Health systems across OECD countries generate vast amounts of data, yet many struggle to translate this into actionable insights for policy. Health System Performance Assessment (HSPA) frameworks help bridge this gap by systematically evaluating how health systems meet people’s needs, allocate resources, and achieve policy goals. This policy paper synthesises cross country experience from 11 OECD Member countries to identify how national HSPA frameworks are structured and governed, the factors shaping policy use, and emerging measurement domains. Countries increasingly use HSPA for performance monitoring, accountability, and decision making, adapting implementation to national contexts while adopting shared principles. The paper highlights three conditions supporting successful implementation: robust health data infrastructure, strong stakeholder engagement, and alignment with broader policy priorities. Building on decades of leadership in HSPA, the OECD renewed its framework in 2024 to guide further development of internationally comparable measurement and provides country specific support to strengthen capacity for evidence-based health system improvement.
Learning through national Health System Performance Assessment (HSPA)
Emerging findings from OECD countries
