Waste not, want not: The efficiency of health expenditure in emerging and developing economies

Grigoli, Francesco; Kapsoli, Javier

doi:10.1111/rode.12346

Cited by 83 publications

(84 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…169 Africa reports higher per capita health spending and worse health outcomes than South Asia, the most comparable region in terms of health expenditure. 170 This categorisation again masks important between-country imbalances: Namibia and Togo are among the most efficient spenders, while Lesotho, Mali, and Sierra Leone lie at the other extreme.…”

Section: Improving Health Spending Efficiencymentioning

confidence: 99%

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

et al. 2017

View full text Add to dashboard Cite

Section: Improving Health Spending Efficiencymentioning

confidence: 99%

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

et al. 2017

View full text Add to dashboard Cite

“…The measurement methods are normally parameter method as stochastic frontier analysis (SFA), and non-parameter method as data envelopment analysis (DEA). Grigoli and Kapsoli adopted SFA to study medical and health output efficiency in emerging countries and development countries, and concluded that the medical and health output efficiency was the lowest in African entities [10]. Berta et al applied traditional DEA method to measure operation efficiency of hospitals in Italy, and found that the technology efficiency of private hospitals was lower than not-profit public hospitals [11].…”

Section: Literature Reviewmentioning

confidence: 99%

Is the allocation of medical and health resources effective? Characteristic facts from regional heterogeneity in China

Peng

Zhang

2020

Preprint

View full text Add to dashboard Cite

Background: Over the last decade, the expenditure on public medical and health has increased greatly in China, however, problems as low efficiency and unfairness still exist. How to accurately describe the effectiveness of existing medical and health resources in combination with regional heterogeneity is of great significance to China's medical and health reform.Methods: Based on provincial panel data for the period of 2005 to 2017, this paper constructs a super-efficiency three-stage SBM-DEA model, combining expected output and unexpected output, to measure and analyze the spatial-temporal heterogeneity characteristics and influencing factors of public medical and health efficiency (PMHE). Results: After the impacts of random error and external environmental factors are removed, the mean value of overall PMHE is 0.9274, failing to reach DEA efficiency, and PMHE shows a fluctuated downward trend. In addition, apart from eastern regions, the mean values of PMHE in central, western and north-eastern are all underestimated. (2) The adjusted PMHE level shows a prominent spatial imbalance at the stage 3. The average efficiency level is ranked by the east > the western > the central > the northeast region. (3) The increases of GDP per capita and population density are beneficial to the improvement of PMHE, while income level and education level are disadvantageous to PMHE, and the urbanization level, an uncertain effect.Conclusion: This study innovatively incorporates undesired outputs of health care into the efficiency evaluation framework by constructing the main efficiency evaluation indicators. The results of the robust evaluation conclude that China's existing investment in medical and health resources is generally not effective. Therefore, although China's health care reform has achieved certain results, it is still necessary to expand the investment in health care resources.

show abstract

“…At the international level, comparative studies abound, but with dissimilar results. Most of them show good results for Peru in terms of expenditure and life expectancy, healthy years, or other indicators (31,32). In a comparison of five rankings for 191 countries, Peru is situated between the first and second efficiency tercile (33).…”

Section: Efficiency Of Public Expenditurementioning

confidence: 99%

An assessment of fiscal space for health in Peru

Matus-López¹,

Toledo²,

Cid³

2019

Rev Panam Salud Publica

View full text Add to dashboard Cite

Suggested citation (original article) Matus-López M, Prieto Toledo L, Cid Pedraza C. Evaluación del espacio fiscal para la salud en Perú. Rev Panam Salud Publica. 2016;40(1):64-69. ABSTRACTObjective. To assess the fiscal space for health in Peru needed to attain the target of raising public spending in health to 6% of gross domestic product, as agreed by member countries of the Pan American Health Organization in 2014.Methods. The main sources of fiscal space were identified by means of a thorough literature review. Technical feasibility was determined from statistics and national and international surveys and by reviewing various documents and official reports. Political feasibility was ascertained by studying policy guidelines.Results. The sources showing the greatest technical and political feasibility are economic growth, a broadening of the personal income tax base, and an increase in tobacco-specific taxes. Decreasing informality in the job market and increasing contributory coverage are considered to be less politically feasible, but there is ample technical space for these measures.Conclusions. There is enough fiscal space to allow for an increase in public spending in health. Nevertheless, the 6% target will be reached only if the timeline is extended, tax revenues are increased, and informality in the job market is reduced.

show abstract

Waste not, want not: The efficiency of health expenditure in emerging and developing economies

Cited by 83 publications

References 24 publications

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

Is the allocation of medical and health resources effective? Characteristic facts from regional heterogeneity in China

An assessment of fiscal space for health in Peru

Contact Info

Product

Resources

About