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Comparative, dynamic efficiency of national healthcare systems

Author

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  • Waśniewski, Krzysztof

Abstract

The paper is an ex post, critical contribution to the research conducted by the World Health Organisation on healthcare financing. The issue of national healthcare systems’ efficiency is addressed, through building a model of change in healthcare quality, in response to changes in healthcare financing, with the core hypothesis stating that the greater is the change in healthcare expenditures, the lesser is their efficiency in terms of healthcare quality improvement. Then, empirical evidence is provided, with econometric research proving the robustness of the model; further, qualitative research provides strong presumptions to a more general thesis, namely that healthcare systems bear significant transaction costs, proportional to their demographically defined size. Thus, important, and negative effects of scale are to assume in healthcare financing.

Suggested Citation

  • Waśniewski, Krzysztof, 2012. "Comparative, dynamic efficiency of national healthcare systems," MPRA Paper 38029, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:38029
    as

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    File URL: https://mpra.ub.uni-muenchen.de/38029/1/MPRA_paper_38029.pdf
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    References listed on IDEAS

    as
    1. Edella Schlager & Elinor Ostrom, 1992. "Property-Rights Regimes and Natural Resources: A Conceptual Analysis," Land Economics, University of Wisconsin Press, vol. 68(3), pages 249-262.
    2. Nash, John, 1950. "The Bargaining Problem," Econometrica, Econometric Society, vol. 18(2), pages 155-162, April.
    3. Twomey, Paul, 1998. "Reviving Veblenian Economic Psychology," Cambridge Journal of Economics, Oxford University Press, vol. 22(4), pages 433-448, July.
    4. 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.
    5. Falkingham, Jane, 2004. "Poverty, out-of-pocket payments and access to health care: evidence from Tajikistan," Social Science & Medicine, Elsevier, vol. 58(2), pages 247-258, January.
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    More about this item

    Keywords

    healthcare; institutions; efficiency;

    JEL classification:

    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • G28 - Financial Economics - - Financial Institutions and Services - - - Government Policy and Regulation
    • I1 - Health, Education, and Welfare - - Health

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