The trade-off between health system resiliency and efficiency: evidence from COVID-19 in European regions

• Tipo: Artigo em Revista Científica Internacional
• Data: 2024

Autores

Álvaro Almeida (Autor) FEP

Revista

Título: European Journal of Health Economics

Vol. 25

Páginas: 31-47

ISSN: 1618-7598

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 4 Citações

ISI Web of Science

Scopus - 4 Citações

Outras Informações

ID Authenticus: P-00X-T5D

DOI: 10.1007/s10198-023-01567-w

Abstract (EN): The objective of this paper was to investigate the existence of a trade-off between health system resilience and the economic efficiency of the health system, using data for 173 regions in the European Union and the European Free Trade Association countries. Data Envelopment Analysis was used to measure the efficiency of regional health systems before the COVID-19 pandemic. Then, a spatial econometrics model was used to estimate whether this measure of efficiency, adjusted for several covariates, has a significant impact on regional health system resilience during the COVID-19 pandemic, measured by the number of COVID-19 deaths per hundred thousand inhabitants. The results show that COVID-19 death rates were significantly higher in regions with higher population density, higher share of employment in industry, and higher share of women in the population. Results also show that regions with higher values of the health system efficiency index in 2017 had significantly higher rates of COVID-19 deaths in 2020 and 2021, suggesting the existence of a trade-off between health system efficiency and health system resilience during the COVID-19 pandemic.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 17