A New Tool for Determining and Monitoring Public Healthcare Systems

Vered Reiter, Doron Nisani*, Shay S. Tzafrir, Nathaniel Laor

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The challenge of maintaining a standard of treatment has become a core issue due to the COVID-19 outbreak, and many countries are currently addressing this issue. Since public health policymaking is a multidimensional issue, including different aspects, measures, features, and scales, and so forth, multidimensional definitions of reasonable medical treatments may improve planning and performance standards for public health systems. This study emphasizes the need to settle all of the dimensions in policymaking to aim to elicit reasonable medical treatment definitions and adequacy assessments from diverse healthcare stakeholders and offer a universally applicable reasonable medical treatment formula. Interviews of thirty-two stakeholders were qualitatively analyzed and mapped onto an innovative quadrilateral model. The findings showed that most interviewees viewed the system positively. However, they identified various lacunas—clinical/service, social/ethical, legal, and economically reasonable medical treatment aspects. A generic formula for the medical sub-services’ activity accounted for these, given any specific time period and technological development. The stakeholders’ positive assessment reflects an acquiescence for resource allocation and policy enforcement, rather than optimal healthcare. Nationally, this should be addressed. The quadrilateral mapping of the stakeholders enhances the translatability and generalizability of the systemic data. A comprehensive reasonable medical treatment formula will help the policymakers to optimize services, and it will render healthcare planning/implementation transparent, effective, and responsible.

Original languageEnglish
Article number2528
JournalHealthcare (Switzerland)
Issue number12
StatePublished - Dec 2022


FundersFunder number
Association for Children


    • nationalized healthcare
    • public health services
    • reasonable standards
    • stakeholders


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