Health Care Systems: Efficiency and Institutions

Joumard, Isabelle; André, Christophe; Nicq, Chantal

doi:10.2139/ssrn.1616546

Cited by 182 publications

(234 citation statements)

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“…Turning to the link between spending and health outcomes (e.g. life expectancy, mortality), the empirical evidence is so far inconclusive about the strength of the link between health care spending and health outcomes (Martin et al, 2008;Joumard et al, 2010). This is partly because other factors such as life-style, diet and environment are perceived as key factors determining health outcomes.…”

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confidence: 99%

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Public Finance, Economic Growth and Inequality

Johansson¹

2016

OECD Economics Department Working Papers

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JT03405922Complete document available on OLIS in its original format This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. ECO/WKP(2016)70 Unclassified English -Or. English ECO/WKP(2016)70 2 OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s).Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works.Comments on Working Papers are welcomed, and may be sent to OECD Economics Department, 2 rue André Pascal, 75775 Paris Cedex 16, France, or by e-mail to eco.contact@oecd.org. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.Latvia was not an OECD Member at the time of preparation of this publication. Accordingly, Latvia does not appear in the list of OECD Members and is not included in the zone aggregates. © OECD (2016)You can copy, download or print OECD content for your own use, and you can include excerpts from OECD publications, databases and multimedia products in your own documents, presentations, blogs, websites and teaching materials, provided that suitable acknowledgment of OECD as source and copyright owner is given. All requests for commercial use and translation rights should be submitted to rights@oecd.org ECO/WKP(2016)70 3 ABSTRACT/RÉSUMÉPublic finance, economic growth and inequality: A survey of the evidence This paper reviews the key issues concerning the impact of public spending and taxation on long-run growth and inequality and takes stock of existing theoretical and empirical studies. Overall, the evidence highlights that the size of the government matters for long-term growth as a too large government may undermine growth through the cost of financing public spending. A reallocation of public spending towards infrastructure and education would raise income in the long run, whereas increasing social welfare spending can reduce inequality as such spending increases redistribution and risk sharing. Similarly, the available evidence also supports the hypothesis that some taxes are more distortionary than others, with income taxes found to be more harmful for growth than consumption and property taxes. However, a tax shift from income towards consumption taxes has equity implications, since income taxes are general...

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confidence: 99%

“…On balance, research has shown that no health care system performs systematically better in delivering cost-effective health care. Rather it is how the system is managed that matters for effective outcomes (Joumard et al, 2010).…”

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confidence: 99%

Public Finance, Economic Growth and Inequality

Johansson¹

2016

OECD Economics Department Working Papers

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“…Several studies have confirmed that there is a positive relationship between life expectancy at birth and health expenditure per capita worldwide [6][7][8]. A recent study by Joumard [9] in 2010 showed that an increase of total health spending is the possible reason for at least 40% of improvements in life expectancy since 1990. So, this fact should be considered that health spending is necessary for analyzing any public health achievements cross-countries.…”

Section: Introductionmentioning

confidence: 94%

Inequality of Health Spending and Public Health Outcome in Countries of the WHO’s Eastern Mediterranean Regional Office (EMRO)

Ahmadi

Assari-Arani

Amiri

2015

ijtmgh

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Introduction: There are little attention about health spending and public health outcomes especially in the WHO's Eastern Mediterranean Region. This paper presents an overview on health spending and public health outcomes in the WHO Eastern Mediterranean countries during 1995-2011. Methods: This study conducted in 2013 use of health expenditure and public health outcome of 19 WHOs Eastern Mediterranean Region countries during 17 years (1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011). Data were including: Per capita health expenditure in current US dollar, Life expectancy at birth, Infant Mortality Rate per 1,000 live births, Under-5 years Mortality Rate per 1,000 live births. Data collected from the latest World Bank published data until 2013. The Descriptive statistics were used to study by using Excel 2007. Results: In this region, the minimum spending on health (by Pakistan) was about 60 times less than maximum spending (by Qatar). Maximum amount of infant and children mortality rate were respectively 9 and 10 times more than the minimum. Also a decreasing returns to scale of health spending seen between countries. So that countries with better public health status need to pay much more than countries with poor public health status to increase 1 year life expectancy or to save 1 infant or child from premature death. Conclusion: There is a large inequality among countries of the WHO Eastern Mediterranean region in both health spending and public health outcomes. Due to a decreasing return to scale, allocation financial aids to countries with poor health status can help converging health status in the region and decrease inequalities.

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“…This paper applies DEA to a sample of OECD countries, for which the quality of production factors is expected to be more homogeneous and measurement errors possibly less pronounced. As such, the paper places itself in a stream of previous OECD studies (Sutherland et al, 2007;Joumard et al, 2010;Hribernik and Kierzenkowski, 2013), of which it represents an update. Following Hribernik and Kierzenkowski (2013), efficiency is assessed with reference to spending on health care, secondary education and general public administration.…”

Section: Data Envelopment Analysismentioning

confidence: 99%