WHO South-East Asia Journal of Public Health

PERSPECTIVE
Year
: 2018  |  Volume : 7  |  Issue : 1  |  Page : 5--12

A framework for comparative analysis of health systems: experiences from the Asia Pacific Observatory on Health Systems and Policies


Judith Mary Healy1, Shenglan Tang2, Walaiporn Patcharanarumol3, Peter Leslie Annear4 
1 School of Regulation and Global Governance, Australian National University, Canberra, Australia
2 Duke Global Health Institute, Duke Kunshan University, Kunshan, Jiangsu, China
3 International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand
4 Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia

Correspondence Address:
Judith Mary Healy
School of Regulation and Global Governance, Australian National University, Canberra
Australia

Drawing on published work from the Asia Pacific Observatory on Health Systems and Policies, this paper presents a framework for undertaking comparative studies on the health systems of countries. Organized under seven types of research approaches, such as national case-studies using a common format, this framework is illustrated using studies of low- and middle-income countries published by the Asia Pacific Observatory. Such studies are important contributions, since much of the health systems research literature comes from high-income countries. No one research approach, however, can adequately analyse a health system, let alone produce a nuanced comparison of different countries. Multiple comparative studies offer a better understanding, as a health system is a complex entity to describe and analyse. Appreciation of context and culture is crucial: what works in one country may not do so in another. Further, a single research method, such as performance indicators, or a study of a particular health system function or component, produces only a partial picture. Applying a comparative framework of several study approaches helps to inform and explain progress against health system targets, to identify differences among countries, and to assess policies and programmes. Multi-method comparative research produces policy-relevant learning that can assist countries to achieve Sustainable Development Goal 3: ensure healthy lives and promoting well-being for all at all ages by 2030.


How to cite this article:
Healy JM, Tang S, Patcharanarumol W, Annear PL. A framework for comparative analysis of health systems: experiences from the Asia Pacific Observatory on Health Systems and Policies.WHO South-East Asia J Public Health 2018;7:5-12


How to cite this URL:
Healy JM, Tang S, Patcharanarumol W, Annear PL. A framework for comparative analysis of health systems: experiences from the Asia Pacific Observatory on Health Systems and Policies. WHO South-East Asia J Public Health [serial online] 2018 [cited 2020 Oct 27 ];7:5-12
Available from: http://www.who-seajph.org/article.asp?issn=2224-3151;year=2018;volume=7;issue=1;spage=5;epage=12;aulast=Healy;type=0