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Although the effects of individual reforms to health systems have been
assessed, no consistent framework or measurable indicators exist for
assessing the performance of health systems. Evans et al (p 307)
describe the method used by the World Health Organization to determine
global comparative scores on performance of national health systems.
Performance varied widely, but systems in most countries could be more
efficient. Although data quality varied among countries and some
controversies about methods persist, the results provide a first step
towards evidence based reform of health systems.