member countries.
  • However, the report's methodology and data have faced scrutiny regarding their scientific validity and transparency.

Purpose of the Study:

  • To critically analyze the methodology employed in the 2000 WHO Report on health system performance.
  • To identify specific weaknesses in the indicators and evaluation procedures used.
  • To propose a revision of the report's methodology for more accurate global health system assessment.

Main Methods:

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  • Critical review of the World Health Organization Report 2000 methodology.
  • Analysis of the indicators used for health system performance comparison and classification.
  • Examination of data limitations and transparency in methodological procedures.

    • Main Results:

    • The report's methodology is inconsistent and relies on questionable scientific evaluations, failing to provide a clear picture of health system performance.
    • Key issues include indicators that discount population profiles, inadequate control for social disparities, and unclear accountability of health systems.
    • Lack of data for many countries leads to inconsistent estimations, and methodological transparency is insufficient.

    Conclusions:

    • A significant methodological revision of the World Health Organization Report is necessary.
    • Improvements should focus on indicator selection, accounting for social determinants, ensuring data availability and transparency.
    • Accurate assessment of global health systems requires robust and transparent evaluation methodologies.