This paper describes and illustrates the role of perceptual measurement in the development and implementation of healthcare reform by the Ministry of Health of Turkey. A multi-stage program that collects information from stakeholders such as health personnel and the public helped both the reform design and the planning necessary for implementation. In the future, perceptual information will be used to support continuous development and improvement. This measurement program provides a model for countries facing the task of healthcare reform. Use of perceptual information plays a major role in decisions that ultimately determine both effectiveness of programs and efficient use of scarce resources.