IDEAS home Printed from https://ideas.repec.org/p/imf/imfwpa/13-187.html
   My bibliography  Save this paper

Waste Not, Want Not; The Efficiency of Health Expenditure in Emerging and Developing Economies

Author

Listed:
  • Francesco Grigoli
  • Javier Kapsoli

Abstract

Public health spending is low in emerging and developing economies relative to advanced economies and health outputs and outcomes need to be substantially improved. Simply increasing public expenditure in the health sector, however, may not significantly affect health outcomes if the efficiency of this spending is low. This paper quantifies the inefficiency of public health expenditure and the associated potential gains for emerging and developing economies using a stochastic frontier model that controls for the socioeconomic determinants of health, and provides country-specific estimates. The results suggest that African economies have the lowest efficiency. At current spending levels, they could boost life expectancy up to about five years if they followed best practices.

Suggested Citation

  • Francesco Grigoli & Javier Kapsoli, 2013. "Waste Not, Want Not; The Efficiency of Health Expenditure in Emerging and Developing Economies," IMF Working Papers 13/187, International Monetary Fund.
  • Handle: RePEc:imf:imfwpa:13/187
    as

    Download full text from publisher

    File URL: http://www.imf.org/external/pubs/cat/longres.aspx?sk=40899
    Download Restriction: no

    References listed on IDEAS

    as
    1. Francesco Grigoli Author-Email: fgrigoli@imf.org Author-Name: Eduardo Ley Author-Email: eley@worldbank.org, 2012. "Quality of Government and Living Standards," World Bank - Economic Premise, The World Bank, issue 89, pages 1-6, September.
    2. Greene, William H., 1980. "Maximum likelihood estimation of econometric frontier functions," Journal of Econometrics, Elsevier, vol. 13(1), pages 27-56, May.
    3. Koetter, Michael & Karmann, Alexander & Fiorentino, Elisabetta, 2006. "The cost efficiency of German banks: a comparison of SFA and DEA," Discussion Paper Series 2: Banking and Financial Studies 2006,10, Deutsche Bundesbank.
    4. Ruwan Jayasuriya & Quentin Wodon, 2003. "Efficiency in Reaching the Millennium Development Goals," World Bank Publications, The World Bank, number 13884.
    5. 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.
    6. Herrera, Santiago & Pang, Gaobo, 2005. "Efficiency of public spending in developing countries : an efficiency frontier approach," Policy Research Working Paper Series 3645, The World Bank.
    7. Meeusen, Wim & van den Broeck, Julien, 1977. "Efficiency Estimation from Cobb-Douglas Production Functions with Composed Error," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 18(2), pages 435-444, June.
    8. Gupta, Sanjeev & Verhoeven, Marijn, 2001. "The efficiency of government expenditure: experiences from Africa," Journal of Policy Modeling, Elsevier, vol. 23(4), pages 433-467, May.
    9. Aigner, Dennis & Lovell, C. A. Knox & Schmidt, Peter, 1977. "Formulation and estimation of stochastic frontier production function models," Journal of Econometrics, Elsevier, vol. 6(1), pages 21-37, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. International Monetary Fund, 2014. "Bulgaria; Selected Issues Paper," IMF Staff Country Reports 14/24, International Monetary Fund.
    2. Olanubi, Sijuola Orioye & Osode, Oluwanbepelumi Esther, 2017. "The efficiency of government spending on health: A comparison of different administrations in Nigeria," Journal of Policy Modeling, Elsevier, vol. 39(1), pages 79-98.
    3. Douanla Tayo Lionel, 2015. "Determinants of Health Spending Efficiency: a Tobit Panel Data Approach Based on DEA Efficiency Scores," Acta Universitatis Danubius. OEconomica, Danubius University of Galati, issue 11(4), pages 56-71, August.
    4. International Monetary Fund, 2014. "United Arab Emirates; Selected Issues," IMF Staff Country Reports 14/188, International Monetary Fund.
    5. Moussé Sow & Ivohasina F Razafimahefa, 2015. "Fiscal Decentralization and the Efficiency of Public Service Delivery," IMF Working Papers 15/59, International Monetary Fund.
    6. World Bank, 2015. "Bulgaria Health Financing," World Bank Other Operational Studies 22964, The World Bank.
    7. International Monetary Fund, 2016. "United Republic of Tanzania; Selected Issues," IMF Staff Country Reports 16/254, International Monetary Fund.
    8. International Monetary Fund, 2015. "Romania; Selected Issues," IMF Staff Country Reports 15/80, International Monetary Fund.
    9. repec:spr:qualqt:v:51:y:2017:i:6:d:10.1007_s11135-016-0404-4 is not listed on IDEAS

    Corrections

    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:imf:imfwpa:13/187. 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: (Jim Beardow) or (Hassan Zaidi). General contact details of provider: http://edirc.repec.org/data/imfffus.html .

    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.