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Respective healthcare system performances taking into account environmental quality: what are the re-rankings for OECD countries?

Author

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  • Armel Ngami

    (AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique)

  • Bruno Ventelou

    (AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique)

Abstract

Background Efficiency analyses have been widely used in the literature to rank countries regarding their health system performances. However, little place has been given to the environmental aspect: two countries with the same characteristics could experience completely different healthcare system outcomes just because they do not face the same environmental quality situation, which is a major determinant of the health of inhabitants. Methods Using a stochastic frontier model, this paper analyses the effect of environmental quality on health system outcomes in OECD countries, measured by life expectancy at birth. Results We show that the healthcare system performance ranking of OECD countries changes significantly, depending on whether the environmental index is taken into account. Conclusions These findings, once again, underline the critical importance of the environment when addressing population health issues. In general, our results can be aligned with the messages of the One Health approach literature.

Suggested Citation

  • Armel Ngami & Bruno Ventelou, 2023. "Respective healthcare system performances taking into account environmental quality: what are the re-rankings for OECD countries?," Post-Print hal-04186935, HAL.
    • Handle: RePEc:hal:journl:hal-04186935
    DOI: 10.1186/s12961-023-01005-6
    Note: View the original document on HAL open archive server: https://amu.hal.science/hal-04186935
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    References listed on IDEAS

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    Keywords

    Health; Healthcare system efficiency; Health production function; Environment; Stochastic frontier analysis; Panel data;
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