نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی کارشناسی ارشد، اقتصاد سلامت، گروه مدیریت خدمات بهداشتی درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
2 استادیار، اقتصاد سلامت، مرکز تحقیقات مدیریت و اقتصاد سلامت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران
چکیده
مقدمه: با توجه به محدود بودن منابع مالی دولت‌ها در بخش سلامت، افزایش کارایی و بهرهوری یک ضرورت محسوب می‌شود. پژوهش حاضر با هدف اندازه‌گیری کارایی و بهرهوری مخارج دولت در بخش سلامت در ایران و کشورهای با شاخص توسعه انسانی بالا High HDI (High Human Development Index) طی سال‌های 1995 تا 2014 انجام شد.روش بررسی: این مطالعه از نوع توصیفی بود و به منظور تعیین کارایی و بهرهوری مخارج سلامت دولت، از روش تحلیل پوششی داده‌ها DEA (Data Envelopment Analysis) و شاخص بهرهوری مالم‌کوئیست MPI (Malmquist Productivity Index) استفاده گردید.یافته‌ها: میانگین کارایی فنی در ایران، 45 درصد و در کشورهای با HDI بالا، 52 درصد بود. همچنین، تغییرات بهرهوری کل عوامل تولید در ایران، 93/0 و در کشورهای با HDI بالا، 99/0 به دست آمد.نتیجه‌گیری: تغییرات کارایی تکنولوژی، مهم‌ترین تأثیر را بر بهرهوری کل عوامل تولید در ایران و کشورهای با HDI بالا دارد. با مشخص شدن وضعیت کارایی، می‌توان الگوهای مناسب برای سال‌های ناکارا را در راستای حرکت به سمت کارایی بیشتر ارایه نمود.
کلیدواژه‌ها
عنوان مقاله [English]
Efficiency and Productivity of Government Health Expenditures in Iran and Countries with High Human Development Index
نویسندگان [English]
- Marzieh Azizi-Mobaser 1
- Reza Rezayatmand 2
- Farzaneh Mohammadi 2
1 MSc Student, Health Economics, Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Health Economics, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]
Introduction: Given the limitations of government resources, increasing the efficiency and the productivity when using those resources is an important and challenging issue in every country. Thus, the aim of this study was to measure the efficiency and the productivity of the government health expenditures in Iran and other countries with high human development index (HDI) over the period of 1995-2014.Methods: This descriptive study used panel data of Iran and high-HDI countries to measure the efficiency and the productivity of government health expenditure. The non-parametric data envelopment analysis (DEA) method and Malmquist productivity index (MPI) were used.Results: The calculated average technical efficiency for Iran and high-HDI countries was 45% and 52%, respectively. A total factor productivity changes (TFP) of 0.93 and 0.99 was also observed in Iran and high-HDI countries, respectively.Conclusion: Technological efficiency changes have a major impact on the total factor productivity in Iran and high-HDI countries. By identifying the efficiency trend in different years, new proposals can be brought forward to increase the efficiency of government health expenditure in the coming years.
کلیدواژه‌ها [English]
- Efficiency
- Data Envelopment Analysis
- Health Expenditures
- Government
- Malmquist Index
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