scholarly journals Household Portfolio Choices, Health Status and Health Care Systems: A Cross-Country Analysis Based on Share

2011 ◽  
Author(s):  
Vincenzo Atella ◽  
Marianna Brunetti ◽  
Nicole Maestas
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Systems ◽  
Portfolio Choices ◽  
Household Portfolio ◽  
Care Systems ◽  
Country Analysis ◽  
Cross Country

scholarly journals The Measurement of Health Care System Efficiency: Cross-country Comparison by Geographical Region

2014 ◽  
Vol 29 (1) ◽  
pp. 21-44
Author(s):  
Younhee Kim ◽  
Minah Kang
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Health Care Systems ◽  
Income Group ◽  
Data Envelopment ◽  
High Income Group ◽  
Country Level ◽  
Care Systems ◽  
Cross Country ◽  
The Given

Performance of health care delivery at the cross-country level has not often been directly evaluated by given inputs and outputs. This study estimates the efficiency of the health care systems of 170 countries by extending recent research using Simar and Wilson’s bootstrap data envelopment analysis with a sensitivity test. The 170 countries are divided into four groups to compute efficiency estimators necessary to attaining a homogeneity requirement. The major finding is that most countries were inefficient to maximize the use of their inputs at the given output level. Countries in the high-income group have a relatively high average efficiency, but only 16.7% of the countries performed efficiently in the management of their health care systems. Notably, Asian countries performed more efficiently among other regions in each group. This study suggests that inefficient countries should pay attention to benchmark health care best practices within their regional peer groups.

Cross-country Evaluation of Health Care Systems Performance on Mortality Indices

2012 ◽  
Vol 12 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Awat Feizi ◽  
Anoshirvan Kazemnejad ◽  
Gholamreza Babaee
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Systems ◽  
Cross Country

Health and Migration

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Status ◽  
Health Care Systems ◽  
Healthy Immigrant Effect ◽  
Law And Ethics ◽  
Care Systems ◽  
Immigrant Effect ◽  
And Migration

Health and migration are each highly contentious issues. Four widely held myths have been especially influential in shaping policy at the intersection between immigration and health: newcomers pose a unique and significant threat to public health; they are sicker than natives due to their own irresponsible ways; newcomers often immigrate to take advantage of Western health care systems; and newcomers place a significant strain on taxpayers. This chapter shows that each of these myths is false. The chapter also reviews the diversity of refugees and other migrants around the globe, as well as the health status of the migrants, noting that, as a group, migrants tend to be healthier than natives, a phenomenon known as the healthy immigrant effect. The chapter ends with a discussion of the distinction between law and ethics.

scholarly journals Dementia and COVID-19 in Chile, New Zealand and Germany: A Research Agenda for Cross-Country Learning for Resilience in Health Care Systems

2021 ◽  
Vol 13 (18) ◽  
pp. 10247
Author(s):  
Franziska Laporte Uribe ◽  
Oscar Arteaga ◽  
Walter Bruchhausen ◽  
Gary Cheung ◽  
Sarah Cullum ◽  
...  
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Research Agenda ◽  
Healthy Aging ◽  
Health Care Systems ◽  
Social Systems ◽  
Health Care Research ◽  
Global Health Research ◽  
Care Systems ◽  
Cross Country

The COVID-19 pandemic has revealed existing gaps in policies, systems and services, stressing the need for concerted global action on healthy aging. Similar to the COVID-19 pandemic, dementia is a challenge for health systems on a global scale. Our hypothesis is that translational potential lies in cross-country learning by involving three high-income countries with distinct geo-political-cultural-social systems in Latin America (Chile), the South Pacific (New Zealand) and Europe (Germany). Our vision is that such cross-country learning will lead to providing adequate, equitable and sustainable care and support for families living with dementia during a pandemic and beyond. We are proposing a vision for research that takes a multi-disciplinary, strength-based approach at the intersection of health care research, disaster research, global health research and dementia research. We present some insights in support of our hypothesis and proposed research agenda. We anticipate that this research has the potential to contribute towards strengthening and transforming health care systems in times of crises and beyond.

scholarly journals A New Paradigm for Health Economics? We Have Three Already!

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Robert G. Evans
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Status ◽  
Health Economics ◽  
Service Delivery ◽  
Health Care Systems ◽  
New Paradigm ◽  
Financial Flows ◽  
Anatomical Changes ◽  
Care Systems

Figure I depicts a set of inter-sectoral financial flows that represent central features of the organization and financing of health care systems. But It is primarily a set of accounting relationships, a gross anatomical description that provides no “physiology” explaining how the various components interact, or how those interactions might change in response to anatomical changes.  What difference does it make, in terms of patterns of service delivery and cost, of distribution of burdens and benefits among the population, or of population health status, if the mixes of financing and funding flows in Figure 1 are re-arranged?  These questions, sometimes overt, often covert, are everywhere at the heart of debates over health policy.

Abstract 6225: Cost of Improvement of Angina-Related Health Status by Health Care System: A Secondary Analysis from the COURAGE Trial

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Zugui Zhang ◽  
Paul Kolm ◽  
Ron Goeree ◽  
Claudine Jurkovitz ◽  
Koon Teo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Status ◽  
Health Care Systems ◽  
Net Benefit ◽  
Physical Limitation ◽  
Angina Frequency ◽  
Care Systems ◽  
The Cost

Background: COURAGE compared percutaneous coronary intervention (PCI) plus intensive pharmacologic and lifestyle intervention (optimal medical therapy, OMT) to OMT alone in reducing the risk of cardiovascular events in patients with stable coronary disease. In this post hoc study, we assessed the cost of treating angina across the three health care systems from which patients were enrolled: Canada, US non-Veterans Affairs (VA) and U.S. VA. Methods: A total of 2,287 patients were enrolled and followed for a median of 4.6 years. Angina-related health status was assessed with the Seattle Angina Questionnaire (SAQ) and RAND-36. The cost of resource use was evaluated by DRG for hospitalizations and CPT for outpatient visits and tests. Analyses were conducted using the U.S. non-VA costing system in 2004 U.S. dollars. Clinically significant differences in the Physical Limitation, Angina Frequency, and Quality of Life domains of the SAQ were defined as scores ≥8, ≥20, and ≥16 respectively. Absolute net benefit, number of patients needed to treat (NNT) to achieve one patient with clinically significant angina improvement, and the cost of improvement in angina-related health status were estimated. Results: Added cost of PCI per patient and results for Angina Frequency are presented in the table . Results for Quality of Life were similar. Physical Limitation results varied more widely among health care systems with net benefit ranging from <1% (U.S. non-VA) to 18% (Canada), and cost per patient in angina improvement from $55,700 (Canada) to over $1,000,000 (U.S. non-VA). Conclusions: The improvement of angina-related health status and corresponding costs were relatively similar across health care systems and among SAQ Angina Frequency and Quality of Life domains, but varied widely for the Physical Limitation Domain. Adding PCI to OMT improved angina-related health status, but at a cost generally considered to be prohibitive as a routine initial management strategy. Cost of Improvement of Angina-Related Health Status by Health Care System

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