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Going beyond health efficiency: What really matters?

Milan Radojicic1, Veljko Jeremic1, Gordana Savic1

  • 1Department of Operational Research and Statistics, Faculty of Organizational Science, University of Belgrade, Belgrade, Serbia.

The International Journal of Health Planning and Management
|November 5, 2019
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Summary

Assessing healthcare system efficiency is crucial. This study found human resources are key, and addressing obesity can improve health outcomes across nations.

Keywords:
Ivanovic distanceOECD countriesdata envelopment analysisefficiency evaluationhealth systems

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Area of Science:

  • Health Policy
  • Health Economics
  • Operations Research

Background:

  • Healthcare systems face increasing demands for optimal performance.
  • Objective assessment of healthcare efficiency is vital for identifying resource loss and improvement areas.
  • This study focuses on health system efficiency in 38 countries, primarily OECD members.

Purpose of the Study:

  • To evaluate the efficiency of health systems in 38 countries.
  • To identify key indicators of resource loss and opportunities for improvement.
  • To analyze the impact of human resources and environmental factors on health system efficiency.

Main Methods:

  • Data Envelopment Analysis (DEA) was employed for efficiency evaluation.
  • Bootstrapped Ivanovic distance was used in the first stage to generate indicator weights, accommodating diverse country goals while maintaining comparability.
  • The second stage examined environmental indicators to pinpoint causes of inefficiency.

Main Results:

  • Human resources were identified as the most critical health system resource.
  • Reorganization of human resources and their allocated funds can significantly increase efficiency.
  • No single basic health system funding model demonstrated superior health outcomes.
  • Obesity emerged as a substantial public health issue impacting efficiency.

Conclusions:

  • Investing in the development and deployment of skilled medical personnel is paramount for enhancing healthcare efficiency.
  • Strategic reorganization of human resources and financial allocation can optimize health system performance.
  • Addressing the public health challenge of obesity is essential for improving overall health outcomes and system efficiency.