全球智库信息集成服务系统(G2TT): Comparing efficiency of health systems across industrialized countries: a panel analysis

G2TT

来源类型	Journal Publication
规范类型	其他
	Comparing efficiency of health systems across industrialized countries: a panel analysis
	Stephen T. Parente; H.E. Frech; Bianca K. Fronger
发表日期	2015-09-25
出版年	2015
语种	英语
摘要	Abstract Background Rankings from the World Health Organization (WHO) place the US health care system as one of the least efficient among Organization for Economic Cooperation and Development (OECD) countries. Researchers have questioned this, noting simplistic or inappropriate methodologies, poor measurement choice, and poor control variables. Our objective is to re-visit this question by using newer modeling techniques and a large panel of OECD data. Methods We primarily use the OECD Health Data for 25 OECD countries. We compare results from stochastic frontier analysis (SFA) and fixed effects models. We estimate total life expectancy as well as life expectancy at age 60. We explore a combination of control variables reflecting health care resources, health behaviors, and economic and environmental factors. Results The US never ranks higher than fifth out of all 36 models, but is also never the very last ranked country though it was close in several models. The SFA estimation approach produces the most consistent lead country, but the remaining countries did not maintain a steady rank. Discussion Our study sheds light on the fragility of health system rankings by using a large panel and applying the latest efficiency modeling techniques. The rankings are not robust to different statistical approaches, nor to variable inclusion decisions. Conclusions Future international comparisons should employ a range of methodologies to generate a more nuanced portrait of health care system efficiency. To continue reading, visit BMC Health Services Research.
主题	Economics ; Health Economics
标签	Health care policy ; life expectancy
URL	https://www.aei.org/research-products/journal-publication/comparing-efficiency-of-health-systems-across-industrialized-countries-a-panel-analysis/
来源智库	American Enterprise Institute (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/209126
推荐引用方式 GB/T 7714	Stephen T. Parente,H.E. Frech,Bianca K. Fronger. Comparing efficiency of health systems across industrialized countries: a panel analysis. 2015.