Benchmarking Health Systems in Middle Eastern and North African Countries
Benchmarking Health Systems in Middle Eastern and North African Countries
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中东和北非国家卫生系统基准测试
作者：
Huihui Wang;A. Yazbeck
卫生系统不容易建立基准，部分原因是卫生部门产生不止一种结果。本文提供了对中东和北非（MENA）国家卫生系统进行基准测试的两种方法，重点关注两种不同的结果，即健康状况和财务保护。第一种方法是衡量根据国家社会经济地位预测的健康结果与实际健康结果之间的差距。第二种方法是简单地比较中东和北非国家的自费支出水平。这篇文章提供了一些有趣的发现，说明尽管该地区有相当大的文化和语言相似性，但两国卫生系统成果的巨大异质性。此外，在健康状况衡量指标上发现了三组互不相关的国家。调查结果还为中东和北非国家提供了具体的卫生系统目标结果，以重点开展改革工作。
Abstract—Health systems are not easy to benchmark, in part because the health sector produces more than one outcome. This article offers two ways of benchmarking the health systems of countries in the Middle East and North Africa (MENA) focusing on two different outcomes, health status and financial protection. The first approach is by measuring the gap between predicted health outcomes based on country socioeconomic status and actual health outcomes. The second approach is by simply comparing the levels of out-of-pocket (OOP) spending in MENA countries. The article offers some interesting findings about the large heterogeneity in both health system outcome achievements despite considerable cultural and linguistic similarities in the region. Moreover, three discrete clusters of countries are found on the health status measure. The findings also give specific health system target outcomes for MENA countries to focus their reform efforts.