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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Healy, JM; Tang, S; Patcharanarumol, W; Annear, PL

Published Date

  • April 2018

Published In

Volume / Issue

  • 7 / 1

Start / End Page

  • 5 - 12

PubMed ID

  • 29582843

Pubmed Central ID

  • 29582843

Electronic International Standard Serial Number (EISSN)

  • 2304-5272

International Standard Serial Number (ISSN)

  • 2224-3151

Digital Object Identifier (DOI)

  • 10.4103/2224-3151.228421


  • eng