ArticleHealth economics review2018
Does happiness matter to health system efficiency? A performance analysis.
Article in Health economics review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- Analysing the Efficiency of Health Systems: A Systematic Review of the Literature.Applied health economics and health policy · 2023Pooled it
- Beyond Efficiency Scores: Explaining Health System Performance Using Two-Stage Bootstrap DEA and Machine Learning.Healthcare (Basel, Switzerland) · 2026Article
- Three decades in healthcare service efficiency evaluation: a bootstrapping Data Envelopment Analysis (DEA) of Ministry of Health Malaysia.Health economics review · 2025Article
- Article
- Gratitude and Subjective Well-Being in Older Chinese Adults in Nursing Homes: The Mediating Roles of Self-Efficacy and Social Support.Nursing open · 2024Article
- Respective healthcare system performances taking into account environmental quality: what are the re-rankings for OECD countries?Health research policy and systems · 2023Article
- Assessing the efficiency of health systems in achieving the universal health coverage goal: evidence from Sub-Saharan Africa.Health economics review · 2023Article
- Identifying and prioritizing resilient health system units to tackle the COVID-19 pandemic.Socio-economic planning sciences · 2023Article
- Level of happiness among medical students in Bihar-An online survey.Journal of education and health promotion · 2023Article
- Article
- Factors of life satisfaction and happiness among dentists: A cross sectional study.Journal of Taibah University Medical Sciences · 2022Article
- Does less working time improve life satisfaction? Evidence from European Social Survey.Health economics review · 2022Article
- The Core of Healthcare Efficiency: A Comprehensive Bibliometric Review on Frontier Analysis of Hospitals.Healthcare (Basel, Switzerland) · 2022Review
- COVID-19 and the efficiency of health systems in Europe.Health economics review · 2022Article
- Efficiency measurement and spatial spillover effect of provincial health systems in China: Based on the two-stage network DEA model.Frontiers in public health · 2022Article
- Inefficiency of public hospitals: a multistage data envelopment analysis in an Italian region.BMC health services research · 2021Article
- Article
- Empirical Analysis of Factors Influencing Healthcare Efficiency among Emerging Countries.Healthcare (Basel, Switzerland) · 2020Article
- Assessing the efficiency of countries in making progress towards universal health coverage: a data envelopment analysis of 172 countries.BMJ global health · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundThe main objective of this study is to assess the performance of the global health system, emphasising the contribution of people's happiness to health system efficiency across countries. Technical efficiency (TE) scores are estimated using the output-oriented variable returns to scale (VRS) data envelopment analysis (DEA) model based on the input measures: health expenditure, labour, hospital beds and education, and the output measures: healthy life expectancy and inverse mortality index. The efficiency scores are regressed against three explanatory variables: happiness index, population density, and healthcare share of gross domestic product (GDP). The analysis involved 121 selected countries using double bootstrap DEA as proposed by Simar, L., Wilson, P.W J Econ 136:1‑34, 2007.
resultsThe bootstrap truncated regression indicates that happiness is one of the factors that contributes significantly to health system efficiency. The study also revealed that the selected health systems perform well, on average, in terms of population density and healthcare share of GDP.
conclusionsIn addition to improving the economic standard of living, policy-makers should also consider ways to increase the happiness and well-being of society. Policies focusing on well-being and happiness can lead to improved well-being and improved health outcomes, which may ultimately reduce the healthcare burden and enhance healthcare performance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.