Valuating the efficiency of social security and healthcare in OECD countries from a sustainable development.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Cost Effectiveness and Resource Allocation Pub Date : 2024-06-26 DOI:10.1186/s12962-024-00555-y
Li-Wen Lee, Yung-Ho Chiu, Fan-Peng Liu, Tai-Yu Lin, Tzu-Han Chang
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Abstract

Under the goal of sustainable development, coping with the increase in social security and healthcare expenses caused by population aging is becoming increasingly important, but it is rare in the literature to evaluate the impact of social security efficiency on healthcare efficiency. This research uses the dynamic SBM two-stage model to observe the efficiencies of social security and healthcare in OECD countries. There are two findings as follows. First, the higher social security efficiency is, the better is the healthcare efficiency of countries with lower per capita GDP. Second, higher social security efficiency of National Health Service (NHS) countries denote better healthcare efficiency. When the financial source of the social security system is taxation, then it is more likely to bring higher efficiency to healthcare.

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从可持续发展的角度评估经合组织国家社会保障和医疗保健的效率。
在可持续发展的目标下,应对人口老龄化带来的社会保障和医疗支出的增加变得越来越重要,但文献中很少有关于社会保障效率对医疗效率影响的评价。本研究采用动态 SBM 两阶段模型来观察经合组织国家的社会保障和医疗效率。有以下两个发现。首先,社会保障效率越高,人均 GDP 越低的国家的医疗效率越好。其次,国民健康服务(NHS)国家的社会保障效率越高,则医疗效率越高。如果社会保障体系的财政来源是税收,那么它更有可能带来更高的医疗效率。
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来源期刊
Cost Effectiveness and Resource Allocation
Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
4.30%
发文量
59
审稿时长
34 weeks
期刊介绍: Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.
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