[拉丁美洲和加勒比地区国家卫生支出效率分析]
[Analysis of health expenditure efficiency in countries of Latin America and the Caribbean].
作者信息
Melgen-Bello Lety, García-Prieto Carmen
机构信息
Instituto de Investigación Social para el Desarrollo. Santiago, República Dominicana.
Departamento de Fundamentos del Análisis Económico, Universidad de Valladolid. Valladolid, España.
出版信息
Salud Publica Mex. 2017 Sep-Oct;59(5):583-591. doi: 10.21149/7816.
OBJECTIVE
To compare the efficiency levels of health expenditure in 25 countries in Latin America and the Caribbean.
MATERIALS AND METHODS
The methodology of stochastic frontier analysis was applied to estimate the efficiency scores of the countries, using data from years 1995, 2000, 2005, 2010, 2012. Two output variables were considered, life expectancy at birth and infant mortality. In the latter case, determinants of inefficiency were analyzed.
RESULTS
The average efficiency level of the region using life expectancy is higher than when using infant mortality.
CONCLUSIONS
Results suggest that countries can still improve the use of resources. Guiding the expenditure policy towards immunization programs and ensuring births take place in the presence of trained staff are efficient ways to save neonates.
目的
比较拉丁美洲和加勒比地区25个国家的卫生支出效率水平。
材料与方法
应用随机前沿分析方法，利用1995年、2000年、2005年、2010年、2012年的数据估算各国的效率得分。考虑了两个产出变量，即出生时预期寿命和婴儿死亡率。对于后者，分析了无效率的决定因素。
结果
该地区使用出生时预期寿命的平均效率水平高于使用婴儿死亡率时的平均效率水平。
结论
结果表明各国仍可提高资源利用效率。将支出政策导向免疫计划并确保在有训练有素的工作人员在场情况下分娩是拯救新生儿的有效方法。
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