发展中国家卫生系统的效率:西非国家的案例
Kossivi Akoetey1,2, Anne Viallefont3
1Université Clermont Auvergne, CNRS, CERDI, Clermont-Ferrand, 63000, France. kossiviakoetey@yahoo.fr.
Health economics review
|November 22, 2025
概括
西非卫生系统的效率为89.7%,有可能使预期寿命增加6.5年. 结构性挑战,而不是临时问题,是这些发展中国家效率低下的主要驱动因素.
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
- 发展研究 发展研究 研究
背景情况:
- 发展中国家面临着重大的卫生挑战,包括资金短缺和流行病风险.
- 西非卫生系统面临着组织和社会文化障碍.
- 评估卫生系统的效率对于解决这些复杂问题至关重要.
研究的目的:
- 首次评估西非国家的卫生系统效率.
- 确定最适应发展中国家挑战的卫生系统.
- 确定影响该地区健康生产过程的因素.
主要方法:
- 利用了世界银行全球发展指标和全球治理指标 (2000-2022年).
- 应用了随机固定效应边界方法 (Kumbhakar等人,2014).
- 在缺失数据分析中采用了一种新的多重归算方法.
主要成果:
- 西非国家的平均相对效率为89.7%.
- 现有资源有可能使出生时的预期寿命增加10.3% (6.5年).
- 永久性的低效率,表明结构性挑战,超过了暂时的低效率.
结论:
- 西非卫生系统的平均效率很高,但面临着重大的结构性障碍.
- 人均支出,GDP,识字率和治理等关键因素对卫生系统的效率产生积极影响.
- 需要有针对性的结构性改革,以提高该地区的健康状况和预期寿命.
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