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Developing a Vision and Goals

Chapter 4 presents methods to examine the performance of a health system and to assess, define, and choose the vision, specific goals, and objectives for a health system. The authors discuss approaches to understand the performance of a country’s health system and present indicators that could be used to assess the performance of health systems. They present methodology to examine the opportunities and threats faced by a country health system and the strengths and weaknesses of the health system based on the performance achieved. They show how the results of this examination are used for a strengths and weakness, opportunities and threats (SWOT) analysis. They discuss how the SWOT analysis can be used to identify gaps in system performance and consider those that need addressing. The SWOT analysis informs the beginning of the goal-setting process and the development of an improvement plan to redesign the health system to achieve set goals.