Zhou Lulin, Ampon-Wireko Sabina, Dauda Lamini, Xu Xinglong, Opuni Antwi Maxwell, Larnyo Ebenezer
School of Management Science, Jiangsu University, Zhenjiang 212013, China.
Healthcare (Basel). 2020 Dec 31;9(1):31. doi: 10.3390/healthcare9010031.
Numerous factors, including the inefficiency of healthcare resources have been attributed to the poor health outcome. The study aims to compare the efficiency of health expenses and its determining factors in the emerging economies based on their income levels. Data for the study is extracted from the World Bank's World Development Indicators for 21 countries covering the period of 2000 to 2018. Analysis of the research involves two stages. Stage one computes the efficiency scores, whereas second stage examines factors affecting health efficiency by employing the Tobit regression and Simar-Wilson regression test to confirm the results. The Tobit result shows that research and development (R&D) and physicians enhanced health efficiency at the main panel, lower-middle-income, upper-middle-income, and high-income countries. Corruption remained negative with education showing mixed results. The interaction between research and development and physicians increases health efficiency in all the panels. Health research must be a policy focus if efficiency is to be achieved by the emerging economies.
包括医疗资源效率低下在内的众多因素都被认为是导致健康状况不佳的原因。该研究旨在根据新兴经济体的收入水平，比较其卫生支出效率及其决定因素。研究数据取自世界银行的《世界发展指标》，涵盖21个国家2000年至2018年期间的数据。研究分析包括两个阶段。第一阶段计算效率得分，而第二阶段通过使用Tobit回归和Simar-Wilson回归检验来检验影响卫生效率的因素，以确认结果。Tobit结果表明，研发和医生数量在主要面板、中低收入、中高收入和高收入国家提高了卫生效率。腐败仍然产生负面影响，教育则呈现出复杂的结果。研发与医生数量之间的相互作用在所有面板中都提高了卫生效率。如果新兴经济体要实现效率，卫生研究必须成为政策重点。
