Purpose
This paper aims to explore the efficiency improvement environment and approaches in public health systems using OECD countries as a frame of reference. To accomplish this aim, this paper addresses the following review question: What current evidence exists regarding approaches to supporting efficiency improvement in public health systems in developed countries? The Rapid Evidence Assessment model was used to address the review question. This model follows the same approaches and principles as a systematic review, making allowances for limited timeframes and lower strength of evidence while addressing key issues related to the topic(9). This method is also well-equipped to enable the synthesis of disparate evidence in addition to existing synthesised literature(10,11). A review protocol was developed to guide this study and its processes.