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| Summary |
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The publication The World Health Report 2000- Health Systems: Improving Performance, which compared the performance of the health systems in 191 Member States, created an unprecedented level of interest and debate within countries, international organizations, and research institutions. Much of the report focused on various measurements of performance, and creating a debate on the description of the nature of the systems, their organization, their financing and the important role of the State in guiding or steering the manner in which they are organized.
This debate led the Pan American Health Organization (PAHO) to develop a series of events at the regional level so that our Member States could examine in more detail the issues involved and discuss the approaches to assess the performance of their health systems. Perhaps, it was equally important that they should indicate the kind of technical cooperation that they would expect from PAHO in this area. This collection of papers represent the result of the discussions held in the Region as well as in PAHO's Governing Bodies. It is presented as a matter of record, and also to provide some input into the ongoing important debate on the best manner to evaluate the performance of health systems and the steps needed to improve them.
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