EFFICIENCY AND PRODUCTIVITY EVALUATION OF HEALTHCARE SYSTEMS OF NORTHERN EUROPE AND THE BALTIC REGION

Обложка

Цитировать

Полный текст

Открытый доступ Открытый доступ
Доступ закрыт Доступ предоставлен
Доступ закрыт Доступ платный или только для подписчиков

Аннотация

The study estimates the efficiency of healthcare systems of Northern Europe and the Baltic region countries. The analytical tools of a two-stage Data Envelopment Analysis and Malmquist DEA are applied to assess the efficiency and changes in health systems’ productivity for the studied countries. The study data is extracted from the World Development Indicators from 2000 to 2020. Evidence reveals that only nine countries have an efficient healthcare system, and the healthcare systems of Germany and Lithuania were found to be inefficient. A reference between the inefficient and the efficient countries further demonstrates that the inefficient countries outperformed the reference group. Moreover, the estimates obtained by applying the Tobit regression model show that only the Gini coefficient significantly affects the inefficiency of the healthcare systems of the studied countries. Furthermore, it is found that the total factor productivity declined by 0,1% over the period of one decade, and the decay in healthcare systems’ productivity is driven purely by technical change not by technological change. Therefore, the policy implication of the findings suggests that pursuing sound economic policies that ensure fair income distribution in the studied countries has the potential to overcome the existing level of inefficiency in the healthcare systems and subsequently lead to improvement in health outcomes.

Об авторах

Singh SHAILENDER

Symbiosis International Deemed University

Email: reshu111us@yahoo.com
MBA, Ph.D, Head Research & Associate Professor Symbiosis Law School, Noida Pune, India

Kaul MEENAKSHI

Symbiosis International Deemed University

Email: kaulmeenakshi77@gmail.com
M.Com, Ph.D, Deputy Director & Assistant Professor, Symbiosis Law School, Noida Pune, India

Uppal AAKANKSHA

Symbiosis International Deemed University

Email: aakanksha.uppal@gmail.com
MBA, Ph.D, Assistant Professor, Symbiosis Law School, Noida Pune, India

J Rawandale CHANDRASHEKHAR

Symbiosis International Deemed University

Email: director@symlaw.edu.in
LLM, Ph.D, Director & Professor, Symbiosis Law School, Noida Pune, India

Список литературы

  1. Ahmed S. et al. (2019). “Measuring the Efficiency of Health Systems in Asia: A Data Envelopment Analysis.” BMJ open 9(3). DOI:10.1136/ bmjopen-2018-022155
  2. Anderson G., P. S. Hussey. (2001) “Comparing Health System Performance in OECD Countries.” Health Affairs 20(3): 219–32. doi: 10.1377/hlthaff.20.3.219.
  3. Asandului L., Roman M., Fatulescu P. (2014) “The Efficiency of Healthcare Systems in Europe: A Data Envelopment Analysis Approach.” Procedia Economics and Finance 10: 261–68. DOI: https://doi.org/10.53730/ijhs.v6nS3.7178
  4. Banker R. D, Charnes A., Cooper W. W. (1984). “Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis.” Management Science 30(9): 1078–92.
  5. Caves D. W, Christensen L. R, Diewert W. E. (1982) “The Economic Theory of Index Numbers and the Measurement of Input, Output, and Productivity.” Econometrica: Journal of the Econometric Society: 1393–1414. https://doi.org/10.2307/1913388
  6. Cetin V. R., Bahce S. (2016). “Measuring the Efficiency of Health Systems of OECD Countries by Data Envelopment Analysis.” Applied Economics 48(37): 3497–3507. doi: 10.1080/00036846.2016.1139682
  7. Charles A., Cooper W. W., Rhodes E. (1978) "Measuring the Efficiency of Decision-Making Units." European journal of operational research 2(6): 429–44.
  8. Chern J.-Yu., Wan T. TH. (2000) “The Impact of the Prospective Payment System on the Technical Efficiency of Hospitals.” Journal of Medical Systems 24: 159–72. doi: 10.1023/A:1005542324990
  9. Coelli T., Prasada Rao D.S., O'Donnell Ch. J., Battese G. E. (2005) “An Introduction to Efficiency and Productivity Analysis.”
  10. El Husseiny I. A. (2023) “The Efficiency of Healthcare Systems in the Arab Countries: A Two-Stage Data Envelopment Analysis Approach.” Journal of Humanities and Applied Social Sciences 5(4): 339–58. doi: 10.1108/JHASS-10-2021-0168
  11. Farrell M. J. (1957) “The Measurement of Productive Efficiency.” Journal of the Royal Statistical Society Series A: Statistics in Society 120(3): 253–81. https://doi.org/10.2307/2343100
  12. Ibrahim M. D. (2023). “Efficiency and Productivity Analysis of Maternal and Infant Healthcare Services in Sub‐Saharan Africa.” The International Journal of Health Planning and Management 38(6): 1816–32. doi: 10.1002/hpm.3705
  13. Kirigia J. M et al. (2007). “A Comparative Assessment of Performance and Productivity of Health Centres in Seychelles.” International Journal of Productivity and Performance Management 57(1): 72–92. doi: 10.1108/17410400810841245
  14. Konca M., Top M. (2023) “What Predicts the Technical Efficiency in Healthcare Systems of OECD Countries? A Two-Stage DEA Approach.” International Journal of Healthcare Management 16(1): 104–19.
  15. Mohamadi E. et al. (2020) “Technical Efficiency in Health Production: A Comparison between Iran and Other Upper Middle-Income Countries.” Health Policy and Technology 9(3): 335–47. https://doi.org/10.30476/jhsss.2022.95379.1587
  16. Naylor C. D., Iron K., Handa K. (2002) “Measuring Health System Performance: Problems and Opportunities in the Era of Assessment and Accountability.” Measuring up: improving health system performance in OECD countries.
  17. Ozcan Y. A. (2008) Health Care Benchmarking and Performance Evaluation. Springer.
  18. Singh Sh., Bala M. M., Kumar N., Janor H. (2021) “Application of DEA‐Based Malmquist Productivity Index on Health Care System Efficiency of ASEAN Countries.” The International journal of health planning and management 36(4): 1236–50.
  19. Sun, Daxin, Haksoon Ahn, Tomas Lievens, and Wu Zeng. (2017) “Evaluation of the Performance of Na-tional Health Systems in 2004-2011: An Analysis of 173 Countries.” PloS one 12(3): e0173346.
  20. Tandon A., Murray Ch. JL, Lauer J. A, Evans D. B. (2000). “Measuring Overall Health System Performance for 191 Countries.” Geneva: World Health Organization.
  21. Tigga N. Sh., Mishra U. S. (2015) “On Measuring Technical Efficiency of the Health System in India: An Application of Data Envelopment Analysis.” Journal of Health Management 17(3): 285–98. https://doi.org/10.1177/0972063415589229
  22. Top M., Konca M., Sapaz B. (2020) “Technical Efficiency of Healthcare Systems in African Countries: An Application Based on Data Envelopment Analysis”. Health Policy and Technology 9(1): 62–68.

Дополнительные файлы

Доп. файлы
Действие
1. JATS XML
Скачать

© Российская академия наук, 2024