Health data provide a means to manage and improve health system performance and healthcare quality, respond to major public health challenges and advance scientific discoveries. With advances in digitalisation and in health data infrastructures, the question turns from whether an information exists to whether it is used for the benefit of societies, and which information is the most relevant. In this context, country-specific Health System Performance Assessment (HSPA) frameworks have been developed and used increasingly across OECD countries and regions to provide structure to health data for shared and informed policy and decision making.
The OECD has a long-standing role in supporting its member countries in health system performance and care quality assessments, as well as providing direct support to national HSPA efforts. In 2024, OECD Health Ministers endorsed a renewed OECD HSPA framework to guide further development of internationally comparable measurements. Beyond developing metrics, the OECD has been providing country-specific support to strengthen national capacity for evidence‑based health system improvement: The OECD Secretariat has provided direct technical assistance to several member countries to help design their national HSPA frameworks through participatory and inclusive processes. Such approach ensures that HSPA frameworks remain nationally relevant, enable international comparison, build sustainable capacity, and promote stakeholder ownership – all essential to achieving evidence‑based improvements in health system performance.
In 2024, Luxembourg’s authorities have decided to develop its national HSPA and requested technical assistance from the European Commission and consequently from the OECD to support its development process. The HSPA framework for Luxembourg, presented in this Report, is an outcome of activities convened by the OECD in co‑operation with the Observatoire national de la santé (ObSanté) and the European Commission SG REFORM within the Project “24LU02 & 24SK01 Developing Health System Performance Assessment frameworks for Luxembourg and Slovakia”. The project has been designed as multi-country to enhance cross-country learning and mutual experience sharing on HSPA development. Therefore, the two countries involved, Luxembourg and the Slovak Republic, have been setting up their national HSPAs along the same timeline which allowed them to learn from each other during the development process, and held some joint-country project activities. The project, technically supported by the OECD, has aimed to support the Slovak Republic and Luxembourg in the development of their national country specific HSPA frameworks, to provide support to their respective authorities to build in-house capacities enabling production of the HSPA reports on a regular basis and provide support during the production of their first HSPA reports. This Report forms part of the Project’s Output 4: Methodological Report on HSPA in Luxembourg.