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Analyzing whether countries are equally efficient at improving longevity for men and women

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  • Barthold, D.
  • Nandi, A.
  • Mendoza Rodríguez, J.M.
  • Heymann, J.

Abstract

Objectives. We examined the efficiency of country-specific health care spending in improving life expectancies for men and women. Methods. We estimated efficiencies of health care spending for 27 Organisation for Economic Co-operation and Development (OECD) countries during the period 1991 to 2007 using multivariable regression models, including country fixed-effects and controlling for time-varying levels of national social expenditures, economic development, and health behaviors. Results. Findings indicated robust differences in health-spending efficiency. A 1% annual increase in health expenditures was associated with percent changes in life expectancy ranging from0.020 in the United States (95%confidence interval [CI] = 0.008, 0.032) to 0.121 in Germany (95% CI = 0.099, 0.143). Health-spending increases were associated with greater life expectancy improvements for men than for women in nearly every OECD country. Conclusions. This is the first study to our knowledge to estimate the effect of country-specific health expenditures on life expectancies ofmen and women. Future work understanding the determinants of these differences has the potential to improve the overall efficiency and equity of national health systems. © 2014, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Barthold, D. & Nandi, A. & Mendoza Rodríguez, J.M. & Heymann, J., 2014. "Analyzing whether countries are equally efficient at improving longevity for men and women," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2163-2169.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301494_4
    DOI: 10.2105/AJPH.2013.301494
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    Cited by:

    1. Xiong, Xiaobai, 2021. "Bring technology home and stay healthy: The role of fourth industrial revolution and technology in improving the efficacy of health care spending," Technological Forecasting and Social Change, Elsevier, vol. 165(C).
    2. Ruolz Ariste & Livio Di Matteo, 2017. "Value for money: an evaluation of health spending in Canada," International Journal of Health Economics and Management, Springer, vol. 17(3), pages 289-310, September.
    3. Devdatta Ray & Mikael Linden, 2020. "Health expenditure, longevity, and child mortality: dynamic panel data approach with global data," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 99-119, March.

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