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註釋This Health Metrics Network assessment tool is intended to achieve more than simply assess the strengths and weaknesses of the elements and operations of a national HIS. The mere process of conducting the assessment reaches and engages all stakeholders in the system. In order to assist countries in this key activity Health Metrics Network has developed this assessment tool which describes in detail how to undertake a first baseline assessment. Some will interact for the very first time through the assessment process, which is intended to be both catalytic and synergistic. It should move stakeholders towards a shared and broader vision of a more coherent, integrated, efficient and useful system. The gap between the existing system and this new vision will be an important stimulus for moving to the next stage of planning national HIS reform. Such an assessment process can also be a mechanism for directly engaging stakeholders and for reinforcing broad-based consensus-building.