Determinants of Health-system Efficiency: Evidence from OECD Countries

Overview

Journal Int J Health Care Finance Econ

Publisher Springer

Specialty Public Health

Date 2014 Jan 9

PMID 24398651

Citations 19

Authors

Pablo Hernandez de Cos

Enrique Moral-Benito

Affiliations

Soon will be listed here.

Abstract

This paper analyzes the most important determinants of healthcare efficiency across OECD countries. As previously documented in the literature, we first provide evidence of significant differences in the cross-country level of efficiency in healthcare provision. We then investigate how improvements in efficiency can be achieved by considering alternative efficiency indices (parametric and non-parametric) and a novel dataset with information on the characteristics of healthcare systems across OECD countries. Our empirical findings suggest a positive correlation between policies such as increasing the regulation of prices billed by providers and reducing the degree of gate keeping and the efficiency of national healthcare systems.

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References

Retzlaff-Roberts D, Chang C, Rubin R . Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy. 2004; 69(1):55-72. DOI: 10.1016/j.healthpol.2003.12.002. View

Fare R, Grosskopf S, Lindgren B, Poullier J . Productivity growth in health-care delivery. Med Care. 1997; 35(4):354-66. DOI: 10.1097/00005650-199704000-00006. View

Barros P . The black box of health care expenditure growth determinants. Health Econ. 1998; 7(6):533-44. DOI: 10.1002/(sici)1099-1050(199809)7:6<533::aid-hec374>3.0.co;2-b. View

Hollingsworth B . Non-parametric and parametric applications measuring efficiency in health care. Health Care Manag Sci. 2003; 6(4):203-18. DOI: 10.1023/a:1026255523228. View

Hollingsworth B, Dawson P, Maniadakis N . Efficiency measurement of health care: a review of non-parametric methods and applications. Health Care Manag Sci. 2000; 2(3):161-72. DOI: 10.1023/a:1019087828488. View

Moreno-Torres I, Puig-Junoy J, Raya J . The impact of repeated cost containment policies on pharmaceutical expenditure: experience in Spain. Eur J Health Econ. 2010; 12(6):563-73. DOI: 10.1007/s10198-010-0271-1. View

Rosko M . Impact of internal and external environmental pressures on hospital inefficiency. Health Care Manag Sci. 2000; 2(2):63-74. DOI: 10.1023/a:1019031610741. View

Chirikos T, Sear A . Measuring hospital efficiency: a comparison of two approaches. Health Serv Res. 2000; 34(6):1389-408. PMC: 1089087. View

Grytten J, Carlsen F, Skau I . Primary physicians' response to changes in fees. Eur J Health Econ. 2007; 9(2):117-25. DOI: 10.1007/s10198-007-0049-2. View

10.

Hollingsworth B, Wildman J . The efficiency of health production: re-estimating the WHO panel data using parametric and non-parametric approaches to provide additional information. Health Econ. 2003; 12(6):493-504. DOI: 10.1002/hec.751. View

11.

Athanassopoulos A, Gounaris C, Sissouras A . A descriptive assessment of the production and cost efficiency of general hospitals in Greece. Health Care Manag Sci. 2000; 2(2):97-106. DOI: 10.1023/a:1019023408924. View

12.

Brekke K, Nuscheler R, Straume O . Gatekeeping in health care. J Health Econ. 2006; 26(1):149-70. DOI: 10.1016/j.jhealeco.2006.04.004. View

13.

Wranik D . Healthcare policy tools as determinants of health-system efficiency: evidence from the OECD. Health Econ Policy Law. 2011; 7(2):197-226. DOI: 10.1017/S1744133111000211. View

14.

Shafrin J . Operating on commission: analyzing how physician financial incentives affect surgery rates. Health Econ. 2009; 19(5):562-80. DOI: 10.1002/hec.1495. View

15.

Bolin K, Lindgren A, Lindgren B, Lundborg P . Utilisation of physician services in the 50+ population: the relative importance of individual versus institutional factors in 10 European countries. Int J Health Care Finance Econ. 2008; 9(1):83-112. DOI: 10.1007/s10754-008-9048-9. View

16.

Sood N, de Vries H, Gutierrez I, Lakdawalla D, Goldman D . The effect of regulation on pharmaceutical revenues: experience in nineteen countries. Health Aff (Millwood). 2008; 28(1):w125-37. PMC: 3829766. DOI: 10.1377/hlthaff.28.1.w125. View

17.

Bhat V . Institutional arrangements and efficiency of health care delivery systems. Eur J Health Econ. 2005; 6(3):215-22. DOI: 10.1007/s10198-005-0294-1. View

18.

Velasco Garrido M, Zentner A, Busse R . The effects of gatekeeping: a systematic review of the literature. Scand J Prim Health Care. 2011; 29(1):28-38. PMC: 3347935. DOI: 10.3109/02813432.2010.537015. View

19.

Or Z, Wang J, Jamison D . International differences in the impact of doctors on health: a multilevel analysis of OECD countries. J Health Econ. 2005; 24(3):531-60. DOI: 10.1016/j.jhealeco.2004.09.003. View

20.

Dismuke C, Sena V . Has DRG payment influenced the technical efficiency and productivity of diagnostic technologies in Portuguese public hospitals? An empirical analysis using parametric and non-parametric methods. Health Care Manag Sci. 2000; 2(2):107-16. DOI: 10.1023/a:1019027509833. View