THE HEALTH SYSTEM PERFORMANCE EVALUATION OF OECD COUNTRIES WITH DATA ENVELOPMENT ANALYSIS


BOZ C., ÖNDER E.

International Conference of Strategic Research in Social Science and Education, Antalya, Turkey, 14 - 16 October 2016, vol.5, no.1, pp.187-221

  • Publication Type: Conference Paper / Full Text
  • Volume: 5
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.187-221
  • Istanbul University Affiliated: Yes

Abstract

The effectiveness of the health system is one of the issues discussed frequently in recent years. It requires 
us to question whether resources  are utilized effectively  or not  since health spending is in the increasing 
trend.  The  purpose  of  this  study  is  to  perform  the  analysis  of  the  effectiveness  of  health  systems  in  the 
OECD (Organization for Economic Cooperation and Development) countries. Firstly, the variables used to 
assess the effectiveness of the health system have been identified with a comprehensive literature search. 
After some health expenditure variables determined as input, some health status indicators determined as 
output, the effectiveness analysis of 34 OECD countries for both 2000 and 2013  years have  been carried 
out with Data Envelopment analysis (DEA). In addition, the countries have been evaluated as a result of 
the Mahalanobis distance and decreased to 27 countries, on the final stage of analysis the countries have 
been  re-analyzed.  While  the  number  of  the  effective  countries  is  15  in  2000  from  34  OECD  member 
countries, the number of the effective countries has  been decreased to 13 in 2013. In the last stage of the 
study, the factors that determine a country’s  effectivenesshave been discussed and some suggestions have 
been developed.
Keywords: OECD, Efficiency, DEA, Performance, Health System