Some quality indicators are available at a national level, and should be able to be broken down to a hospital level, but it is not clear that these indicators are consistently used by policy makers, managers, or health care professionals. Infonnation on care quality at primary care level is also weak. For example, Latvia conducts only a few health-related surveys, while many OECD countries use surveys as important tools to collect a wide range of information including on patient experience, care co-ordination and patient safety.