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Exploring the Effects of Health Care on Mortality Across OECD Countries


  • Zeynep Or


Two of the most important questions facing health policy makers in OECD countries are: whether the increasing sums of money devoted to health care are yielding commensurate value in terms of improvements in health status; andwhether different ways of financing and delivering health care -and, hence, health care reformsmake a difference to health. This paper explores the effect of variations in the volume of health care and in certain characteristics of health systems on mortality across 21 OECD countries over the past 25 years, after controlling for certain other determinants of health status. It builds on previous research on the determinants of health outcomes in OECD countries (Or, 2000). In contrast to the earlier work, it concentrates on a non-monetary measure of health care supply – number of doctors – to avoid a number of measurement issues. It also uses a range of summary measures of mortality to assess the performance of health care systems and incorporates a ... Deux questions primordiales auxquelles doivent faire face les responsables des politiques de santé dans les pays de l’OCDE sont: Dans quelle mesure les investissements croissants dédiés aux soins en santé mènent à une réelle amélioration en terme d’état de santé; etdans quelle mesure les différents types de financement et d’approvisionnement des soins de santé – et donc, les reformes de santé – apportent une différence à la santé d’une population. Le présent rapport explore l’effet des variations dans le volume des service de soins et de certaines autres caractéristiques des systèmes de santé sur la mortalité à travers 21 pays de l’OCDE sur les 25 dernières années, après un contrôle sur d’autres déterminants d’état de santé. Il poursuit la recherche sur les déterminants de l’état de santé dans les pays de l’OCDE (Or, 2000). A l’encontre de l’étude précédente, il se concentre sur une mesure non-monétaire de ressources médicales -nombre de médecin- pour éviter un certain ...

Suggested Citation

  • Zeynep Or, 2001. "Exploring the Effects of Health Care on Mortality Across OECD Countries," OECD Labour Market and Social Policy Occasional Papers 46, OECD Publishing.
  • Handle: RePEc:oec:elsaaa:46-en

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    References listed on IDEAS

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    4. Anders Forslund & Alan B. Krueger, 1997. "An Evaluation of the Swedish Active Labor Market Policy: New and Received Wisdom," NBER Chapters,in: The Welfare State in Transition: Reforming the Swedish Model, pages 267-298 National Bureau of Economic Research, Inc.
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    Cited by:

    1. Klomp, Jeroen & de Haan, Jakob, 2009. "Is the political system really related to health?," Social Science & Medicine, Elsevier, vol. 69(1), pages 36-46, July.
    2. Sule Akkoyunlu & Frank R. Lichtenberg & Boriss Siliverstovs & Peter Zweifel, 2010. "Spurious correlation in estimation of the health production function: A note," Economics Bulletin, AccessEcon, vol. 30(3), pages 2505-2514.
    3. Stephen Martin & Nigel Rice & Peter C Smith, 2007. "Further evidence on the link between health care spending and health outcomes in England," Working Papers 032cherp, Centre for Health Economics, University of York.
    4. Martin, Stephen & Rice, Nigel & Smith, Peter C., 2008. "Does health care spending improve health outcomes? Evidence from English programme budgeting data," Journal of Health Economics, Elsevier, vol. 27(4), pages 826-842, July.
    5. Stephen Martin & Nigel Rice & Peter C Smith, 2007. "The Link Between Health Care Spending and Health Outcomes: Evidence from English Programme Budgeting Data," Working Papers 024cherp, Centre for Health Economics, University of York.
    6. Stephen Martin & Nigel Rice & Peter C Smith, 2008. "The link between health care spending and health outcomes for the new English Primary Care Trusts," Working Papers 042cherp, Centre for Health Economics, University of York.
    7. Or, Zeynep & Wang, Jia & Jamison, Dean, 2005. "International differences in the impact of doctors on health: a multilevel analysis of OECD countries," Journal of Health Economics, Elsevier, vol. 24(3), pages 531-560, May.

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