Efficiency Analysis of Middle-Income Countries in Terms of Health Indicators for the Covid Process

Elif ACAR, Durmuş GÖKKAYA, Osman ŞENOL
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Abstract

Systems transform their current inputs into outputs to achieve their goals and objectives. Efficiency analysis is used to describe the degree to which a system achieves its goals using its resources. Pandemics similar to the Covid process may recur, and countries must use their existing resources more effectively in these struggles. The scope of this study was to evaluate the struggle of middle-income countries with Covid-19 within the scope of certain health indicators according to the World Bank's income classification by using the DEA, one of the methods used to measure the effectiveness of health systems. The ratio of GDP devoted to health services, the number of patient beds, the number of doctors per thousand population, the number of nurses and midwives per thousand population, and finally, the amount of health expenditure per capita were selected as the input variables in the study. The number of people recovering from Covid-19 disease per 100,000 people, total cases per 1 million people, total deaths per 1 million people, and total number of tests per million people were selected as the output variables in the study. The VZA input-oriented CCR model was used in the study. The reasons for the inefficiency of inefficient countries have been identified. In order for these countries to be located on the effective border, the targeted values have been revealed. Based on the efficient countries, potential improvements are made in the input values of the inefficient countries and the input values that can increase their efficiency are calculated. As a result of the study, 18 countries out of 47 countries were located in the effective border. Finally, the reasons for the inefficiency of the countries below the efficient frontier were calculated using the multiple linear regression analysis method, and the suggestions for necessary corrections were presented. The VZA input-oriented CCR model was used in the study. The reasons for the inefficiency of inefficient countries have been identified. In order for these countries to be located on the effective border, the targeted values have been revealed. Based on the efficient countries, potential improvements are made in the input values of the inefficient countries and the input values that can increase their efficiency are calculated. As a result of the study, 18 countries out of 47 countries were located in the effective border. Finally, the reasons for the inefficiency of the countries below the efficient frontier were calculated using the multiple linear regression analysis method, and the suggestions for necessary corrections were presented.
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根据Covid进程卫生指标对中等收入国家的效率分析
系统将其当前的投入转化为产出,以实现其目标。效率分析用于描述系统利用其资源实现其目标的程度。类似于Covid过程的大流行可能再次发生,各国必须在这些斗争中更有效地利用现有资源。本研究的范围是使用DEA(衡量卫生系统有效性的方法之一),根据世界银行的收入分类,在某些健康指标范围内评估中等收入国家与Covid-19的斗争。本文选择国内生产总值用于卫生服务的比例、每千人口的病床数、每千人口的医生数、护士和助产士数以及人均卫生支出金额作为研究的输入变量。选择每10万人中新冠肺炎康复人数、每100万人中总病例数、每100万人中总死亡人数和每100万人中总检测次数作为研究的输出变量。本研究采用VZA输入导向的CCR模型。低效国家效率低下的原因已经确定。为了使这些国家位于有效边界上,已公布了目标值。以效率国家为基础,对效率低下国家的投入价值进行潜在的改进,并计算出能够提高效率的投入价值。这项研究的结果是,47个国家中有18个国家位于有效边界。最后,利用多元线性回归分析方法,计算了效率边界以下国家的低效率原因,并提出了必要的修正建议。 本研究采用VZA输入导向的CCR模型。低效国家效率低下的原因已经确定。为了使这些国家位于有效边界上,已公布了目标值。以效率国家为基础,对效率低下国家的投入价值进行潜在的改进,并计算出能够提高效率的投入价值。这项研究的结果是,47个国家中有18个国家位于有效边界。最后,利用多元线性回归分析方法,对效率边界以下国家的低效率原因进行了计算,并提出了必要的修正建议。
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