Figures A A.1 to Figure A A.9 show the available national HSPA frameworks in OECD Member countries discussed in this paper. This includes countries where HSPA frameworks have been formally published and endorsed, as well as drafts pending endorsement, where available (Australia in Figure A A.1 and Italy in Figure A A.7).
Learning through national Health System Performance Assessment (HSPA)
Emerging findings from OECD countries
Note: This conceptual framework is a draft and has not been formally endorsed. It is currently under revision, and its content may be subject to change. It is provided for information only. Any reference should acknowledge its provisional status.
Source: AIHW and ACSQHC (forthcoming[17]), Australian Health System Performance Assessment Framework 2025: From data to decisions.
Source: Gerkens et al. (2023[10]), “Performance of the Belgian health system: Revision of the conceptual framework and indicators set”, https://doi.org/10.57598/r370c.
Source: Canadian Institute for Health Information (CIHI) (2013[9]), A Performance Measurement Framework for the Canadian Health System., https://www.cihi.ca/en/access-data-and-reports/health-system-performance-measurement/health-system-performance-measurement-framework (accessed 5 November 2025).
Source: OECD (2023[22]), Health System Performance Assessment Framework for the Czech Republic, https://doi.org/10.1787/5d59b667-en.
Source: OECD (2023[16]), Health System Performance Assessment Framework for Estonia, https://doi.org/10.1787/e67df802-en.
Source: Academic Medical Centre of the University of Amsterdam (2021[35]), Final Report: Performance accountability for the Irish health system.
Note: The visualisation of the framework of the New Guarantee System is still under development, the illustration is provisional as of November 2025.
Source: Italian Ministry of Health [Ministero della Salute] (forthcoming).
Source: Noto et al. (2019[21]), “Health system performance assessment in small countries: the case study of Latvia”, https://doi.org/10.1002/hpm.2803.
Source: Perko, D. et al. (2019[18]), Health System Performance Assessment for Slovenia, https://www.gov.si/assets/ministrstva/MZ/DOKUMENTI/Kakovost-zdravstvenega-varstva/HEALTH-SYSTEM-PERFORMANCE-ASSESSMENT-FOR-SLOVENIA.pdf.