Is the efficiency of the healthcare system linked to the country's economic performance? Beveridgeans versus Bismarckians
Bibliographic Data
| ID | 21281883 |
|---|---|
| Authors | GraŻyna Kozuń-Cieślak (0000-0001-5836-2766, Faculty of Economics and Finance, Casimir Pulaski University of Technology and Humanities, ul. Chrobrego 31, 26-600, Radom, Poland, corresponding author) |
| Year | 2020 |
| Volume | 70 |
| Issue | 1 |
| Pages | 1-17 |
| Publication date | 2020-03-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Acta Oeconomica (JOURNAL) |
| Journal identifiers | ISSN: 0001-6373 • E-ISSN: 1588-2659 |
| Publisher | Akademiai Kiado Zrt. (PUBLISHER • HU) |
| DOI | 10.1556/032.2020.00001 |
| OpenAlex | W3024329690 |
| Language | EN |
| Citations received | 6 |
| References cited | 12 |
This paper examines the Bismarckian and Beveridgean-style healthcare systems in 25 OECD countries to identify the relationship between the efficiency of the country's healthcare delivery arrangement and its economic wealth. The Data Envelopment Analysis (DEA) is applied as a quantitative tool. I examine three models using infant mortality and potential years of life lost as output indicators. These models differ only in the way of expressing healthcare inputs. The DEA computations show that neither the Bismarckian nor the Beveridgean healthcare system has a clear advantage over the other when inputs are expressed by health expenditure as a percentage of GDP. The model which uses USD per head expenditure data at purchasing power parity shows a slight advantage of the Beveridge-style systems. This confirms the common opinion that the Bismarck-style systems perform worse in controlling the costs. When inputs are expressed using physical units (medical staff and equipment), DEA shows that the Beveridge system is significantly more efficient than the Bismarckian ones. I analyse the relationship between the DEA scores and the country's GDP per capita, as well. This analysis shows that more developed economies are technically less efficient. These findings are consistent with the belief that technical efficiency is only one of the many criteria that determine the quality of the healthcare system and patient satisfaction
Data envelopment analysis · Economic growth · Economics · Gross domestic product · Health care · Healthcare delivery · Healthcare system · Macroeconomics · Monetary economics · Per capita · Purchasing power · Purchasing power parity · Statistics · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine
The efficiency of the healthcare systems in EU countries – A DEA analysis
Coupling coordination and regional health equity
Analysing the implications of the Health Transformation Program on perceptions of the welfare state and public services in Turkey
Wealthier is healthier? Healthier is wealthier? A comprehensive econometric analysis of the European countries
Co-movement between the convergence of economic and health status in Central and Eastern Europe
Covid-19 case fatality rate in the context of healthcare system organization and Ehci performance
A slacks-based measure of super-efficiency in data envelopment analysis
A Procedure for Ranking Efficient Units in Data Envelopment Analysis
Measuring the efficiency of decision making units
The Measurement of Productive Efficiency
A slacks-based measure of efficiency in data envelopment analysis
Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis
The Origins and Restriction of Efficiency in Public Administration
Health care, education and the cost disease
Drivers of Health‐Care Expenditure
Market-based health care reforms in Central and Eastern Europe
Beyond Efficiency
| Citations per year | 1 |
|---|---|
| Citation span | 2020 - 2025 (6) |
| Highly cited | No |