David B. Evans|Ajay Tandon|Christopher J L Murray|Jeremy A. Lauer
Comparative efficiency of national health systems: cross national econometric analysis
World Health Organization|World Health Organization|World Health Organization - Pakistan|World Health Organization
h3abstracth3 bobjectiveb improve evidence base health policy devising method measure monitor performance health systems bdesignb estimation relation levels population health inputs used produce health bsettingb 191 countries bmain outcome measureb health system efficiency performance bresultsb estimated efficiency varied nearly fully efficient nearly fully inefficient countries history civil conflict high prevalence hiv aids less efficient performance increased health expenditure per capita bconclusionsb increasing resources health systems critical improving health poor countries important gains made countries using existing resources efficiently h3what already known topich3 evidence effectiveness health system reforms scarce studies used consistent framework specifying goals measuring outcomes h3what study addsh3 countries best levels health always efficient health systems efficiency related expenditure health per capita especially low expenditure methods measuring performance provide basis identifying policies improve health monitoring reforms