Efficiency Analysis of Healthcare System in Lebanon Using Modified Data Envelopment Analysis

Ibrahim, Mustapha D.; Daneshvar, Sahand

doi:10.1155/2018/2060138

Cited by 58 publications

(44 citation statements)

References 19 publications

(24 reference statements)

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“…Some scholars have evaluated and studied the efficiency of the public health systems in 171 countries worldwide [ 27 ], the organization for economic co-operation and development (OECD) countries [ 28 , 29 ], the low- and middle-income countries [ 30 ], and the Asian countries [ 31 ]. Other scholars have estimated the public health efficiency in Greece [ 32 ], India [ 33 ], Lebanon [ 34 ], México [ 35 ], and Slovakia [ 36 ]. Some scholars have deeply discussed China’s public health efficiency, and respectively calculated and studied the Chinese provincial community health service efficiency [ 37 , 38 , 39 , 40 , 41 , 42 ] and the allocation efficiency of the public health resources in the coastal provinces of China [ 43 ].…”

Section: Introductionmentioning

confidence: 99%

Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China

Liu

Chen

et al. 2020

Healthcare

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In the face of increasingly growing health demands and the impact of various public health emergencies, it is of great significance to study the regional differences in the allocation efficiency of the rural public health resources and its improvement mechanism. In this paper, the game competition relationship is included in the evaluation model, and the game cross-efficiency model is used to measure the allocation efficiency of the rural public health resources in 31 provinces of China from 2008 to 2017. Then, the Theil index model and the Gini index model are applied in exploring the regional differences in the allocation efficiency of rural public health resources and its sources. Finally, the bootstrap truncated regression model is used to analyze the influencing factors of the allocation efficiency of the rural public health resources in China. The results show that, first, the total allocation efficiency level of the rural public health resources in China from 2008 to 2017 is relatively low, and it presents a U-shaped trend, first falling and then rising. Second, the changing trend of the allocation efficiency of the rural public health resources in the eastern, central, and western regions of China is similar to that in the nationwide region, and it shows a gradient trend that “the allocation efficiency in the eastern region is high, the allocation efficiency in the western region is low, and the allocation efficiency in the Central region is at the medium level”. However, the gap among the three regions is continually narrowing. Third, the calculation results of the Theil index and the Gini index show that intra-regional differences are the major source of the regional differences in the allocation efficiency of the rural public health resources in China, and the inter-regional differences demonstrate an expansion trend. Finally, the improvement of the education level and the social support level will generally improve the allocation efficiency of the rural public health resources in China and its three regions. The increased governmental financial support and urbanization level will reduce the allocation efficiency of the rural public health resources in China and its three regions. The economic development level, the living conditions and the population density are the important influencing factors of the allocation efficiency differences of the rural public health resources in the three regions. Therefore, on the basis of ensuring the increase of the total supply of the rural public health resources, more attention should be paid to the improvement of the allocation efficiency. Moreover, on the basis of continually narrowing the inter-regional differences among the eastern, central, and western regions, more attention should be paid to the intra-regional differences of the allocation efficiency of the rural public health resources among the different provinces. The various economic and social policies should be constantly optimized to jointly improve the allocation efficiency of the rural public health resources.

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Section: Introductionmentioning

confidence: 99%

Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China

Liu

Chen

et al. 2020

Healthcare

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“…Previous reports from Lebanon have shown that the age distribution of HL in both genders was found to be bimodal [12]. Lebanon witnessed improvement in the efficiency of its healthcare system from 2000 to 2015 according to a study done by Ibrahim and Daneshvar [16]. This suggests that HL's bimodal distribution in Lebanon can be explained by the advancement of medical diagnostic studies.…”

Section: Discussionmentioning

confidence: 95%

A 12-Year Comparative Analysis of Hodgkin and Non-Hodgkin Lymphomas in Lebanon: Trend Characteristics and 10-Year Projections

Sater

Jalloul

Zein

et al. 2020

Cureus

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Background Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) are two common malignancies worldwide and in Lebanon. Analysis of their trends plays a crucial role to better understand their origins and risk factors. This study will probe incidences of both types of lymphomas from 2005 to 2016, aiming to compare between the two malignancies according to age and sex and plot projections until 2026. Methods HL and NHL cases from 2005 to 2016 were collected from the National Cancer Registry of Lebanon. Data was stratified according to age and sex. Age-specific and age-standardized incidence rates were analysed using joinpoint regression; 10-year projections were predicted based on logarithmic models. Results Between 2005 and 2016, NHL was significantly more common than HL. NHL was higher in both genders. HL showed a bimodal age distribution while NHL peaked in elderly patients. NHL incidence rates in males increased significantly from 2005 to 2014 while HL incidence rates showed an insignificant rise. Over the next 10 years, NHL and HL cases are expected to increase in Lebanon. Conclusion HL and NHL are on the rise in Lebanon. Extensive research into the main factors contributing to these lymphomas is crucial in the fight against them. More efforts must be done by the government and health organizations to better control the disease.

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“…Also, the technical efficiency of the health-care system in Lebanon was evaluated during the period (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015) where it was found that not only increasing expenditure on healthcare is needed to achieve efficiency but also technical and operational improvement must be maintained (Ibrahim and Daneshvar, 2018).…”

Section: Repsmentioning

confidence: 99%

Technical efficiency of health-care systems in selected middle-income countries: an empirical investigation

Nassar

Sakr

Ezzat

et al. 2020

REPS

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Purpose This paper aims to evaluate the technical efficiency of the health-care systems in 21 selected middle-income countries during the period (2000–2017) and determine the source of inefficiency whether it is transient (short run) or persistent (long run). Design/methodology/approach The study uses the stochastic frontier analysis technique through employing the generalized true random effects model which overcomes the drawbacks of the previously introduced stochastic frontier models and allows for the separation between unobserved heterogeneity, persistent inefficiency and transient inefficiency. Findings Persistent efficiency is lower than the transient efficiency; hence, there are more efficiency gains that can be made by the selected countries by adopting long-term policies that aim at reforming the structure of the health-care system in the less efficient countries such as South Africa and Russia. The most efficient countries are Vietnam, Mexico and China which adopted a social health insurance that covers almost the whole population with the aim of increasing access to health-care services. Also, decentralization in health-care has assisted in adopting health-care policies that are suitable for both the rural and urban areas based on their specific conditions and health-care needs. A key success in the implementation of the adopted long-term policies by those countries is the continuous monitoring and evaluation of their outcomes and comparing them with the predefined targets and conducting any necessary modifications to ensure their movement in the right path to achieve their goals. Originality/value Although several studies have evaluated the technical efficiency both across and within countries using non-parametric (data envelopment analysis) and parametric (stochastic frontier analysis) approaches, to the best of the authors’ knowledge, this is the first attempt to evaluate the technical efficiency of selected middle-income countries during the period (2000–2017) using the generalized true random effects stochastic frontier analysis model.

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Efficiency Analysis of Healthcare System in Lebanon Using Modified Data Envelopment Analysis

Cited by 58 publications

References 19 publications

Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China

Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China

A 12-Year Comparative Analysis of Hodgkin and Non-Hodgkin Lymphomas in Lebanon: Trend Characteristics and 10-Year Projections

Technical efficiency of health-care systems in selected middle-income countries: an empirical investigation

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