European regional consultation on the World Health Report 2000, Copenhagen, Denmark 3-4 September 2001

Abstract

The meeting was convened as part of the consultation process set up following the controversy sparked by The world health report 2000 and its framework for health systems performance assessment (‎HSPA)‎. It was felt that the HSPA exercise had made a significant contribution to thinking on health care systems, and that to be truly effective it needed to bridge the gaps between measuring at a global level, individual functions and the interventions that result in change. It was suggested that the evaluation process should be extended to address the impact and influence of the report in countries. It was also hoped that the evaluation would consider the opportunity cost of the whole exercise (‎including resource consumption by both WHO and the Member States)‎ to establish whether that approach was the most effective use of limited resources. The participants recommended a number of fundamental changes in methodology