Good health at low cost 25 years on. What makes a successful health system?
factors related to the health system (the main focus of the study);
factors related to living conditions and public services (e.g. policies in
factors related to the institutional environment (e.g. political,
economic, social); and
factors related to the context (e.g. geography, climate).
The study was conducted by a partnership of researchers in the selected
countries and within the London School of Hygiene & Tropical
Medicine (LSHTM). The formulation of the approach to research and
initial proposals involved intensive interactions within the research
team. The case studies were conducted by each respective partner
drawing on the insight and the intellectual contribution from the rest of
the team. A common research framework and research tools were initially
created for the purpose of achieving methodological and conceptual
consistency and were adapted to countries by each partner institution. In-
country research presented a rich context and accentuated country
differences. Various combinations of methods and data sources were used
in each setting, reflecting national specificities (see Annex). International
Health Policy Program, Thailand (IHPP-Thailand) conducted a series of
cross-country quantitative analysis on outcomes and their determinants
which informed the development of the research.
Further analytical work facilitated through bilateral and multilateral
discussions helped to identify common patterns of development within
the health systems, other sectors, and contexts. As the research
progressed, there was a continuous process of dialogue with national
policy-makers and consultations with external experts and peer
reviewers, seeking to validate findings and contribute to national policy
processes as well as to the international debate.