umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Analysing the performance of health systems in Asian countries: Data Envelopment Analysis: What Myanmar can learn from Bangladesh and Vietnam
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Introduction: These days, almost every country is facing increasing health care cost from aging population and expensive advanced medical care. An increasing health care cost will not be sustainable in the future and this has driven countries and health care organizations to focus on efficiency measures in order to maximize health outcomes with the available resources. This thesis aimed to compare technical efficiency of health systems in thirteen Asian countries and to identify efficient peers for each inefficient country. Comparative analysis of health systems of Myanmar and its efficient peers, Bangladesh and Vietnam was performed.

Methods: Data envelopment analysis (DEA), variable returns to scale, out-put oriented model was used to evaluate technical efficiency of thirteen Asian countries. Current health expenditure per capita in international dollars, density of doctors and density of nursing and midwifery personnel were used as input variables. Output variables of health adjusted life expectancy (HALE) and infant mortality rate (IMR) were analysed separately. Comparative analysis of health systems of Myanmar and its peers was performed by reviewing relevant literature available in English language.

Results: Among thirteen Asian countries, 53.85% of countries were technically inefficient when HALE was used as an output and 38.46% of countries were inefficient when IMR was used as an output. This means that more countries are efficient at reducing IMR than increasing HALE. Inefficient countries should look at health systems of their efficient peers to make their health systems technically more efficient.

Conclusions: The results of this analysis suggested that countries with inefficient health systems can still improve their health outcomes without increasing their health care resources. As DEA measures technical efficiency only, future studies should take into account effectiveness and equity to assess the comprehensive health systems performance.

Place, publisher, year, edition, pages
2019. , p. 35
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2019:2
Keywords [en]
Data envelopment analysis, efficiency, health systems, Asian countries
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-165594OAI: oai:DiVA.org:umu-165594DiVA, id: diva2:1373461
Educational program
Master's Programme in Public Health
Presentation
2019-05-22, Room A110, Caring Science Building, Umeå University, Umeå, 15:00 (English)
Supervisors
Examiners
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2019-11-27Bibliographically approved

Open Access in DiVA

No full text in DiVA

Search in DiVA

By author/editor
Win, Zin Mar
By organisation
Department of Epidemiology and Global Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 39 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf