The Health Systems in Transition (HiT)

HiT template (2010)

Bernd Rechel, Sarah Thomson, Ewout van Ginneken

World Health Organization 2010, on behalf of the European Observatory on Health Systems and Policies

Available online PDF [110p.] at:


“…..The current version of the template, published in 2010, is the result of a consultation process with HiT editors, previous HiT authors, Observatory National Lead Institutions (NLIs), WHO Regional Office for Europe, the European Commission, and other Observatory partners. Several sections have been reorganised to improve accessibility and clarity for readers, while the design has been greatly improved to help authors and editors in the writing process.


The result is a template that is more user-friendly for authors as it now includes clear sign posting for ‘essential’ versus ‘discretionary’ sections as well as indicators for tables and figures. Other new features include: summary paragraphs for all chapters; a revised and extended chapter on performance assessment; and increased focus on public health and intersectorality.

The Health Systems in Transition (HiT) profiles are country-based reports that provide detailed descriptions of health systems and policy initiatives using a standard format. HiTs are produced by country experts in collaboration with Observatory staff.

They are building blocks that can be used to:

• examine different approaches to the organization, financing and delivery of health services, and the role of key health system actors;

• describe the institutional framework for and the process, content and implementation of health policy;

• highlight challenges and areas requiring more detailed analysis;

• provide a tool for disseminating information on health systems;

• facilitate the exchange of reform experiences across countries;

• establish a baseline for assessing the impact of reforms; and

• inform comparative analysis.

HiT profiles are based on a template that, revised periodically, provides detailed guidelines and specific questions, definitions, suggestions for data sources, and examples needed to compile HiTs. While the template offers a comprehensive set of questions, it is intended to be used in a flexible way to allow authors and editors to adapt it to their particular national context….”


Full list of HiTs

Health system profiles (HiTs) published in one (or several) of the four official languages of the WHO Regional Office for Europe


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