TY - JOUR
T1 - Technical efficiency in health production
T2 - A comparison between Iran and other upper middle-income countries
AU - Mohamadi, Efat
AU - Olyaee Manesh, Alireza
AU - Takian, Amirhossein
AU - Majdzadeh, Reza
AU - Hosseinzadeh Lotfi, Farhad
AU - Sharafi, Hamid
AU - Jowett, Matthew
AU - Kiani, Mohammad Mehdi
AU - Hosseini Qavam Abadi, Leila
AU - Fazaeli, Ali akbar
AU - Goodarzi, Zahra
AU - Sajadi, Haniye Sadat
AU - Noori Hekmat, Somayeh
AU - Freidoony, Leila
N1 - Publisher Copyright:
© 2020
PY - 2020/9
Y1 - 2020/9
N2 - Objectives: To achieve sustainable health development, health systems need to constantly enhance their efficiency, through for instance reducing waste of resources. This study aimed to measure the efficiency in producing health in Upper Middle-Income Countries (UMICs) with a focus on Iran. Method: A modified data envelopment analysis (DEA)-based Malmquist Productivity Index (MPI) was used to assess the changes in health productivity. Panel data was extracted from databases of the World Health Organization and the World Bank for the period of 2009–2015. Results: The efficiency score of 13% of countries was higher than 0.8, while the score of all countries was above 0.5. The average score of Iran performance was 0.791 during the period. On average, performance improved in 15 countries, while it declined in 20 countries during the study period. Conclusion: Different countries have implemented various health reforms to improve efficiency. We envisage, policy makers in the UMICs locate their health system performance and plan to improve it in line with the local specifications, along with the global pathway towards universal health coverage and sustainable health development ultimately.
AB - Objectives: To achieve sustainable health development, health systems need to constantly enhance their efficiency, through for instance reducing waste of resources. This study aimed to measure the efficiency in producing health in Upper Middle-Income Countries (UMICs) with a focus on Iran. Method: A modified data envelopment analysis (DEA)-based Malmquist Productivity Index (MPI) was used to assess the changes in health productivity. Panel data was extracted from databases of the World Health Organization and the World Bank for the period of 2009–2015. Results: The efficiency score of 13% of countries was higher than 0.8, while the score of all countries was above 0.5. The average score of Iran performance was 0.791 during the period. On average, performance improved in 15 countries, while it declined in 20 countries during the study period. Conclusion: Different countries have implemented various health reforms to improve efficiency. We envisage, policy makers in the UMICs locate their health system performance and plan to improve it in line with the local specifications, along with the global pathway towards universal health coverage and sustainable health development ultimately.
KW - Data Envelopment Analysis (DEA)
KW - Efficiency
KW - Malmquist Productivity Index (MPI)
KW - Productivity
KW - upper middle-income countries (UMICs)
UR - http://www.scopus.com/inward/record.url?scp=85087772553&partnerID=8YFLogxK
U2 - 10.1016/j.hlpt.2020.06.007
DO - 10.1016/j.hlpt.2020.06.007
M3 - Article
AN - SCOPUS:85087772553
SN - 2211-8837
VL - 9
SP - 335
EP - 347
JO - Health Policy and Technology
JF - Health Policy and Technology
IS - 3
ER -
