国家卫生系统的比较效率：跨国计量经济学分析。
Comparative efficiency of national health systems: cross national econometric analysis.
作者信息
Evans D B, Tandon A, Murray C J, Lauer J A
机构信息
Global Programme on Evidence for Health Policy, World Health Organization, 1211 Geneva 27, Switzerland.
出版信息
BMJ. 2001 Aug 11;323(7308):307-10. doi: 10.1136/bmj.323.7308.307.
Abstract
OBJECTIVE
To improve the evidence base for health policy by devising a method to measure and monitor the performance of health systems.
DESIGN
Estimation of the relation between levels of population health and the inputs used to produce health.
SETTING
191 countries.
MAIN OUTCOME MEASURE
Health system efficiency (performance).
RESULTS
Estimated efficiency varied from nearly fully efficient to nearly fully inefficient. Countries with a history of civil conflict or high prevalence of HIV and AIDS were less efficient. Performance increased with health expenditure per capita.
CONCLUSIONS
Increasing the resources for health systems is critical to improving health in poor countries, but important gains can be made in most countries by using existing resources more efficiently.
摘要
目的
通过设计一种衡量和监测卫生系统绩效的方法，改进卫生政策的证据基础。
设计
估计人口健康水平与用于产生健康的投入之间的关系。
地点
191个国家。
主要观察指标
卫生系统效率（绩效）。
结果
估计的效率从几乎完全高效到几乎完全低效不等。有内战历史或艾滋病毒/艾滋病高流行率的国家效率较低。绩效随着人均卫生支出的增加而提高。
结论
增加卫生系统资源对于改善贫穷国家的健康状况至关重要，但在大多数国家，通过更有效地利用现有资源可以取得重大进展。
相似文献
1
Comparative efficiency of national health systems: cross national econometric analysis.
BMJ. 2001 Aug 11;323(7308):307-10. doi: 10.1136/bmj.323.7308.307.
2
Achieving value for money in health: a comparative analysis of OECD countries and regional countries.
Int J Health Plann Manage. 2017 Oct;32(4):e279-e298. doi: 10.1002/hpm.2375. Epub 2016 Aug 11.
3
The efficiency of health production: re-estimating the WHO panel data using parametric and non-parametric approaches to provide additional information.
Health Econ. 2003 Jun;12(6):493-504. doi: 10.1002/hec.751.
4
Health production and determinants of health systems performance in WHO Eastern Mediterranean Region.
East Mediterr Health J. 2017 Jul 16;23(5):368-374. doi: 10.26719/2017.23.5.368.
5
Evaluation of the performance of national health systems in 2004-2011: An analysis of 173 countries.
PLoS One. 2017 Mar 10;12(3):e0173346. doi: 10.1371/journal.pone.0173346. eCollection 2017.
6
Measuring the efficiency of health systems in Asia: a data envelopment analysis.
BMJ Open. 2019 Mar 27;9(3):e022155. doi: 10.1136/bmjopen-2018-022155.
7
Health care system efficiency and life expectancy: A 140-country study.
PLoS One. 2021 Jul 9;16(7):e0253450. doi: 10.1371/journal.pone.0253450. eCollection 2021.
8
Determinants of healthcare system's efficiency in OECD countries.
Eur J Health Econ. 2013 Apr;14(2):253-65. doi: 10.1007/s10198-011-0366-3. Epub 2011 Dec 7.
9
Health systems performance: a statewide analysis.
J Health Care Finance. 2003 Summer;29(4):77-86.
10
Hungary health system review.
Health Syst Transit. 2011;13(5):1-266.
引用本文的文献
1
Association between healthcare resources, healthcare systems, and population health in European countries.
BMC Health Serv Res. 2025 May 19;25(1):720. doi: 10.1186/s12913-024-11743-0.
2
Forecast of total health expenditure on China's ageing population: a system dynamics model.
BMC Health Serv Res. 2024 Dec 27;24(1):1655. doi: 10.1186/s12913-024-12113-6.
3
Key Indicators for Monitoring the Efficiency of Iranian Health System: A Synthesized Design Study.
Iran J Public Health. 2024 Mar;53(3):704-713. doi: 10.18502/ijph.v53i3.15152.
4
The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China.
Front Public Health. 2024 Apr 16;12:1376518. doi: 10.3389/fpubh.2024.1376518. eCollection 2024.
5
Measurement and characteristics of the temporal-spatial evolution of China's healthcare services efficiency.
Arch Public Health. 2023 Nov 14;81(1):197. doi: 10.1186/s13690-023-01208-x.
6
Health systems efficiency in China and ASEAN, 2015-2020: a DEA-Tobit and SFA analysis application.
BMJ Open. 2023 Sep 6;13(9):e075030. doi: 10.1136/bmjopen-2023-075030.
7
Estimating the efficiency of primary health care services and its determinants: evidence from provincial panel data in China.
Front Public Health. 2023 Jun 15;11:1173197. doi: 10.3389/fpubh.2023.1173197. eCollection 2023.
8
Phase and wave dependent analysis of health expenditure efficiency: A sample of OECD evidence.
Front Public Health. 2023 Mar 17;11:1125975. doi: 10.3389/fpubh.2023.1125975. eCollection 2023.
9
Pregnancy Outcomes in SARS-CoV-2-Positive Patients: A 20-Month Retrospective Analysis of Delivery Cases.
Medicina (Kaunas). 2023 Feb 10;59(2):341. doi: 10.3390/medicina59020341.
10
Analysing the Efficiency of Health Systems: A Systematic Review of the Literature.
Appl Health Econ Health Policy. 2023 Mar;21(2):205-224. doi: 10.1007/s40258-022-00785-2. Epub 2022 Dec 28.
本文引用的文献
1
The decline in child mortality: a reappraisal.
Bull World Health Organ. 2000;78(10):1175-91.
2
Development of WHO guidelines on generalized cost-effectiveness analysis.
Health Econ. 2000 Apr;9(3):235-51. doi: 10.1002/(sici)1099-1050(200004)9:3<235::aid-hec502>3.0.co;2-o.
3
Public health funding mechanisms in New Zealand.
Aust Health Rev. 1999;22(4):100-12; discussion 113-7. doi: 10.1071/ah990100.
4
The ability of managed care to control health care costs: how much is enough?
J Health Care Finance. 2000 Spring;26(3):15-25.
5
Health sector reform and the interpretation of policy context.
Health Policy. 1999 Apr;47(1):69-83. doi: 10.1016/s0168-8510(99)00003-2.
6
Healthcare system performance indicators: a new beginning for a reformed Canadian healthcare system.
J Healthc Qual. 1999 Jan-Feb;21(1):37-41. doi: 10.1111/j.1945-1474.1999.tb00937.x.
7
NGOs in community health insurance schemes: examples from Guatemala and the Philippines.
Soc Sci Med. 1999 Apr;48(7):939-50. doi: 10.1016/s0277-9536(98)00394-3.
8
Health care reform: informing difficult choices.
Int J Health Plann Manage. 1995 Oct-Dec;10(4):247-64. doi: 10.1002/hpm.4740100403.
9
Impact of user charges on government health facilities in Tanzania.
East Afr Med J. 1997 Dec;74(12):751-7.
10
Cost-effectiveness analysis and policy choices: investing in health systems.
Bull World Health Organ. 1994;72(4):663-74.
Zotero 插件