IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

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

Listed author(s):
  • Gonçalves, Francisco
Registered author(s):

    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.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

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

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Elsevier in its journal Economic Modelling.

    Volume (Year): 28 (2011)
    Issue (Month): 1-2 (January)
    Pages: 196-200

    in new window

    Handle: RePEc:eee:ecmode:v:28:y:2011:i:1-2:p:196-200
    Contact details of provider: Web page:

    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.:

    in new window

    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.
    Full references (including those not matched with items on IDEAS)

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    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)

    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 references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link 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 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.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.