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The European Journal of Health Economics

Erschienen in:

01.04.2013 | Original Paper

Determinants of healthcare system’s efficiency in OECD countries

verfasst von: Sharon Hadad, Yossi Hadad, Tzahit Simon-Tuval

Erschienen in: The European Journal of Health Economics | Ausgabe 2/2013

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Abstract

Objective

Firstly, to compare healthcare systems’ efficiency (HSE) using two models: one incorporating mostly inputs that are considered to be within the discretionary control of the healthcare system (i.e., physicians’ density, inpatient bed density, and health expenditure), and another, including mostly inputs beyond healthcare systems’ control (i.e., GDP, fruit and vegetables consumption, and health expenditure). Secondly, analyze whether institutional arrangements, population behavior, and socioeconomic or environmental determinants are associated with HSE.

Design

Data envelopment analysis (DEA) was utilized to calculate OECD countries’ HSE. Life expectancy and infant survival rate were considered as outputs in both models. Healthcare systems’ rankings according to the super-efficiency and the cross-efficiency ranking methods were used to analyze determinants associated with efficiency.

Results

(1) Healthcare systems in nine countries with large and stable economies were defined as efficient in model I, but were found to be inefficient in model II; (2) Gatekeeping and the presence of multiple insurers were associated with a lower efficiency; and (3) The association between socioeconomic and environmental indicators was found to be ambiguous.

Conclusions

Countries striving to improve their HSE should aim to impact population behavior and welfare rather than only ensure adequate medical care. In addition, they may consider avoiding specific institutional arrangements, namely gatekeeping and the presence of multiple insurers. Finally, the ambiguous association found between socioeconomic and environmental indicators, and a country’s HSE necessitates caution when interpreting different ranking techniques in a cross-country efficiency evaluation and needs further exploration.

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Calculated as the average of countries’ data in 1975 and 2008. Source: OECD Health Data 2010 [2].

For a detailed description of the two methods see “Appendix”.

Only Slovak Republic was defined as inefficient according to model I but as efficient according to model II.

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Titel: Determinants of healthcare system’s efficiency in OECD countries
verfasst von: Sharon Hadad
Yossi Hadad
Tzahit Simon-Tuval
Publikationsdatum: 01.04.2013
Verlag: Springer-Verlag
Erschienen in: The European Journal of Health Economics / Ausgabe 2/2013
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI: https://doi.org/10.1007/s10198-011-0366-3

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Determinants of healthcare system’s efficiency in OECD countries

Abstract

Objective

Design

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objective

Design

Results

Conclusions

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