Descripción

An innovative methodology for measuring health system performance in Latin America using a multidimensional approach is presented. The methodology is based on the weighting of four key sub-indices: coverage, quality, socioeconomic health, and population perception, which together form the Multidimensional Performance Index (MDI). The main objective is to provide a comprehensive view of health system performance in the region and to identify potential areas for improvement. The research is aligned with the World Health Organization’s (WHO) definitions of health as a holistic state of well-being and recognizes its multidimensional nature. In this framework, the health system is understood as an integral structure of organizations, institutions, and resources dedicated to improving health in general. The proposed methodology includes three main approaches: comparative, predictive, and evaluative, essentially aimed at improving the performance of the health system by facilitating international and national comparisons, predicting future behavior and identifying the variables that influence the main indexes. Finally, the methodology is applied to evaluate the performance of 18 Latin American countries, with a specific comparative analysis in three of them: Colombia, Costa Rica, and Dominican Republic.