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Health Status Determinants: Lifestyle, Environment, Health Care Resources and Efficiency

OECD Economics Department Working Paper No. 627

75 Pages Posted: 29 May 2010 Last revised: 12 Jun 2010

Isabelle Joumard

Organization for Economic Co-Operation and Development (OECD) - Economics Department (ECO)

Christophe Andre

Organization for Economic Co-Operation and Development (OECD) - Economics Department (ECO)

Chantal Nicq

Organization for Economic Co-Operation and Development (OECD) - Policy Studies Branch

Olivier Chatal

Organization for Economic Co-Operation and Development (OECD)

Date Written: May 27, 2010

Abstract

This paper aims to shed light on the contribution of health care and other determinants to the health status of the population and to provide evidence on whether or not health care resources are producing similar value for money across OECD countries. First, it discusses the pros and cons of various indicators of the health status, concluding that mortality and longevity indicators have some drawbacks but remain the best available proxies. Second, it suggests that changes in health care spending, lifestyle factors (smoking and alcohol consumption as well as diet), education, pollution and income have been important factors behind improvements in health status. Third, it derives estimates of countries’ relative performance in transforming health care resources into longevity from two different methods - panel data regressions and data envelopment analysis - which give remarkably consistent results. The empirical estimates suggest that potential efficiency gains might be large enough to raise life expectancy at birth by almost three years on average for OECD countries, while a 10% increase in total health spending would increase life expectancy by three to four months.

Keywords: health status, health care, spending efficiency, public expenditure, panel data regressions, data envelopment analysis

JEL Classification: H51, I12, 057, C23

Suggested Citation

Joumard, Isabelle and Andre, Christophe and Nicq, Chantal and Chatal, Olivier, Health Status Determinants: Lifestyle, Environment, Health Care Resources and Efficiency (May 27, 2010). OECD Economics Department Working Paper No. 627. Available at SSRN: https://ssrn.com/abstract=1616544 or http://dx.doi.org/10.2139/ssrn.1616544

Isabelle Joumard (Contact Author)

Organization for Economic Co-Operation and Development (OECD) - Economics Department (ECO) ( email )

2 rue Andre Pascal
Paris Cedex 16, MO 63108
France

Christophe Andre

Organization for Economic Co-Operation and Development (OECD) - Economics Department (ECO) ( email )

2 rue Andre Pascal
Paris Cedex 16, MO 63108
France

Chantal Nicq

Organization for Economic Co-Operation and Development (OECD) - Policy Studies Branch ( email )

Paris
France

Olivier Chatal

Organization for Economic Co-Operation and Development (OECD) ( email )

2 rue Andre Pascal
Paris Cedex 16, 75775
France

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