由MCDA和DEA对28个卫生系统的效率评估
1Faculty of Informatics and Statistics, Prague University of Economics and Business, 4 Winston Churchill Sq, Prague, Czech Republic. dlouhy@vse.cz.
Health economics review
|July 28, 2024
概括
这项研究评估了28个发达国家的卫生系统效率,使用多重标准决策分析 (MCDA) 和数据包裹分析 (DEA). 结果显示,效率排名各不相同,土耳其,波兰和以色列在MCDA中效率高,而捷克共和国则高效.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗系统比较分析与分析
背景情况:
- 越来越多的医疗保健支出需要高效的医疗保健系统.
- 国际比较对于为决策者提供信息至关重要.
- 这项研究解决了对卫生系统效率评估的需求.
研究的目的:
- 用MCDA和DEA评估28个发达国家的卫生系统效率.
- 确定捷克共和国卫生系统的基准国家.
- 分析卫生系统输入和输出的相对重要性.
主要方法:
- 采用多重标准决策分析 (MCDA) 和数据包裹分析 (DEA).
- 包括四个输入:卫生支出 (GDP份额),医生,护士和医院病床.
- 包括三个输出:预期寿命,健康预期寿命和婴儿死亡率.
主要成果:
- MCDA认为土耳其,波兰和以色列是高效的;捷克共和国排名第15至19位.
- 根据DEA (持续回归规模) 的数据,土耳其,英国,加拿大和瑞典的效率高; 捷克共和国的表现不佳.
- DEA (规模可变回报) 确定了15个高效的系统;在所有模型中,结果都是稳定的.
结论:
- MCDA和DEA是衡量卫生系统效率的有价值的探索工具.
- 在效率分析中承认并解决了潜在的陷.
- 结果为决策者提供了有关卫生系统绩效和基准评估的见解.
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