Tier 3: Health system performance

Dimensions of this framework

• Accessibility

  People can obtain health care at the right place and the right time, irrespective of income, physical location and cultural background.

• Continuity of care

  Ability to provide uninterrupted, coordinated care or service across programs, practitioners, organisations and levels over time.

• Effectiveness

  Care/intervention/action provided is relevant to the client’s needs and based on established standards. Care, intervention or action achieves the desired outcome.

• Efficiency and sustainability

  Achieving desired results with most cost-effective use of resources. Capacity of system to sustain workforce and infrastructure, to innovate and respond to emerging needs.

• Responsiveness

  Service is client oriented. Clients are treated with dignity, confidentiality, and encouraged to participate in choices related to their care.

• Safety

  The avoidance, or reduction to acceptable limits, of actual or potential harm from health-care management or the environment in which health care is delivered.