Estimating the efficiency of the system of healthcare financing in achieving better health
Estimating the efficiency of the system of healthcare financing in achieving better health
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DOI：
10.1080/00036840500424798
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发表时间：
2006-07-20
影响因子：
2.2
通讯作者：
Zaim, O.
中科院分区：
文献类型：
--
作者：
Grosskopf, S.;Self, S.;Zaim, O.
本文有助于建立模型并衡量卫生支出的筹资方法如何影响实现更好健康的效率。重点是国家一级的卫生系统效率，这为世卫组织在这方面所做的工作提供了另一种选择。该方法采用了世卫组织研究中采用的前沿技术；然而，本文采用了数量经济指数理论和生产率指数理论，这两种理论已经建立了公理性质，并提供了一种无需附加任意权重的方法来汇总多个卫生产出代理。这样就可以提出一项规范，将卫生部门绩效纳入更广泛的经济投入和产出指数，并可以在不同国家和时间之间进行比较。
This paper contributes to the effort to model and measure how the method of financing of health expenditure affects the efficiency with which better health can be achieved. The focus is on the health system efficiency at the country level, which provides an alternative to the work done in the WHO in this regard. The approach uses frontier techniques as in the WHO studies; however the paper appeals to the economic index number theory of quantity and productivity indexes, which have well-established axiomatic properties, and provides a means for aggregating multiple health output proxies without having to attach arbitrary weights. This allows the proposal of a specification that embeds health sector performance in a broader index of economic inputs and outputs and allows for comparisons across countries and time.