THIS DOI METADATA WAS LAST UPDATED: 2024-01-10 23:03
Full Title
ECONOMIA PUBBLICA
Publisher
FrancoAngeli
ISSN
0390-6140 (Printed Journal)
1972-5566 (Online Journal)
Journal Issue Number
2
Journal Issue Designation
2
Journal Issue Date (YYYY/MM)
2019/10
Full Title
Healthcare efficiency across European countries during the recent economic crisis
By (author)
First Page
9
Last Page
38
Language of text
English
Publication Date
2019/10
Copyright
2019 FrancoAngeli srl
Introduction or preface
In this article, we study the efficiency of European healthcare systems. The analysis was conducted for the period 2006-2012 and used an original database built especially using Eurostat data. The methodology used was Data Envelopment Analysis (DEA), which provides a measure of the relative efficiency. The period of analysis is particularly interesting because it includes the recent economic crisis that has affected European countries since 2008. Our results are in line with previous studies and are partially innovative. When the output and input measures generally used for healthcare production functions were employed, the results obtained were in line with those reported in the literature. When new output measures were employed, it was possible to capture the efficiency impact of the recent economic crisis. The crisis implied a general reduction in the efficiency of healthcare systems in most European countries. The results are confirmed by robustness checks carried out using Stochastic Frontier Analysis (SFA).
Unstructured Citation
Afonso A., St. Aubyn M. (2005). Non-parametric Approaches to Education and Health Efficiency in OECD Countries. Journal of Applied Economics, 8(2): 227-246.
Unstructured Citation
Banker R.D., Charnes A., Cooper W.W. (1984). Some models for estimating technical and scale inefficiencies in DEA. Management Science, 30: 1078-1092.
Unstructured Citation
Cook W.D., Zhu J. (2015). DEA cross efficiency. Data envelopment analysis (pp. 23-43). Springer US.
Unstructured Citation
Curristine T., Joumard I., Lonti Z. (2007). Improving Public Sector Efficiency: Challenges and Opportunities. OECD Journal on Budgeting, 7(1): 1-41.
Unstructured Citation
Cylus J., Papanicolas I., Smith P.C. (2016). Health System Efficiency. How to make measurement matter for policy and management. European Observatory on Health Systems and Policies, Health Policy Series. No. 46. World Health Organization.
Unstructured Citation
Daraio C., Simar L. (2007). Advanced Robust and Nonparametric Methods in Efficiency Analysis: Methodology and Applications. Springer.
Unstructured Citation
Debreu G. (1951). The coefficient of resource utilization. Econometrica, 19(3): 273-292.
Unstructured Citation
DICE (2008). Bismarck versus Beveridge: a comparison of social insurance systems in Europe. DICE Report 4/2008.
Unstructured Citation
Eurostat Database (2016). Data for Healthcare variables. -- Available at: http://ec.europa.eu/eurostat/data/database [Accessed 20.12.2015].
Unstructured Citation
Evans D.B., Lauer J.A., Murray C.J.L., Tandon A. (2001). Comparative efficiency of national health systems: cross national econometric analysis. British Medical Journal (BMJ), 323(7308): 307-10.
Unstructured Citation
Frogner B.K., Ill Frech H.E., Parente S.T. (2015). Comparing efficiency of health systems across industrialized countries: a panel analysis. BMC Health Services Research, 15: 415.
Unstructured Citation
Gili M., Basu S., McKee M., Roca M. and Stuckler D. (2012). The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. European Journal of Public Health, 23(1): 103-108.
Unstructured Citation
Health at a Glance (2012). Eurostat database. -- Available at: https://ec.europa. eu/health/state/glance/editions/health_glance_2012_en [Accessed 10.12.2017].
Unstructured Citation
Hsu Y. (2013). The efficiency of government spending on health: Evidence from Europe and Central Asia. Social Science Journal, 50: 665-673.
Unstructured Citation
International Monetary Fund (2015). Republic of Slovenia. Technical assistance report establishing a spending review process. IMF Country Report No. 15/265.
Unstructured Citation
Kumbhakar S. C., Wang H.-J. and Horncastle A. (2014). A Practitioner’s Guide to Stochastic Frontier Analysis. Cambridge, England: Cambridge University Press.
Unstructured Citation
Kuosmanen T. (2008). Representation theorem for convex nonparametric least squares. Econometrics Journal, 11: 308-325.
Unstructured Citation
Murillo-Zamorano L.R. (2004). Economic efficiency and frontier techniques. Journal of Economic Surveys, 18: 33-77.
Unstructured Citation
OECD Database (2016). Data on Healthcare Life Expectancy Indicator. -- Available at: https://data.oecd.org/healthstat/life-expectancy-at-birth.htm [Accessed 10.1.2016].
Unstructured Citation
Olesen O. B., Petersen N. C. (2016). Stochastic data envelopment analysis – A review. European Journal of Operational Research, 251: 2-21.
Unstructured Citation
Shephard R.W. (1970). Theory of Cost and Production Functions. Princeton, NJ: Princeton University Press.
Unstructured Citation
Theodoridis A.M., Anwar M. (2011). A Comparison of DEA and SFA Methods: A Case Study of Farm Households in Bangladesh. Journal of Developing Areas, 45: 95-110.
Unstructured Citation
Urbanos-Garrido R.M., Lopez-Valcarcel B.G. (2015). The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. European Journal of Health Economics, 16: 175-184.
Unstructured Citation
Varabyova Y., Schreyögg J. (2013). International comparisons of the technical efficiency of the hospital sector: panel data analysis of OECD countries using parametric and non-parametric approaches. Health Policy, 112(1-2): 70-79.
Unstructured Citation
WHO (2011). Impact of economic crises on mental health. WHO Regional Office for Europe, Copenhagen.