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Productivity change of national health systems in the WHO Eastern Mediterranean region:application of DEA-based Malmquist productivity index

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Global Health Research and Policy 2018年第1期3卷 154-166页

作者： maysoun dimachkie masri Eyob Zere Asbu Health System Financing Division Department of HealthAbu DhabiUnited Arab Emirates

Background:The pursuit of efficiency and productivity is one of the goals of health *** the era of Sustainable Development Goals and particularly the move towards universal health coverage,it is imperative to curb wastage of resources to ensure sustainable access of the population to needed and effective health services without enduring financial *** study aims to assess total factor productivity change of national health systems of 20 countries in the WHO’s Eastern Mediterranean ***:Data Envelopment Analysis(DEA)-based Malmquist index is used to assess total factor productivity change and its components-efficiency change and technical *** assess the robustness of the Malmquist index estimates,bootstrapping was *** used are life expectancy at birth for both sexes and infant mortality;while total expenditure on health per capita in international dollars(PPP)is used as a measure of *** data for the period 2003-2014 was extracted from databases of the WHO and the World ***:In all but five countries covered in the study,a decline in the mean total factor productivity is observed during the period *** decline is driven by technical *** all countries,the technical change component of the Malmquist TFP index is less than unity(range:0.896 to 0.945).All countries exhibited growth in efficiency(efficiency change exceeding one)except two countries(Djibouti and Iraq).The growth in efficiency was mainly due to change in scale ***,total factor productivity in the region declined by 3.8%.This was due to a 9.1%decline in technical change,which overshadowed the 5.8%increase in *** countries-Libya,Qatar and Yemen-showed a marginal growth in total factor *** was no change in total factor productivity in Kuwait and ***:The decline in total factor productivity over the study period is likely to hamper achieving the targets of Sustainable Developmen

关键词： Data envelopment analysis(DEA) Efficiency Eastern Mediterranean region of the World Health Organization(EMR) Output-oriented Malmquist productivity index(MTFP) Productivity Productivity change Technical efficiency Total factor productivity(TFP)change

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Health status and health systems financing in the MENA region:roadmap to universal health coverage

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Global Health Research and Policy 2017年第1期2卷 94-106页

作者： Eyob Zere Asbu maysoun dimachkie masri Amer Kaissi Health System Financing Division Health Authority Abu DhabiAbu DhabiUnited Arab Emirates Department of Healthcare Administration Trinity UniversitySan AntonioTXUSA

Background:Since the declaration of the Millennium Development Goals(MDGs)in 1990,many countries of the Middle East and North Africa(MENA)region made some improvements in maternal and child health and in tackling communicable *** transition to the global agenda of Sustainable Development Goals brings new opportunities for countries to move forward toward achieving progress for better health,well-being,and universal health *** study provides a profile of health status and health financing approaches in the MENA region and their implications on universal health ***:Time-series data on socioeconomics,health expenditures,and health outcomes were extracted from databases and reports of the World Health Organization,the World Bank and the United Nations Development Program and analyzed using Stata 12 statistical *** were grouped according to the World Bank income *** statistics,tables and charts were used to analyze temporal changes and compare the key variables with global ***:Non-communicable diseases(NCDs)and injuries account for more than three quarters of the disabilityadjusted life years in all but two lower middle-income countries(Sudan and Yemen).Prevalence of risk factors(raised blood glucose,raised blood pressure,obesity and smoking)is higher than global averages and counterparts by income *** health expenditure(THE)per capita in most of the countries falls short of global averages for countries under similar income ***,growth rate of THE per capita has not kept pace with the growth rate of GDP per ***-of-pocket spending(OOPS)in all but the high-income countries in the group exceeds the threshold for catastrophic spending implying that there is a high risk of households getting poorer as a result of paying for health ***:The alarmingly high prevalence of NCDs and injuries and associated risk factors,health spending falling short of the GDP a

关键词： Millennium development Goals(MDGs) Sustainable development Goals(SDGs) Universal health coverage(UHC) Middle East and North Africa(MENA) Health system financing Out-of-pocket spending(OOPS) Health status

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