Tehran University of Medical Sciences Health Technology Assessment in Action 2645-3835 8 3 2024 08 12 298 298 Farid Gharibi Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran 2024 05 01 2024 06 22 The World Health Organization’s annual report in 2000 sparked a global trend of assessing and improving healthcare performance indicators. These performance indicators provide tangible measures of the performance of health systems and healthcare institutions. Ranking countries based on these indicators has been a smart and strategic decision to focus the attention of health managers and policymakers on improving them. These performance indicators include quality, safety, equity, public health coverage, service continuity, comprehensiveness, accessibility, and etc. These indicators’ positive trajectory demonstrates the gradual attainment of the health system’s mission and objectives. An often-seen strategic error in health system administration, particularly in developing nations, is the excessive allocation of funds to physical infrastructure and the acquisition of costly equipment. This expense diminishes the resources that could be allocated to performance indicators improvement. https://htainaction.tums.ac.ir/index.php/hta/article/view/298 https://htainaction.tums.ac.ir/index.php/hta/article/download/298/156