`Well written in a lively informative style, and interspersed wtih interesting case studies.' Health Services Management Research
INTRODUCTION: The need for national health system evaluation; Is programme and project enough?; National evaluation and national and district planning; Basis for study; MICRO-EVALUATION: WHO NEEDS IT?; STRATEGY FOR EVALUATING A NATIONAL HEALTH SYSTEM: Evaluation: comparing performance with standards; Evaluation at national level: opening the black box; Choosing standards: trace conditions and tracer problems; BASIC INFORMATION ON HEALTH SYSTEM PERFORMANCE: Waste not,
want not: making the most of the data; Sources of information on health care events; Sources of information on health care resources; Sources of information on organization and management; STANDARDS FOR HEALTH SYSTEM EVALUATION: Norms and standards: some basic problems; Technical standards and the
quality of care; Input norms; Financial and administrative standards; The policy-planning - budgeting system - hero or villain?; Standards based on consumer demand; EVALUATION: PROCESS, PRIORITIES TECHNIQUES: Making the evaluation process work; Developing system-level understanding: some techniques; The limits of intuition; THE RESULTS OF EVALUATION: Who wants evaluation, and for what?; Communicating the results of evaluation; Strengthening arrangements for further evaluation; Evaluation and
the negotiation of change; THE FUTURE OF NATIONAL HEALTH SYSTEM EVALUATION: References; Appendix; Index.