Table 1. Notation for goals and metrics
Goals of Health System Notation Metrics for Evaluation Notation
Health U1 Overall level of health u1
Distribution of health in the population u2
Responsiveness U2 Overall level of responsiveness u3
Distribution of responsiveness u4
Fairness in Finance U3 Distribution of financial contribution u5
4.1 Goals of Health Care System
According to the World Health Report in 2000, the WHO pointed out the three goal of
health care system, each goal with different priority [WHO 2000]. Better Health
Better health is unquestionably the primary goal of a health system, with the highest priority. Fairness in financial contribution. 原文请加优.文^论,文'网QQ3249.114
Fairness in financial contribution is the second goal, with a relatively lower priority to health. Responsiveness
ponsivenesstopeople’sexpectationsinregardto non -health matters reflects the
importanceofrespectingpeople’sdignity,autonomyandtheconfidentialityofinformation,
and is the third goal ,with the lowest priority.
4.2 Characteristics of a good health care system
Goodness&&Fairness [WHO 2000]
As the WHO defined what a good health care system was in its World Health Report
in2000, a good health care system is a combination of Goodness and Fairness. A good health
system, above all, contributes to good health. But it is not always satisfactory to protect or
improve the average health of the population, if at the same time inequality worsens or
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remains high because the gain accrues disproportionately to those already enjoying better
health. The health system also has the responsibility to try to reduce inequalities by
preferentially improving the health of the worse-off, wherever these inequalities are caused
by conditions amenable to intervention. The objective of good health is really twofold: the
best attainable average level – goodness – and the smallest feasible differences among
individuals and groups – fairness. A gain in either one of these, with no change in the other,
constitutes an improvement, but the two may be in conflict.
4.3 Output metrics for measuring health care system
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