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Administrative costs in selected industrialized countries.

J P Poullier1

  • 1Health Care Financing Administration, Baltimore, MD 21207.

Health Care Financing Review
|February 2, 1993
PubMed
Summary

This study compares international health administration costs, examining how accounting practices and system types (insurance vs. direct delivery) influence spending. It reveals significant variations in health administrative expenses globally.

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Area of Science:

  • Health economics
  • Comparative health systems analysis
  • Healthcare policy

Background:

  • Healthcare administrative costs represent a significant portion of national health expenditures.
  • International comparisons are complicated by varying definitions of health administration.
  • Understanding cost drivers is crucial for healthcare policy and efficiency improvements.

Purpose of the Study:

  • To compare health administration costs across multiple countries.
  • To explore variations in the definition and measurement of health administration.
  • To analyze the impact of different healthcare system models on administrative spending.

Main Methods:

  • Cross-national data collection on health administrative spending.
  • Comparative analysis of accounting practices in healthcare.
  • Examination of insurance-based versus direct-delivery healthcare system cost structures.

Main Results:

  • Significant international variations in health administrative costs were observed.
  • The definition of health administration impacts reported cost percentages.
  • Insurance-based systems may exhibit different administrative cost profiles compared to direct-delivery systems.

Conclusions:

  • Standardizing the definition of health administration is essential for accurate international comparisons.
  • Healthcare system design significantly influences administrative cost burdens.
  • Further research into cost drivers can inform strategies for optimizing healthcare spending.

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