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Cross-country comparisons of technical efficiency of health production: a demonstration of pitfalls

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  • Jean Spinks
  • Bruce Hollingsworth

Abstract

It has been proposed that cross-country comparisons of the technical efficiency of health production, estimated using data envelopment analysis (DEA), have useful applications for policy makers. In theory such an analysis utilizes measures of the socioeconomic determinants of health relevant to all social policy, not just health policy. Using OECD and WHO data, this article critically analyses a number of outstanding theoretical questions regarding the use of DEA in this setting. It concludes that until such questions are addressed, the resultant implications for policy will be based on misleading information.

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File URL: http://www.tandfonline.com/doi/abs/10.1080/00036840701604354
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Bibliographic Info

Article provided by Taylor & Francis Journals in its journal Applied Economics.

Volume (Year): 41 (2009)
Issue (Month): 4 ()
Pages: 417-427

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Handle: RePEc:taf:applec:v:41:y:2009:i:4:p:417-427

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Cited by:
  1. Francesco Grigoli & Eduardo Ley, 2012. "Quality of Government and Living Standards," IMF Working Papers 12/182, International Monetary Fund.
  2. Varabyova, Yauheniya & Schreyögg, Jonas, 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, Elsevier, vol. 112(1), pages 70-79.
  3. Yi-Chung Hsu, 2014. "Efficiency in government health spending: a super slacks-based model," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(1), pages 111-126, January.
  4. John Buckell & Andrew Smith & Roberta Longo & David Holland, 2013. "Health inefficiency and unobservable heterogeneity - empirical evidence from pathology services in the UK National Health Service," Working Papers 1307, Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds.
  5. Francesco Grigoli, 2012. "Public Expenditure in the Slovak Republic," IMF Working Papers 12/173, International Monetary Fund.
  6. Pablo Cos & Enrique Moral-Benito, 2014. "Determinants of health-system efficiency: evidence from OECD countries," International Journal of Health Care Finance and Economics, Springer, vol. 14(1), pages 69-93, March.
  7. Sharon Hadad & Yossi Hadad & Tzahit Simon-Tuval, 2013. "Determinants of healthcare system’s efficiency in OECD countries," The European Journal of Health Economics, Springer, vol. 14(2), pages 253-265, April.

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