Should we adjust health expenditure for age structure on health systems efficiency? A worldwide analysis.

ABSTRACT:

Introduction

Healthcare expenditure, a common input used in health systems efficiency analyses is affected by population age structure. However, while age structure is usually considered to adjust health system outputs, health expenditure and other inputs are seldom adjusted. We propose methods for adjusting Health Expenditure per Capita (HEpC) for population age structure on health system efficiency analyses and assess the goodness-of-fit, correlation, reliability and disagreement of different approaches.

Methods

We performed a worldwide (188 countries) cross-sectional study of efficiency in 2015, using a stochastic frontier analysis. As single outputs, healthy life expectancy (HALE) at birth and at 65 years-old were considered in different models. We developed five models

SUBMITTER: Santos JV 

PROVIDER: S-EPMC9926817 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature