Table. Examples of Relational Claims According to the System Function and Component Referenced.

Relational Claim	System Function	System Component
"Social values…form the guiding principles of the healthcare system and currently present a barrier to health priority setting…" 41 "Much of this [health] priority setting is shaped by the values and perceptions of electorates." 42	Priority-setting	Health System
"Countries need to customise systems to suit their socio-economic, political and administrative settings. Home-grown health financing systems that resonate with social values will need to be found." 43 "Health financing arrangements can convey important messages about political priorities and values." 44	Finance/resource allocation
"Conflict between the ideology of market-driven health finance and fundamental social and political values proved an even more powerful force for reorienting the competitive reforms than did interest-group opposition." 45 "Government’s regulatory role is noted to include structuring the system in line with social consensus on the ethical principles...on which it is founded" (Mills and Ranson as quoted in Gilson). 46	Structure and reform
"A number of authors highlight the importance of considering societal values and principles as they vary across societies, yet are crucial in determining system goals." 47	Goals
"Nurses’ values and worldviews influence their responses to the free care policy." 48 "Healthcare workers provide care, adhere to guidelines, interact with each other and interact with patients according to their personal values, [and] social and professional norms...among other factors." 49	Behaviour/decision-making	HCWs and managers
"Values and political ideologies can be central to policy directions through providing a window of opportunity for change, particularly during political electoral cycles." 42	Agenda	Policy
"The failure of the implementation of these policies, in terms of their equity objectives, can be largely explained by the fact that the absence of equity was never seen as a public issue. Yet for any situation to become a public issue...the question of values is obviously central." 50	Success/effectiveness/implementation
"The framing game to be played is dependent on the embedded values of the larger health policy arena...one may expect frames to center on the need to expand social policies to reflect the values inherent in existing programs (and thus, arguably, society)." 51	Content/structure/framing
"Policy-makers contested the SMC research evidence mostly due to concerns such as political feasibility, cultural values and discomfort with complex messages." 52 "Policy actors who prioritised severely ill…argued that the majority of the public would have the same ethical values and expectations for healthcare rationing." 53	Behaviour/decision-making	Policy-maker/elite
"The cluster of ideas, beliefs, values and attitudes...constitute the normative lens through which policy-makers...interpret and act upon social and political issues." 54	Perception/expectation
"Recognizing and aligning policy with ‘values’ underpinning health systems affect whether interventions...are succeeding." 55 "When the principles of a policy have greater congruency with the social and cultural values within a health system, effective implementation is more likely to occur." 56	Success/effectiveness/implementation/function	Intervention/program/service
"Policy frames incorporate particular norms of fairness." 57	Content
"The incongruences between societal values, institutions and decisions found in Germany may be a central cause behind the significantly lower satisfaction with the system." 58 "The public’s acceptance of economic evaluation would be limited if the societal values of equity or justice were not incorporated into decision-making." 59	Perception/expectation	Citizen

Abbreviation: HCWs, healthcare workers.