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2017, Number 5

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salud publica mex 2017; 59 (5)

Analysis of health expenditure efficiency in countries of Latin America and the Caribbean

Melgen-Bello L, García-Prieto C
Full text How to cite this article

Language: Spanish
References: 17
Page: 583-591
PDF size: 412.61 Kb.


Key words:

outcome assessment (health care), efficiency, health care rationing, Latin America.

ABSTRACT

Objective. To compare the efficiency levels of health expenditure in 25 countries in Latin America and the Caribbean. Materials and methods. The methodology of stochastic frontier analysis was applied to estimate the efficiency scores of the countries, using data from years 1995, 2000, 2005, 2010, 2012. Two output variables were considered, life expectancy at birth and infant mortality. In the latter case, determinants of inefficiency were analyzed. Results. The average efficiency level of the region using life expectancy is higher than when using infant mortality. Conclusions. Results suggest that countries can still improve the use of resources. Guiding the expenditure policy towards immunization programs and ensuring births take place in the presence of trained staff are efficient ways to save neonates.


REFERENCES

  1. Organización Mundial de la Salud. Informe sobre la Salud en el mundo. La Financiación de los Sistemas de Salud: El camino hacia la Cobertura Universal. Ginebra: OMS, 2010.

  2. Organización Mundial de la Salud. Informe sobre la Salud en el mundo. Mejorar el Desempeño de los Sistemas de Salud. Ginebra: OMS, 2000.

  3. Hollingsworth B, Wildman J. The efficiency of health production: reestimating the WHO panel data using parametric and non-parametric approaches to provide additional information. Health Econ 2003;12:493- 504. https://doi.org/10.1002/hec.751

  4. Greene W. Distinguishing between heterogeneity and inefficiency: stochastic frontier analysis of the World Health Organization’s panel data on national health care systems. Health Econ 2004;13:959-980. https://doi. org/10.1002/hec.938

  5. Kumbhakar SC. Efficiency and productivity of world health systems: where does your country stand? Appl Econ 2010;42:1641-1659. https:// doi.org/10.1080/00036840701721588

  6. Puig-Junoy J. Measuring health production performance in the OECD. Appl Econ Lett 1998;5:255-259. https://doi.org/10.1080/135048598354933

  7. Spinks J, Hollingsworth B. Cross-country comparisons of technical efficiency of health production: a demonstration of pitfalls. Appl Econ 2009;41:417-427. https://doi.org/10.1080/00036840701604354

  8. Grigoli F, Kapsoli J. Waste not, want not: the efficiency of health expenditure in emerging and developing economies. IMF Working Paper 13/187; August 1, 2013. Washington, DC: International Monetary Fund, 2013.

  9. Herrera S, Pang G. Efficiency of public spending in developing countries: an efficiency frontier approach. Washington, DC:The World Bank, 2005. https://doi.org/10.1596/1813-9450-3645

  10. Machado R. ¿Gastar más o gastar mejor?: La eficiencia del gasto público en América Central y República Dominicana. Washington, DC: BID, 2006.

  11. Alvarez F, St Aubyn M. Government spending efficiency in latin america: a frontier approach. Working Papers N° 2014/09. Caracas: Development Bank of Latin America, 2012.

  12. Retzlaff-Roberts D, Chang C, Rubin R. Technical efficiency in the use of health care resources: a comparison of OECD countries. Health Policy 2004;69(1):55-72. https://doi.org/10.1016/j.healthpol.2003.12.002

  13. Farrell MJ. The Measurement of Productive Efficiency. J R Stat Soc Ser A 1957;120(3):253-290. https://doi.org/10.2307/2343100

  14. Battese GE, Coelli TJ. A model for technical inefficiency effects in a stochastic frontier production function for panel data. Empir Econ 1995;20(2):325-332. https://doi.org/10.1007/BF01205442

  15. Organización Panamericana de la Salud. Salud en las Américas: edición de 2012. Panorama regional y perfiles de país. Washington, DC: OPS, 2012.

  16. OMS, UNICEF, Banco Mundial. Vacunas e inmunización: situación mundial, 3era ed. Ginebra: OMS, 2010.

  17. Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P, et al. Every Newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384(9938):189-205. https://doi.org/10.1016/S0140-6736(14)60496-7




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salud publica mex. 2017;59