개정된 OECD의 보건의료체계 성과평가 프레임워크: 회복 탄력적이고 사람 중심적인 성과평가를 향하여

Abstract

In January 2024, the OECD (Organisation for Economic Co-operation and Development) published a revised Health System Performance Assessment (HSPA) framework at the Health Ministers’ meeting in order to identify and address current and anticipated challenges in the health system. The purpose of the revised framework is to integrate key dimensions such as resilience and people-centeredness into HSPA framework. The core of the revised framework is to place health needs and preferences of people at the center of the framework and structure the four cross-cutting and circulating dimensions of health system performance: efficiency, equity, sustainability, and resilience. In order to implement the framework, the various concepts of the framework must be broken down into more specific and measurable elements and then filled with indicators. Since the components of the revised framework are based on the existing frameworks, the OECD has already developed many indicators. However, revisions to the framework provide opportunities to introduce new indicators and enhance the quality of existing ones. The OECD clarified that the revised HSPA framework is not intended to replace national-level HSPA frameworks but to enable international benchmarking and mutual learning. Recently, Korea announced the 2nd National Health Insurance Plan (2024–2028). Hence, Korea also needs to elevate policy interest in improving the quality of health system and benchmark the revised OECD framework to discuss the establishment of an HSPA framework at the national level.