WHO South-East Asia Journal of Public Health
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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

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
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DOI: 10.4103/2224-3151.228421

PMID: 29582843

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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.

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