The efficiency of the healthcare systems in EU countries – A DEA analysis

Dincă, Gheorghiţa; Dincă, Marius Sorin; Andronic, Maria Letiția

doi:10.1556/032.2020.00002

Cited by 18 publications

(10 citation statements)

References 16 publications

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“…Farrell defines a firm's efficiency as "to produce an output to a sufficiently large extent than a given input value", and it specifies the technical allocation and economic performance of its types [20]. In many studies were used data envelopment analysis (DEA) method to investigate health systems efficiency [21][22][23][24].…”

Section: Literaturementioning

confidence: 99%

Health systems efficiency in Eastern Mediterranean Region: a data envelopment analysis

Seddighi

Nejad

Basakha

2020

Cost Eff Resour Alloc

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Background: One of the most important issues in public policy and welfare state is health care. Poor management leads to the waste of resources, including money, human resources, facilities, and equipment. Aims: This paper seeks to answer the question of which eastern Mediterranean countries are more effective in allocating their health resources, and does Iran, in relation to those countries, have an effective health system. Methods: This study examined technical efficiency among eastern Mediterranean countries in 2018. Data were extracted from Global Health Observatory data World Health Organization. We applied input-oriented Data Envelopment Analysis (DEA) models to estimate efficiency scores. Inputs are Physicians density per 10,000 populations, Total hospital beds per 10,000 populations, Current expenditure on health, % of gross domestic product and outputs are infant survival rate and Life expectancy. Results: The most efficient health systems in the eastern Mediterranean were Bahrain,

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Section: Literaturementioning

confidence: 99%

Health systems efficiency in Eastern Mediterranean Region: a data envelopment analysis

Seddighi

Nejad

Basakha

2020

Cost Eff Resour Alloc

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“…The debate focuses mainly on strategies for increasing the efficiency of the public sector in order to increase economic competitiveness and promote economic growth (Zugravu & Sava, 2012), (Ibanez, et al, 2020). Certainly, according to Manddl, Dierx, and Ilzkovitz (2008), Dincă, et al (2020), Flores (2017), Afonso, Schuknecht, and Tanzi (2005), Moreno-Enguix and Bayona (2017), one of the best and most serious activities to increase the efficiency of the public sector is to increase the efficiency of economic resources. Herrer and Pang (2005) in their paper, to evaluate the input output efficiency of the public sector, have applied two nonparametric approaches: the FDH methodology and the DEA, based on a sample of 140 countries for the period 1996-2002.…”

Section: Literature Reviewmentioning

confidence: 99%

The Efficiency of Educational and Healthcare public expenditures in Kosovo: A Data Envelopment Analysis Technique

Elshani

Pula²

2022

ECO

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This paper evaluates the performance and efficiency of the government public expenditure in the education and health sectors in the emerging economies context, specifically comparing Kosovo with the Western Balkan countries. The indicators of education and health sectors were used to assess a Public Sector Performance Index (PSP) and the Public Sector Efficiency Index (PSE). Also, this study uses the nonparametric method DEA (Data Envelopment Analysis) to evaluate the input-output oriented efficiency. This study finds that education score of performance ranges from 0.43 which is the minimum to 1.48 which is the maximum. And in the health sector, the PSP score ranges from 0.81 which is the minimum to 1.09 which is the maximum. Kosovo ranks 41st out of 42 countries in this sample, in terms of the education sector, with a performance index of 0.67, which is 37% below the average of 1.00, whilst in terms of the health sector it ranks 39th out of 42 countries in the sample.In the analysis of the input output efficiency model in the education sector, the results show that the countries included in the study achieve an efficiency of 76.69 and it means that countries can reduce relevant public expenditure by 23.3% and maintain the same level of PSP in the education sector. Kosovo is assessed in this analysis as an inefficient country. The value of the input-oriented index is 40.24, which means that Kosovo can achieve the same level of performance in the education sector by using 60% less relative public expenditure, whilst, on the other hand, the input-output efficiency results for the health sector show that the efficiency score for countries is 47.64, and denotes that the countries in the sample could reduce 53% in health expenditure to achieve the same performance in the health sector. Thus, Kosovo compared to other countries in the sample is within the limits of production opportunities and uses public expenditure on health and education inefficiently.

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“…In a relatively short period of time, DEA has become a strong quantitative analysis instrument, used by different activity entities to measure performances [28]. The method was applied for macroeconomic performance measurement in the health sector [29][30][31][32][33], at a regional level in the public administration system [31], at a microeconomic level in the education system [34][35][36], in the private banking sector or in other sectors [37][38][39].…”

Section: Related Workmentioning

confidence: 99%

“…As the pupil-teacher ratio is an output variable and considering the previous conclusions identified in the literature, this variable's displayed values should be as low as possible to generate good results for that country. In other words, the efficiency measurement techniques imply that outputs or outcomes are measured in such a way that more is better [22,30]. Starting from these assumptions, we decided to make a change in the initial data collected by using an inverted report so that a higher value of this indicator shows a good characteristic of that state.…”

Section: (Primary)mentioning

confidence: 99%

Assessment of the European Union’s Educational Efficiency

Dincă

Andronic

et al. 2021

Sustainability

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This paper assesses education sector’s efficiency by comparing 28 European Union states at different levels of education using the mathematic approach of data envelopment analysis. We conducted the study from both the allocative and technical perspectives by considering all education levels separately and then as a whole, every three years, starting with 2006. The input and output variables were adapted to each particular level of education. In this way, we offered a complete image of the education system, creating a ranking for the countries, based on efficiency scores. Efficiency appears to be achieved when education results, such as the Programme for International Student Assessment scores, attainment level or other value-added outcomes, are reached with rather low levels of financial resources. The performance in education lacks sustainability in many countries, mostly belonging to Mediterranean and south-eastern European groups, with old member states recording efficiency scores closer to 1 compared to the new ones. Inefficiency derived from different causes and interactions between these causes (the mixture between public and private resources, the different population composition, gross domestic product per capita or levels of education attainment) and most often imply particular solutions from country to country.

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The efficiency of the healthcare systems in EU countries – A DEA analysis

Cited by 18 publications

References 16 publications

Health systems efficiency in Eastern Mediterranean Region: a data envelopment analysis

Health systems efficiency in Eastern Mediterranean Region: a data envelopment analysis

The Efficiency of Educational and Healthcare public expenditures in Kosovo: A Data Envelopment Analysis Technique

Assessment of the European Union’s Educational Efficiency

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