This book investigates the methodology and necessity of evaluating national health systems in the face of rising demand and limited financial resources. George E. Cumper, drawing on his extensive background in international health policy, argues that effective evaluation requires a comprehensive analysis of system performance against established standards. He posits that assessments must transcend individual project reviews to encompass administrative efficiency, resource allocation, and public demand metrics. The text provides a structured framework for applying these evaluative results to real-world health system reorganization.

Experts recognize this work as a foundational text for understanding the intersection of health economics and administrative policy. Readers frequently note the academic density of the prose, which serves as a technical resource for professionals involved in health system management and reform.