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Comparative Efficiency of National Health Systems: Cross National Econometric Analysis

Overview
Journal BMJ
Specialty General Medicine
Date 2001 Aug 11
PMID 11498486
Citations 54
Authors
D B Evans
A Tandon
C J Murray
J A Lauer
Affiliations
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Abstract

Objective: To improve the evidence base for health policy by devising a method to measure and monitor the performance of health systems.

Design: Estimation of the relation between levels of population health and the inputs used to produce health.

Setting: 191 countries.

Main Outcome Measure: Health system efficiency (performance).

Results: Estimated efficiency varied from nearly fully efficient to nearly fully inefficient. Countries with a history of civil conflict or high prevalence of HIV and AIDS were less efficient. Performance increased with health expenditure per capita.

Conclusions: Increasing the resources for health systems is critical to improving health in poor countries, but important gains can be made in most countries by using existing resources more efficiently.

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Key Indicators for Monitoring the Efficiency of Iranian Health System: A Synthesized Design Study.

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