ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2013
Determinants of healthcare system's efficiency in OECD countries.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Analysing the Efficiency of Health Systems: A Systematic Review of the Literature.Applied health economics and health policy · 2023Pooled it
- Identifying and understanding benefits associated with return-on-investment from large-scale healthcare Quality Improvement programmes: an integrative systematic literature review.BMC health services research · 2022Pooled it
- Integrated Analysis of Healthcare Efficiency: A Systematic Review.Journal of medical systems · 2017Pooled it
- Beyond Efficiency Scores: Explaining Health System Performance Using Two-Stage Bootstrap DEA and Machine Learning.Healthcare (Basel, Switzerland) · 2026Article
- Regional differences, evolutionary trends, and influencing factors of the level of medical assistance protection across Chinese provinces.BMC public health · 2026Article
- Identifying and prioritizing inefficiency causes in Iran's health system.Cost effectiveness and resource allocation : C/E · 2024Article
- Factors influencing the technical efficiency of diabetes care at primary care level in Mexico.Health policy and planning · 2024Article
- The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China.Frontiers in public health · 2024Article
- Exploring the association between primary care efficiency and health system characteristics across European countries: a two-stage data envelopment analysis.BMC health services research · 2023Article
- Effects of healthcare financing policy tools on health system efficiency: Evidence from sub-Saharan Africa.Heliyon · 2023Article
- Stochastic frontier approach to efficiency analysis of health facilities in providing services for non-communicable diseases in eight LMICs.International health · 2023Article
- Assessing the efficiency of health systems in achieving the universal health coverage goal: evidence from Sub-Saharan Africa.Health economics review · 2023Article
- Nurturing Socioculturally and Medically Appropriate Palliative Care Delivery: Lessons Learned by Israeli Medical Faculty.Journal of religion and health · 2022Article
- Similarities and differences between two well-performing healthcare systems: a comparison between the Israeli and the Danish healthcare systems.Israel journal of health policy research · 2022Article
- COVID-19 and the efficiency of health systems in Europe.Health economics review · 2022Article
- Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta.Frontiers in public health · 2022Article
- Effect of Primary Health Care Expenditure on Universal Health Coverage: Evidence from Sub-Saharan Africa.ClinicoEconomics and outcomes research : CEOR · 2022Article
- Destructive Role of COVID-19 Fear on Nurses Performance: Mediating Role of Stress.Nursing reports (Pavia, Italy) · 2021Article
- Article
- The efficiency of provincial government health care expenditure after China's new health care reform.PloS one · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFirstly, 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.
designData 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.
conclusionsCountries 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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