European Observatory on Health Systems and Policies
Health Reform Tracker
The Health Reform Tracker provides a first-ever overview of the content and dynamics of health reforms in over 30 countries across the WHO European Region and North America over time. The Observatory's Health System Policy Monitor (HSPM) network of experts has been collecting the “top three” health policy and system reforms for each country annually since 2018. These are organized, validated and synthesized by the Observatory.
The reforms are classified according to two types of clusters - health system functions and care areas - as well as by their type and policy originator.
The reforms are classified according to two types of clusters - health system functions and care areas - as well as by their type and policy originator.
Governance
Financing - coverage & resource generation
Financing - allocation & pooling
Financing - purchasing & payment
Health workforce
Transparency & accountability
Care coordination & integrated care
Public health
Digital health
Primary & ambulatory care
Hospital care
Mental health
Specialized care
Pharmaceuticals
Functions and Care Areas
Governance
2024
Europe & Middle East
North America
World Map
Select a cluster (either care area or health system function) to see which country had a reform in the selected year. Use the timeline to see the reported reforms for the selected cluster in a specific year. To see how a cluster evolves across countries over time, click on the animation button. On the map, countries belonging to the HSPM network are shaded in darker gray . All countries with a reform in the selected cluster, e.g., "Governance" are highlighted in that cluster's designated color . Click on the shaded country to see a list of relevant reported reforms; click again on the reform name for the specifics of a reform.