Abstract：
BACKGROUND:In 2002, the World Health Organization published a health system performance ranking for 191 member countries. The ranking was based on five indicators, with fixed weights common to all countries. METHODS:We investigate the feasibility and desirability of using mathematical programming techniques that allow weights to vary across countries to reflect their varying circumstances and objectives. RESULTS:By global distributional measures, scores and ranks are found to be not very sensitive to changes in weights, although differences can be large for individual countries. CONCLUSIONS:Building the flexibility of variable weights into calculation of the performance index is a useful way to respond to the debates and criticisms appearing since publication of the ranking.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Lauer JA,Knox Lovell CA,Murray CJ,Evans DBdoi
10.1186/1472-6963-4-19keywords:
subject
Has Abstractpub_date
2004-07-22 00:00:00pages
19issue
1issn
1472-6963pii
1472-6963-4-19journal_volume
4pub_type
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