Palabras clave
sistemas de salud
producción de salud
DEA
Cómo citar
Resumen
Con base en información de insumos y productos de la Organización Mundial de la Salud (oms) de 2002, se estimó y comparó (con un método determinístico no paramétrico: Data Envelopment Analysis, técnica dea) la eficiencia técnica de 191 países con respecto a los resultados en salud y su relación con la distribución del ingreso y el ingreso per cápita. Se propusieron dos modelos con diferentes variables dependientes. Los países se clasificaron por ingreso per cápita en cuatro categorías y se compararon respecto de su eficiencia técnica. Se encontró correlación negativa entre el nivel de eficiencia técnica e ingreso per cápita. Las comparaciones mostraron que los países con menor ingreso tuvieron mayor eficiencia técnica.
Citas
Babazono, Akira y Alan Hillman (1994), “A comparison of international health outcomes and health care spending”, Int J Technol. Assess. Health Care,10 (3): 376-381.
Bartley, Mel (2004), Health Inequality, Blackwell Publishing, Oxford, Reino Unido.
Bitran, Ricardo y Steven Block (1992), Provider Incentives and Productive Efficiency in Government Health Services, Research Paper 1, Health Financing and Sustainability Project.
Cooper, William, Lawrence Seiford y Kaoru Tone (2000), Data Envelopment Analysis: A Comprehensive Text with Models, Applications, Reference and DEA-Solver Software, Kluwer Academic Publishers, Países Bajos.
Evans David, Ajay Tandon, Murray Christopher, Lauer Jeremy (2001), “Comparative Efficiency of National Health Systems: Cross National Econometric Analysis”, BMJ, 323: 307-310.
Fare, Rolf, Shawna Grosskopf, Mary Norris y Zhongyang Shang (1994), “Productivity Growth, Technical Progress, and Efficiency Change in Industrialized Countries”, The American Economic Review, 84: 66-83.
Filmer, Deon y Lant Pritchett (1999), “The Impact of Public Spending on Health: Does Money matter?”, Social Science and Medicine, 49 (10): 1309-1323.
Gravelle, Hugh, Rowena Jacobs, Andrew Jones y Andrew Street (2002), Comparing the Eficiency of National Health Systems. A Sensitivity Analysis of the WHO Approach, The University of York, Centre for Health Economics.
Greene, William (2004), “Distinguishing between Heterogeneity and Inefficiency: Stochastic Frontier Analysis of the World Health Organization’s Panel Data on National Health Care Systems”, Health Economics, 13: 959-980.
Halstead, Scott, Julia Walsh y Kenneth Warren (eds.) (1985), Good Health at Low Cost, Rockefeller Foundation, Nueva York.
Hsiao, William (2000), What should Macroeconomists know about Health Care Policy? A Primer, IMF Working Paper, International Monetary Fund, Washington, D.C.
Mannion, Russell, Huw Davies y Martin Marshall (2003), Evidence on the Relationships Between Organisational Culture and Organisational performance in the NHS. CHE Draft 1, junio, The University of York, Centre for Health Economics, Reino Unido.
Mathers, Colin, Ritu Sadana, Joshua Salomón, Christopher Murray y Alan López. (2000), Estimates of DALE for 191 Countries: Methods and Results, World Health Organization, Ginebra.
Mellor, Jennifer y Jeffrey Milyo (2001), “Re-examining the Evidence of an Ecological Association between Income Inequality and Health”, Journal of Health Politics, Policy, and Law, 26 (3): 487-522.
Murray, Christopher y Julio Frenk (1999), A WHO Framework for Health System Performance Assessment, World Health Organization, Ginebra.
Navarro, Vicente (2002), “Can Health Care Systems Be Compared Using a Single Measure of Performance?”, American Journal of Public Health, 92 (1): 31-34.
Oxley, Howard y Maitland MacFarlan (1994), Health Care Reform: Controlling Spending and Increasing Efficiency, Organization for Economic Co-Operation and Development, Economics Department, Working Papers 149, París.
Palmer, Stephen y David Torgerson (1999), “Definitions of efficiency”, British Medical Journal, 318 (7187):1136, marzo, documento pdf disponible en <http://www.bmj.com/cgi/reprint/318/7191/1136.pdf>.
Retzlaff-Roberts, Donna Cyril, F. Chang y Rose M. Rubin (2004), “Technical Efficiency in the Use of Health Care Resources: A Comparison of OECD Countries”, Health Policy, 69: 55-72.
Smith, Peter (2002), “Composite Indicators of Health System Performance”, en Peter Smith (ed.), Measuring up: Improving Health Systems Performance in OECD Countries, OECD, París, pp. 295-316.
Tangcharoensathien,Viroj y Jongkol Lertiendumrong (2000), “Health-System Performance”, The Lancet, 356 (supplement 1): S31.
WHO (World Health Organization) (2000), World Health Report. World Health, Ginebra.
WHO (World Health Organization) (2002), World Health Report, World Health, Ginebra.
WHOSIS (WHO Statistical Information System) (2005), Core Health Indicators, documento html disponible en <http://www.who.int/whosis/database/core/core_select.cfm, [consulta: enero-2005].
Wilkinson, Richard G., y Kate E. Pickett (2006), “Income Inequality and Population Health: A Review and Explanation of the Evidence”, Social Science and Medicine, 62: 1768-1784.
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