ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2025
Public versus private healthcare systems in the OECD area- a broad evaluation of performance.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Classifying OECD Health Systems by Financing Structure: An Empirical Latent Profile Analysis.The International journal of health planning and management · 2026Article
- Article
- Financing Regimes and Case-Mix Complexity in Psychiatric Hospitals Beyond the Pandemic Shock-Insights from a Regional European Healthcare System.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Inequalities in mammograms and cervical biopsies provision in the public and private sectors of the Brazilian healthcare system and the availability of gynecology and obstetrics specialists.Clinics (Sao Paulo, Brazil) · 2026Article
- Perceptions of public and private health services in Poland: findings from a 2025 nationwide survey.BMC health services research · 2026Article
- A parallel private-pay system will worsen access to publicly funded surgery.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Privately paid, direct-to-consumer diagnostic testing: let the buyer beware.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- The Reform That Was Never Completed: Why Greece Must Redesign Its Health Financing Architecture.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Healthcare systems can be categorised along the public/private axis into two main types: publicly administered systems and systems based on compulsory health insurance provided by the private sector. Within the OECD area, the latter group has expanded over time, particularly with the inclusion of new member states from Eastern Europe and Central and Latin America. This study compares the efficiency of these two models across the 38 member countries, utilising a broad spectrum of performance indicators developed by the OECD secretariat. Data from the most recent available year, typically 2021, were analysed. On average, performance improves with an increase in healthcare budgets; however, further enhancements come at rising costs. The analysis concludes that there is no evidence supporting the hypothesis that transitioning from a publicly administered system to a privately dominated system will enhance efficiency. By contrast, there is strong evidence that overall efficiency increases with the public share of financing. These conclusions also hold true for the more restricted group of OECD countries in Europe.
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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.