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Application of DEA‐Based Malmquist Productivity Index on Health Care System Efficiency of ASEAN Countries

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  • Shailender Singh
  • Muhammad M. Bala
  • Nishant Kumar
  • Hawati Janor

Abstract

This study assesses and compares the productive efficiency of the national healthcare system of the ASEAN region which includes Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand and Vietnam amidst rising mortality rate from noncommunicable diseases (NCDs) in the Sustainable Development Goals (SDGs) era. Nonparametric data envelopment analysis technique based on the Malmquist Productivity Index is performed and its components, total factor productivity change, technical change and technological change are compared across the region. Two different models are considered in assessing and comparing the technical efficiency of the national healthcare system across the region with life expectancy at birth and mortality rate from NCDs as parallel health care output for both the models. The mean value of total factor productivity is 0.983 and 0.974 which suggests that national healthcare system productivity efficiency decays by 1.7% for Model I and 2.6% for Model II, respectively. This suggests that the health care system inefficiencies across the ASEAN region have not made life expectancy to improve as much as it should be and curtailed the mortality rate from growing chronic NCDs within a decade. The region is likely to lag behind in achieving SDGs 3 target 4 on reducing by one‐third premature mortality from chronic NCDs unless the health care system's technical efficiency is improved across the region. The finding suggests a microlevel study on each country to identify major sources of healthcare system inefficiency in a bid to ameliorate it.

Suggested Citation

  • Shailender Singh & Muhammad M. Bala & Nishant Kumar & Hawati Janor, 2021. "Application of DEA‐Based Malmquist Productivity Index on Health Care System Efficiency of ASEAN Countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(4), pages 1236-1250, July.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:4:p:1236-1250
    DOI: 10.1002/hpm.3169
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    References listed on IDEAS

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    1. Sharon Hadad & Yossi Hadad & Tzahit Simon-Tuval, 2013. "Determinants of healthcare system’s efficiency in OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 253-265, April.
    2. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    3. António Afonso & Ludger Schuknecht & Vito Tanzi, 2005. "Public sector efficiency: An international comparison," Public Choice, Springer, vol. 123(3), pages 321-347, June.
    4. Jean Spinks & Bruce Hollingsworth, 2009. "Cross-country comparisons of technical efficiency of health production: a demonstration of pitfalls," Applied Economics, Taylor & Francis Journals, vol. 41(4), pages 417-427.
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    Cited by:

    1. Qu, Jingjing & Wang, Baohui & Liu, Xiaohong, 2022. "A modified super-efficiency network data envelopment analysis: Assessing regional sustainability performance in China," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).

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