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Determinants of health sector efficiency: evidence from a two-step analysis on 30 OECD countries

Author

Listed:
  • Angelo Castaldo

    (Department of Juridical and Economic Studies, Sapienza University of Rome)

  • Maria Alessandra Antonelli

    (Department of Juridical and Economic Studies, Sapienza University of Rome)

  • Valeria De Bonis

    (Department of Juridical and Economic Studies, Sapienza University of Rome)

  • Giorgia Marini

    (Department of Juridical and Economic Studies, Sapienza University of Rome)

Abstract

This study aims to assess the efficiency of expenditure on health in 30 OECD countries over the period 2005-2015 by regressing Data Envelopment Analysis (DEA) output efficiency scores on discretionary and non-discretionary variables, with a two-stage DEA/Tobit and bootstrap procedure. We show that health inefficiency in OECD countries is related to per capita GDP, vaccine coverage and tobacco consumption, also controlling for geographical and institutional variables (i.e., bureaucratic red tape and weather temperature).

Suggested Citation

  • Angelo Castaldo & Maria Alessandra Antonelli & Valeria De Bonis & Giorgia Marini, 2020. "Determinants of health sector efficiency: evidence from a two-step analysis on 30 OECD countries," Economics Bulletin, AccessEcon, vol. 40(2), pages 1651-1666.
    • Handle: RePEc:ebl:ecbull:eb-20-00504
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    More about this item

    Keywords

    Health; Health system efficiency; FDH; DEA; Bootstrap.;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • H8 - Public Economics - - Miscellaneous Issues

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