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

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Authors
Kim, Younhee; Kang, Minah
Issue Date
2014
Publisher
Graduate School of Public Administration, Seoul National University
Citation
Korean Journal of Policy Studies, Vol.29 No.1, pp. 21-44
Keywords
bootstrapdata envelopment analysisefficiencyhealth care productivitysensitivity test
Abstract
Performance of health care delivery at the cross-country level has not
often 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 a
sensitivity 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.
ISSN
1225-5017
Language
English
URI
http://hdl.handle.net/10371/91911
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Graduate School of Public Administration (행정대학원)Dept. of Public Administration (행정학과)Korean Journal of Policy Studies (정책논총)Korean Journal of Policy Studies (정책논총) vol.29 no.1/3 (2014)
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