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Health Status Determinants: Lifestyle, Environment, Health Care Resources and Efficiency

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  • Isabelle Joumard
  • Christophe André
  • Chantal Nicq
  • Olivier Chatal

Abstract

This paper aims to shed light on the contribution of health care and other determinants to the health status of the population and to provide evidence on whether or not health care resources are producing similar value for money across OECD countries. First, it discusses the pros and cons of various indicators of the health status, concluding that mortality and longevity indicators have some drawbacks but remain the best available proxies. Second, it suggests that changes in health care spending, lifestyle factors (smoking and alcohol consumption as well as diet), education, pollution and income have been important factors behind improvements in health status. Third, it derives estimates of countries’ relative performance in transforming health care resources into longevity from two different methods – panel data regressions and data envelopment analysis – which give remarkably consistent results. The empirical estimates suggest that potential efficiency gains might be large enough to raise life expectancy at birth by almost three years on average for OECD countries, while a 10% increase in total health spending would increase life expectancy by three to four months. Déterminants de l'état de santé : style de vie, environnement socio-économique, ressources Ce document examine la contribution des soins médicaux ainsi que d’autres facteurs à l’état de santé de la population et tente de déterminer si les dépenses dans le domaine de la santé produisent les mêmes résultats selon les pays de l’OCDE. En premier lieu, il s’interroge sur les avantages et les inconvénients des différents indicateurs de l’état de santé et en conclut que, malgré leurs défauts, les indicateurs de mortalité et de longévité demeurent les meilleures approximations disponibles. Il suggère ensuite que les évolutions des dépenses de santé, des modes de vie (consommation de tabac et d’alcool, régime alimentaire), du niveau d’éducation, de la pollution et des revenus ont été des facteurs importants de l’amélioration de l’état de santé. Enfin, il estime la capacité relative des différents pays à transformer les ressources médicales en accroissement de la longévité, en s’appuyant sur deux méthodes différentes (régressions sur données de panel et analyse d’enveloppement de données) qui donnent des résultats remarquablement similaires. Les estimations empiriques suggèrent que l’espérance de vie pourrait s’accroitre de presque trois ans en moyenne dans les pays de l’OCDE si les ressources médicales disponibles étaient utilisées plus efficacement, tandis qu’une augmentation des dépenses totales de santé de 10% se traduirait par trois à quatre mois d’espérance de vie supplémentaire.

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File URL: http://dx.doi.org/10.1787/240858500130
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Bibliographic Info

Paper provided by OECD Publishing in its series OECD Economics Department Working Papers with number 627.

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Date of creation: 04 Aug 2008
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Handle: RePEc:oec:ecoaaa:627-en

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Keywords: spending efficiency; panel data regressions; healthcare; data envelopment analysis; public expenditure; health status; état de santé; système médical; dépenses publiques; analyse par enveloppement des données; efficacité de la dépense; régressions sur données de panel;

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  1. Investissement social, une stratégie pour l’avenir ?
    by david.marguerit@gmail.com (David Marguerit) in BS Initiative on 2014-07-09 06:27:26
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Cited by:
  1. Ana Poças & Elias Soukiazis, 2010. "Health Status Determinants in the OECD Countries. A Panel Data Approach with Endogenous Regressors," GEMF Working Papers 2010-04, GEMF - Faculdade de Economia, Universidade de Coimbra.
  2. Rauf Gönenç & Maria M. Hofmarcher & Andreas Wörgötter, 2011. "Reforming Austria's Highly Regarded but Costly Health System," OECD Economics Department Working Papers 895, OECD Publishing.

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