What is your understanding of the cost/access/quality approach to evaluating or comparing healthcare systems?

What is your understanding of the cost/access/quality approach to evaluating or comparing healthcare systems?
In what ways is this a good model for making comparisons?
In what ways is this a poor model for making comparisons? and innovation. What is your opinion of the value or importance of these dimensions?
Can you think of any other dimensions that might be useful in comparing healthcare systems?

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