Bhat Vasanthakumar N
Lubin School of Business, Pace University, New York, NY, USA.
Eur J Health Econ. 2005 Sep;6(3):215-22. doi: 10.1007/s10198-005-0294-1.
This study examined the efficiency of health care delivery systems in 24 OECD countries. Practicing physicians, practicing nurses, inpatient beds, and pharmaceuticals were considered as inputs to treat populations of various age groups. Data envelopment analysis (DEA) was utilized to calculate efficiency. We also calculated input efficiency that should be helpful in determining excess number of physicians, nurses, inpatient beds, and pharmaceuticals consumed. Institutional arrangements affect efficiency: public-contract and public-integrated countries are more efficient than public-reimbursement countries. Countries in which physicians are paid in wages and salaries and countries with capitation have higher efficiency than fee-for-service countries. Countries in which a primary care physician acts as a gatekeeper are also more efficient than countries without gatekeepers.
本研究考察了24个经合组织国家医疗保健提供系统的效率。执业医师、执业护士、住院床位和药品被视为治疗不同年龄组人群的投入要素。利用数据包络分析（DEA）来计算效率。我们还计算了投入效率，这有助于确定所消耗的医师、护士、住院床位和药品的过剩数量。制度安排会影响效率：公共合同型和公共整合型国家比公共报销型国家更有效率。医师以工资和薪金形式获得报酬的国家以及实行按人头付费的国家比按服务收费的国家效率更高。初级保健医师担任守门人的国家也比没有守门人的国家效率更高。
