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Health production and the socioeconomic determinants of health in OECD countries: the use of efficiency models

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Author Info
Jean Spinks (Victorian Public Health Training scheme)
Bruce Hollingsworth () (Centre for Health Economics, Monash University)

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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 utilises measures of the socioeconomic determinants of health relevant to all social policy, not just health policy. Using OECD and WHO data, this paper 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.buseco.monash.edu.au/centres/che/pubs/wp151.pdf
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Publisher Info
Paper provided by Monash University, Centre for Health Economics in its series Centre for Health Economics Working Papers with number 151/05.

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Length: 17 pages
Date of creation: Jan 2005
Date of revision:
Handle: RePEc:mhe:chewps:2005-151

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Postal: Centre for Health Economics, Monash University, Building 75, Clayton, Victoria 3800, Australia
Phone: +61-3-9905-0733
Fax: +61-3-9905-8344
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Web page: http://www.buseco.monash.edu.au/centres/che/
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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Bruce Hollingsworth & John Wildman, 2003. "The efficiency of health production: re-estimating the WHO panel data using parametric and non-parametric approaches to provide additional information," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 493-504. [Downloadable!]
  2. Diewert, Erwin, 2007. "Index Numbers," UBC Departmental Archives diewert-07-01-03-08-17-23, UBC Department of Economics, revised 31 Jan 2007. [Downloadable!]
  3. Pierre-Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639.
  4. Jeff Richardson & John Wildman & Iain K. Robertson, 2003. "A critique of the World Health Organisation's evaluation of health system performance," Health Economics, John Wiley & Sons, Ltd., vol. 12(5), pages 355-366. [Downloadable!]
  5. Retzlaff-Roberts, Donna & Chang, Cyril F. & Rubin, Rose M., 2004. "Technical efficiency in the use of health care resources: a comparison of OECD countries," Health Policy, Elsevier, vol. 69(1), pages 55-72, July. [Downloadable!] (restricted)
  6. Bruce Hollingsworth & P.J. Dawson & N. Maniadakis, 1999. "Efficiency measurement of health care: a review of non‐parametric methods and applications," Health Care Management Science, Springer, vol. 2(3), pages 161-172, July. [Downloadable!] (restricted)
  7. Dyson, R. G. & Allen, R. & Camanho, A. S. & Podinovski, V. V. & Sarrico, C. S. & Shale, E. A., 2001. "Pitfalls and protocols in DEA," European Journal of Operational Research, Elsevier, vol. 132(2), pages 245-259, July. [Downloadable!] (restricted)
  8. Mary C. Daly & Peggy McDonough & Greg J. Duncan & David Williams, 1999. "Optimal indicators of socioeconomic status for health research," Working Papers in Applied Economic Theory 99-03, Federal Reserve Bank of San Francisco. [Downloadable!]
  9. Laporte, Audrey & Ferguson, Brian S., 2003. "Income inequality and mortality: time series evidence from Canada," Health Policy, Elsevier, vol. 66(1), pages 107-117, October. [Downloadable!] (restricted)
  10. B. Hollingsworth & P. Smith, 2003. "Use of ratios in data envelopment analysis," Applied Economics Letters, Taylor and Francis Journals, vol. 10(11), pages 733-735, September. [Downloadable!] (restricted)
  11. Scheel, Holger, 2001. "Undesirable outputs in efficiency valuations," European Journal of Operational Research, Elsevier, vol. 132(2), pages 400-410, July. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. António Afonso & Miguel St. Aubyn, 2006. "Relative Efficiency of Health Provision: a DEA Approach with Non-discretionary Inputs," Working Papers 2006/33, Department of Economics at the School of Economics and Management (ISEG), Technical University of Lisbon.. [Downloadable!]
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