this should also make more explicit the roles and responsibilities of different levels of government and strengthen platforms for data sharing providing evidence and analysis to support policy development and disseminate best practice databases and regular surveys should cover health risks primary care health personnel including nursing and other allied health professions and outpatient activity the quality of ambulatory hospital and longterm care services morbidity and mortality amenable to health care and health inequalities eg by income education and other social characteristics costsharing arrangements should be designed to encourage the use of costeffective medical goods and services and prevention integrated and managed care models should be promoted by monitoring and reporting on quality outcomes and their success at disease management