Living Reference Work Entry

Data and Measures in Health Services Research

Part of the series Health Services Research pp 1-12

Date: Latest Version

Challenges of Measuring the Performance of Health Systems

  • Adrian R. LevyAffiliated withCommunity Health & Epidemiology, Dalhousie University Email author 
  • , Boris G. SobolevAffiliated withSchool of Population and Public Health, University of British Columbia Email author 


Improving the measurement of the performance of health systems is a wise policy option for federal, provincial, and territorial governments because it provides essential information for understanding the inevitable trade-offs involved in trying to reduce costs while striving to improve quality of care, access, and the health of the population. Performance measurement – monitoring, evaluating, and communicating the degree to which health-care systems address priorities and meet specific objectives – is also garnering increased attention from many stakeholders at other levels of the system.


Canada Health care systems Health technology assessment Measurement Performance measurement