Assesing efficiency of health care system functioning

Kostiantyn Hrytsenko, Avhusta Hrytsenko, Anna Mogilina


Abstract


Introduction. Effective health systems make a significant contribution to the economic growth and sustainable development of each country. It is impossible to solve the problems related to the financing of the health care system without assessingits efficiency. Research and implementation of the main directions of improving the efficiency of the health care system involves improving the mechanisms of its assesment.

Thepurposeoftheworkistostudythetheoreticalandpracticalaspects of assessing the health care systems efficiency of the regional European group of countries with economies in transition and developing economies, generalization of existing problems and identification of ways to improve the efficiency of health care systems in these countries, modeling public expenses on health care.

Methodology. To achieve this goal, a bibliometric analysis of scientific publications on the research topic was used, method of theoretical generalization – to form a group of key indicators of the health care system, correlation-regression analysis – to build the relationship between public health expenditures per capita and the main indicators of the health care system functioning, cluster analysis – to identify countries with similar health care problems, stochastic frontier analysis (SFA) – to build a ranking of the efficiency of health systems in the countries of the regional European group of countries with economies in transition and emerging economies,panel data model with fixed effects – to identify the impact of local budget revenues on the volume of planned local budget expenditures on health care and the amount of payment from the National Health Service of Ukraine to health care providers.

Results. The article reveals the issue of assessing the efficiency of the health care system on the example of a regional European group of countries with economies in transition and developing economies. The article summarizes the main problems related to public funding of health care in Ukraine.


Keywords


countries with economies in transition; public expences; health care system; efficiency of functioning; cluster analysis; stochastic frontier analysis

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References


Ivankova, V., Kotulic, R., Gonos, J., and Rigelsky, M. (2019). Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries. International Journal of Environmental Research and Public Health, 16(20), 3839. DOI: 10.3390/ijerph16203839.

Verhoeven, M., Gunnarsson, V., and Carcillo S. (2007). Education and Health in G7 Countries: Achieving Better Outcomes with Less Spending. IMF Working Papers, No. 07/263, International Monetary Fund. DOI: 10.5089/9781451868265.001.

Grigoli, F, and Kapsoli, J. (2018). Waste not, want not: The efficiency of health expenditure in emerging and developing economies. Review of Development Economics, 22(1), 384-403.

European Commission. Joint Report on Health Care and Long-Term Care Systems and Fiscal Sustainability (2019). Retrieved from: https://ec.europa.eu/info/sites/default/files/economy-finance/ip105_en.pdf.

World Bank. Indicators. Retrieved from: https://data.worldbank.org/indicator.

Chirikos, T. N., and Alan, M. S. (2000). Measuring Hospital Efficiency: A Comparison of Two Approaches. Health Services Research, 34, 1389-1408. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1089087.

Hollingsworth, B., and Wildman, J. (2003). The Efficiency of Health Production: Re-estimating the WHO Panel Data Using Parametric and Nonparametric Approaches to Provide Additional Information. Health Economics, 12, 382-417. DOI: 10.1002/hec.751.

Fiorentino, E., Karmann, A., and Koetter, M. (2006). The Cost Efficiency of German Banks; A Comparison of SFA and DEA. Discussion Paper, no. 10/2006. Retrieved from: https://www.econstor.eu/bitstream/10419/19757/1/200610dkp_b.pdf.

Jondrow, J., Lovell, C. A. K., Materov, I. S., and Schmidt, P. (1982). On the estimation of technical inefficiency in the stochastic frontier production function model. Journal of Econometrics, 19, 233–238. Retrieved from: https://doi.org/10.1016/0304-4076(82)90004-5.




DOI: http://dx.doi.org/10.35774/econa2021.04.005

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Science Works Journal "Ekonomichnyy analiz"

ISSN 1993-0259 (Print)  ISSN 2219-4649 (Online) DOI: 10.35774/econa


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