Research conducted on behalf of PHSSR is grounded in robust methodology, using a framework developed by the London School of Economics (LSE) and shaped by practitioners and policymakers working in these countries. The LSE framework consists of seven core domains:

Health system
governance
The wide range of steering and rulemaking related functions carried out by governments and decision makers as they seek to achieve jurisdictional health policy objectives.

Health system
financing
How health systems generate, pool and allocate financial resources and pay for health services.

Health system
workforce
How health systems plan for, train, recruit, reward, and deploy their workforces, and shape the conditions in which health professionals work.

Medicines and
technology
How health systems make use of medicines and technologies in the delivery of health services.

Health service delivery
How health services are organised and delivered, including ambulatory and hospital care, and public health.

Population health
How health systems address the Social Determinants of Health and meet the levels of their populations’ needs and demands.

Environmental sustainability
How health systems prevent and minimise their carbon footprint and the devastating impacts of climate change. Learn more.
This established LSE framework provides a basis for further qualitative research into health systems’ sustainability and resilience. In the future, the PHSSR has an ambition to develop more methodologically sophisticated approaches over time, including quantitative metrics, aggregated into an index, which will enable the measurement and comparison of aspects of sustainability and resilience across settings. The LSE will make the framework and index available to all relevant parties that want to use it to either periodically conduct jurisdictional assessments and/or want to use it as a base to strengthen and improve their health systems to adapt and transform their resiliency and sustainability.
Learn more about our research partners and their organisations by expanding the lists and exploring their websites below.