A stochastic frontier analysis approach for estimating efficiency of health care systems in Brazil and countries in Latin America, the Caribbean, and the OECD
DOI:
https://doi.org/10.11606/1980-5330/ea171104Keywords:
comparative health systems, stochastic frontier analysis, OECDAbstract
We evaluated the efficiency of expenditure in health care provision by comparing output measures (life expectancy; infant survival rate) from the health system of Brazil, Latin American, Caribbean and OECD countries with an expenditure measure (health expenditure per capita). We estimated the efficiency frontier and country rankings by using Stochastic Frontier Analysis (SFA). The Brazilian health indicators are not acceptable, and the efficiency scores are very low but, by another side, our results provide some evidence that Brazil holds a relatively acceptable position in the technical efficiency ranking.
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References
Afonso, A. S. & Aubyn, M. (2005). Non-parametric approaches to education and health expenditure efficiency in OECD countries. Journal of Applied Economics, v. VIII, p. 227–246.
Aigner, D., Lovell, C. A. K. & Schmidt, P. S. (1977). Formulation and estimation of stochastic frontier models. Journal of Econometrics, Local, v. 6, p. 21–37.
ALMEIDA, V. V. (2011), PhD thesis. Desenvolvimento Infantil: uma Análise de Eficiência. Ano de depósito. 155 p. Tese (Doutorado) - Faculdade de Economia. Universidade Federal Fluminense, Niterói.
Aremo, A. G. & Olanubi, S. O. (2016). Public health expenditure and infant survival rates in three selected sub-Saharan African countries: a stochastic frontier analysis for the period 1998-2012. International Journal of Economics, Commerce and Management, v. IV, Issue 3, p. 140–162, Mar.
Barros, P. P. (2005). Economia da Saúde. Conceitos e Comportamento. Portugal: Edições Almedina S.A.
Battese, G. E. & Coelli, T. J. (1995). A Model for Technical Inefficiency Effects in a Stochastic Frontier Production Function for Panel Data. Empirical Economics, Department of Econometrics, The University of New England, Armidale, NSW 2351, Australia , n. 20, p. 325–332.
Battese, G. E. & Corra, G. S. (1977). Estimation of a production frontier model: With application to the Pastoral Zone of Eastern Australia. Disentangling the efficiency drivers in country-level global health programs: An empirical study, v. 21, p. 169–179.
Berenguer, G., Iyer, A. V. & Yadava, P. (2016). Disentangling the efficiency drivers in country-level global health programs: An empirical study. Journal of Operations Management, v. 45, p. 30–43.
Berger, A. & Mester, L. (1997). Inside the black box: What explains differences in the efficiencies of financial institutions. ournal of Banking & Finance, v. 21, n. 15, p. 895–947.
Brasil. Constituição da República Federativa do Brasil (2006). Texto Consolidado até a Emenda Constitucional no. 52 de 08 de março de 2006. Senado Federal, Brasília: Secretaria Especial de Editoração e Publicações.
Dever, G. E. A. (1998). A Epidemiologia na Administração dos Serviços de Saúde. São Paulo: Pioneira.
Estache, A., Gonzalez, M. & Trujillo, L. (2007). Government expenditures on education, health and infraestructure: A Naïve look at levels, outcomes and efficiency. Policy Research Working Paper 4219, World Bank.
Evans, D. B., Tandon, A., Murray, C. J. L. & Lauer, J. A. (2000). The comparative efficiency of national health systems in producing health: An analysis of 191 countries. GPE Discussion Paper Series 29, World Health Organization.
Garber, A. M. & Skinner, J. (2008). Is American health care uniquely inefficient?. NBER Working Paper Series, NBER Working Paper Series, Aug. 2008.
Jacobs, R., Smith, P. C. & Street, A. (2006). Measuring Efficiency In Health Care. Analytic Techniques and Health Policy. Cambridge, UK: Cambridge University Press.
Maddala, K. (2001). Introduction to Econometrics. 3. ed. England: John Wiley & Sons Ltd.
Marinho, A., Cardoso, S. S. & Almeida, V. V. (2012). Avaliação comparativa de sistemas de saúde com a utilização de fronteiras estocásticas: Brasil e OCDE. Revista Brasileira de Economia, Rio de Janeiro, v. 66, n. 1, p. 3–19, jan.-mar.
Meeusen, W. & Van Den Broeck, J. (1977). Efficiency estimation from Cobb-Douglas production functions with composed error. International Economic Review, v. 18, p. 435–444.
Nishijima, M. & Biasoto Junior, G. (2013). Análise de eficiência técnica em saúde entre 1999 e 2006. Planejamento e Políticas Públicas, n. 40, p. 45–65, jan.-jun.
OECD - Organização para a Cooperação e Desenvolvimento Econômico (2010). Health care systems: Getting more value for money. National Geographic Society: OECD Economics Department Policy Notes, n. 2.
Ogloblin, C. (2011). Health care efficiency across countries: a stochastic frontier analysis. Applied Econometrics and International Development, v. 11, n. 1, p. 5–14.
OMS - OrganizaçãoMundial da Saúde (2000). TheWorld Health Report, 2000. Health Systems: Improving Performance. Geneve, Switzerland: World Health Organization (WHO).
Rouquayrol, M. Z. & Almeida Filho, N. (2001). Epidemiologia e Saúde. 5. ed. 1ª reimpressão. Rio de Janeiro: MEDSI Editora Médica e Científica Ltda.
Santerre, R. E. & Neun, S. P. (2000). Health Economics. Theories, Insights and Industry Studies. South-Western, Ohio, USA: Revised edition.
SCHMIDT, P. (1988). Estimation of a fixed-effect Cobb-Douglas systemusing panel data. Journal of Econometrics, Local, n. 37, p. 361–380.
Silveira, J. S. T. (2004). Por que usar a econometria de fronteira estocástica para medir a eficiência dos serviços de saúde e para que servem os índices?. In: Piola, S. F.; Jorge, E. L. (orgs.). Economia da Saúde: 1º Prêmio Nacional – 2004: coletânea premiada. Brasília: Instituto de Pesquisa Econômica Aplicada, Brasil, e Department for International Development, UK.
Souza, I V Nishijima, M. & Rocha, F. (2010). Eficiência do setor hospitalar nos municípios paulistas. Economia Aplicada, n. 14, p. 51–66.
Vitaliano, D. F. & Toren, M. (1994). Cost and efficiency in nursing homes: A stochastic frontier approach. Journal of Health Economics, n. 13, p. 281–300.
Zweifel, P. & Breyer, F. (1997). Health Economics. New York, USA: Oxford University Press Inc.
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