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The Measurement of Health Care System Efficiency: Cross-country Comparison by Geographical Region

강민아|김윤희
서울대학교행정대학원 (gspa(graduate school of public administration seoul national university))|2014.04|Journal of Policy Studies|제29권 제1호|pp. 21-44

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참고문헌

키워드

efficiencydata envelopment analysisbootstrapsensitivity testhealth care productivity
주제분류정책학

초록

Performance of health care delivery at the cross-country level has notoften been directly evaluated by given inputs and outputs. This study estimates the efficiency of the health care systems of 170 countries by extending recentresearch using Simar and Wilson’s bootstrap data envelopment analysis with asensitivity test. The 170 countries are divided into four groups to compute efficiency estimators necessary to attaining a homogeneity requirement. The major finding is that most countries were inefficient to maximize the use of their inputs at the given output level. Countries in the high-income group have a relatively high average efficiency, but only 16.7% of the countries performed efficiently in the management of their health care systems. Notably, Asian countries performed more efficiently among other regions in each group. This study suggests that inefficient countries should pay attention to benchmark health care best practices within their regional peer groups.

Abstract

Performance of health care delivery at the cross-country level has notoften been directly evaluated by given inputs and outputs. This study estimates the efficiency of the health care systems of 170 countries by extending recent research using Simar and Wilson’s bootstrap data envelopment analysis with asensitivity test. The 170 countries are divided into four groups to compute efficiency estimators necessary to attaining a homogeneity requirement. The major finding is that most countries were inefficient to maximize the use of their inputs at the given output level. Countries in the high-income group have a relatively high average efficiency, but only 16.7% of the countries performed efficiently in the management of their health care systems. Notably, Asian countries performed more efficiently among other regions in each group. This study suggests that inefficient countries should pay attention to benchmark health care best practices within their regional peer groups.

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