Health Care Systems: Efficiency and Institutions

OECD Economics Department Working Paper No. 769

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

See all articles by Isabelle Joumard

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

Date Written: May 27, 2010

Abstract

This paper presents a set of indicators to assess health care system performance. It also presents new comparative data on health care policies and institutions for OECD countries. This set of indicators allows the empirical characterisation of health care systems and the identification of groups of countries sharing similar health institutions. It also helps to uncover strengths and weaknesses of each country’s health care system and assessing the scope for improving value-for-money. The empirical analysis suggests that there is room in all countries surveyed to improve the effectiveness of health care spending; there is no health care system that performs systematically better in delivering cost-effective health care – big-bang reforms are therefore not warranted; increasing the coherence of policy settings, by adopting best policy practices within a similar system and borrowing the most appropriate elements from other systems will likely be more practical and effective to raise health care spending efficiency.

Suggested Citation

Joumard, Isabelle and Andre, Christophe and Nicq, Chantal, Health Care Systems: Efficiency and Institutions (May 27, 2010). OECD Economics Department Working Paper No. 769. Available at SSRN: https://ssrn.com/abstract=1616546 or http://dx.doi.org/10.2139/ssrn.1616546

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

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