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Cross-Country Analysis of Efficiency in OECD Health Care Sectors: Options for Research

Author

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  • Unto Häkkinen
  • Isabelle Joumard

Abstract

A key policy challenge in most OECD countries is to improve outcomes of the health care system while containing its costs. Benchmarking countries and identifying best practices to enhance public spending cost-effectiveness would, in this regard, be a useful exercise. This paper presents three main options for measuring effectiveness in the health care sector, discusses their pros and cons, including data availability and the possibility of whether these options would allow an analysis of how the institutional setting shapes spending effectiveness. Comparer l'efficacité du secteur de la santé entre pays de l'OCDE : Options pour des travaux d'analyse Améliorer les résultats du système de santé tout en contenant ses coûts constitue un défi majeur de la politique économique dans la plupart des pays de l'OCDE. A cet égard, il serait particulièrement utile de pouvoir établir des comparaisons internationales et d'identifier les bonnes pratiques permettant d'améliorer le rapport résultats-coûts des dépenses publiques dans le secteur de la santé. Cet article présente trois grandes options pour mesurer l?efficacité dans le domaine de la santé, discute leurs avantages et inconvénients, notamment l'existence de données et la possibilité d'analyser à terme comment l'organisation institutionnelle affecte l'efficacité des dépenses.

Suggested Citation

  • Unto Häkkinen & Isabelle Joumard, 2007. "Cross-Country Analysis of Efficiency in OECD Health Care Sectors: Options for Research," OECD Economics Department Working Papers 554, OECD Publishing.
  • Handle: RePEc:oec:ecoaaa:554-en
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    File URL: http://dx.doi.org/10.1787/178861806081
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    Citations

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    Cited by:

    1. Francesco Porcelli, 2014. "Electoral accountability and local government efficiency: quasi-experimental evidence from the Italian health care sector reforms," Economics of Governance, Springer, vol. 15(3), pages 221-251, August.
    2. Miika Linna & Unto Häkkinen & Mikko Peltola & Jon Magnussen & Kjartan Anthun & Sverre Kittelsen & Annette Roed & Kim Olsen & Emma Medin & Clas Rehnberg, 2010. "Measuring cost efficiency in the Nordic Hospitals—a cross-sectional comparison of public hospitals in 2002," Health Care Management Science, Springer, vol. 13(4), pages 346-357, December.
    3. Waśniewski, Krzysztof, 2012. "Comparative, dynamic efficiency of national healthcare systems," MPRA Paper 38029, University Library of Munich, Germany.
    4. Francesco Porcelli, 2009. "Effects of fiscal decentralisation and electoral accountability efficiency evidence from the Italian health care sector," Working Papers 2009/29, Institut d'Economia de Barcelona (IEB).
    5. David Epstein & Anne Mason & Andrea Manca, 2008. "The hospital costs of care for stroke in nine European countries," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 21-31.
    6. Yasar A. Ozcan & Jaya Khushalani, 2017. "Assessing efficiency of public health and medical care provision in OECD countries after a decade of reform," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 25(2), pages 325-343, June.
    7. 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.
    8. Jeroen Klomp & Jakob Haan, 2010. "Measuring Health: A Multivariate Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 96(3), pages 433-457, May.
    9. Reinhard Busse & Jonas Schreyögg & Peter C. Smith, 2008. "Variability in healthcare treatment costs amongst nine EU countries - results from the Health BASKET project," Health Economics, John Wiley & Sons, Ltd., vol. 17(S1), pages 1-8.
    10. Wagstaff, Adam & Wang, L. Choon, 2011. "A hybrid approach to efficiency measurement with empirical illustrations from education and health," Policy Research Working Paper Series 5751, The World Bank.
    11. Peter Zweifel, 2016. "A Novel way to Compare Health Care Systems and to Assess their Potential Competitiveness," Economic Affairs, Wiley Blackwell, vol. 36(2), pages 155-167, June.
    12. Hofmarcher, Maria M., 2014. "The Austrian health reform 2013 is promising but requires continuous political ambition," Health Policy, Elsevier, vol. 118(1), pages 8-13.
    13. Pablo Hernández de Cos & Enrique Moral-Benito, 2011. "Health care expenditure in the oecd countries: efficiency and regulation," Occasional Papers 1107, Banco de España;Occasional Papers Homepage.
    14. Hans Pitlik, 2017. "Austria 2025 – Public Administration Reform Between the Quest for Efficiency and Resistance to Change. A Survey," WIFO Monatsberichte (monthly reports), WIFO, vol. 90(3), pages 205-217, March.

    More about this item

    Keywords

    comparaisons internationales; dépenses publiques; efficacité; efficiency; health care; international benchmarking; public spending; soins de santé;

    JEL classification:

    • H4 - Public Economics - - Publicly Provided Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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    1. שיחה:הרפורמה בשירותי הבריאות בארצות הברית in Wikipedia Hebrew ne '')

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