Czech Republic - World Health Survey 2003

Different countries have different health outcomes that are in part due to the way respective health systems perform. Regardless of the type of health system, individuals will have health and non-health expectations in terms of how the institution responds to their needs. In many countries, however, health systems do not perform effectively and this is in part due to lack of information on health system performance, and on the different service providers. The aim of the WHO World Health Survey is to provide empirical data to the national health information systems so that there is a better monitoring of health of the people, responsiveness of health systems and measurement of health-related parameters. The overall aims of the survey is to examine the way populations report their health, understand how people value health states, measure the performance of health systems in relation to responsiveness and gather information on modes and extents of payment for health encounters through a nationally representative population based community survey. In addition, it addresses various areas such as health care expenditures, adult mortality, birth history, various risk factors, assessment of main chronic health conditions and the coverage of health interventions, in specific additional modules. The objectives of the survey programme are to: 1. develop a means of providing valid, reliable and comparable information, at low cost, to supplement the information provided by routine health information systems. 2. build the evidence base necessary for policy-makers to monitor if health systems are achieving the desired goals, and to assess if additional investment in health is achieving the desired outcomes. 3. provide policy-makers with the evidence they need to adjust their policies, strategies and programmes as necessary.

不同国家的健康结局存在差异，这在部分程度上源于各自医疗体系的运行效能。无论医疗体系的类型如何，民众都会对该机构响应其需求的方式，抱有健康层面与非健康层面的期许。然而，诸多国家的医疗体系未能有效履职，这在部分程度上源于缺乏关于医疗体系运行效能以及不同服务提供者的相关信息。世界卫生组织（World Health Organization，WHO）世界健康调查（World Health Survey）的核心目标，是向各国国家卫生信息系统提供实证数据，以便更好地监测民众健康状况、评估医疗体系的响应效能，并测算与健康相关的各类参数。本次调查的总体目标是：通过基于全国代表性人群的社区调查，探究民众自述健康状况的方式，了解民众对健康状态的价值判断，测算医疗体系响应相关的运行效能，并收集民众在就诊时的支付方式与支付规模相关信息。此外，本次调查还通过专属附加模块，涵盖医疗保健支出、成人死亡率、生育史、各类风险因素、主要慢性健康状况评估以及健康干预措施覆盖情况等诸多领域。本次调查项目的目标包括：1. 开发一套低成本、可提供有效、可靠且可比信息的方法，以补充常规卫生信息系统所提供的信息；2. 构建必要的证据基础，供政策制定者监测医疗体系是否达成既定目标，并评估卫生领域额外投入是否取得预期成效；3. 为政策制定者提供所需的证据，使其能够在必要时调整相关政策、策略与项目。