IDEAS home Printed from
   My bibliography  Save this article

A cross country explanation of performance of heath care systems: The consumer point of view using the Euro Health Consumer Index


  • Gonçalves, Francisco


This paper performs an empirical analysis based on a published assessment of several health care systems. This assessment, performed by the think tank Health Consumer Powerhouse, reports outcomes, and ranks accordingly several countries. In turn, this paper explores the ability of national data at explaining the differences observed in that ranking. The innovative features of this paper are mainly two. First, it shows how the Euro Health Consumer Index - which is comprised from 6 indicators - can be used as a single-outcome latent variable. This feature expands the possibilities of incorporating EHCI in future research. Secondly, this paper also serves as an example of the use of Partial Least Squares (PLS) and its characteristics. The analytical technique is PLS. The empirical analysis uses a set of 22 European countries (20 from European Union plus Norway and Switzerland) and departs from a model that relates four latent constructs, one representing National Performance (the aggregated measure of the EHCI) and the others representing financial investment in health care and human and physical resources. The final estimates provide very interesting results. The main result, or a judgment from the point of view of political implications of this research, is that a successful health care system needs mainly financial investment. Secondly, it also benefits - to a lesser extent - from physical capabilities. Finally, the way resources - namely human resources - are organized is possibly critical to the overall performance, measured from a consumer point of view.

Suggested Citation

  • Gonçalves, Francisco, 2011. "A cross country explanation of performance of heath care systems: The consumer point of view using the Euro Health Consumer Index," Economic Modelling, Elsevier, vol. 28(1-2), pages 196-200, January.
  • Handle: RePEc:eee:ecmode:v:28:y:2011:i:1-2:p:196-200

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Pedro Pita Barros, 1998. "The black box of health care expenditure growth determinants," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 533-544.
    2. Parkhurst, Justin Oliver & Penn-Kekana, Loveday & Blaauw, Duane & Balabanova, Dina & Danishevski, Kirill & Rahman, Syed Azizur & Onama, Virgil & Ssengooba, Freddie, 2005. "Health systems factors influencing maternal health services: a four-country comparison," Health Policy, Elsevier, vol. 73(2), pages 127-138, August.
    3. repec:aph:ajpbhl:1995:85:10:1397-1401_6 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ecmode:v:28:y:2011:i:1-2:p:196-200. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.