Health Care Expenditure in the OECD Countries: Efficiency and Regulation

35 Pages Posted: 21 Dec 2011

See all articles by Pablo Hernández de Cos

Pablo Hernández de Cos

Banco de España

Enrique Moral-Benito

Banco de España; Universidad Carlos III de Madrid

Date Written: December 20, 2011


The containment of health care expenditure is one of the major challenges facing public policymakers in the developed countries. This paper provides evidence of significant differences in the cross-country level of efficiency of health care expenditure, meaning that potential cost savings for the countries considered least efficient might be very high. Further, a significant relationship is found between the various health care policies and institutions in the OECD countries and the efficiency levels of health care systems. The findings are, however, highly sensitive to the efficiency-estimation methodology used.

Keywords: health care expenditure, efficiency

JEL Classification: I12, I18, H51

Suggested Citation

Hernández de Cos, Pablo and Moral-Benito, Enrique, Health Care Expenditure in the OECD Countries: Efficiency and Regulation (December 20, 2011). Banco de Espana Occasional Paper No. 1107, Available at SSRN: or

Pablo Hernández de Cos (Contact Author)

Banco de España ( email )

C/ Alcalá 48
Madrid, 28014

Enrique Moral-Benito

Banco de España ( email )

Alcala 50
Madrid 28014

Universidad Carlos III de Madrid ( email )

CL. de Madrid 126
Madrid, Madrid 28903

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