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Efficiency Of The Health Care System: A Sub†State Level Analysis For West Bengal (India)

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  • Brijesh C. Purohit

Abstract

This paper attempts a sub†state level analysis of health system efficiency, focusing on West Bengal, a low income Indian state. Using a stochastic frontier model, it provides an idealized yardstick for evaluation. Our results suggest that overall efficiency of the public health delivery system remains low due to considerable disparities across districts. This is owing to differentials in availability and utilization of inputs such as the per capita availability of hospitals, beds, and manpower, and adversely affects life expectancy. Overcoming these factoral disparities may help the deficient districts to improve life expectancy. It may require a considerable increase in medical and public health expenditure in rural areas in the state and especially calls for resource mobilization to improve infrastructure facilities and maintain essential supplies at primary health centers. This could be attempted partly through funds from the National Rural Health Mission (NRHM) and by improving rural sanitation in poorer districts.

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  • Brijesh C. Purohit, 2008. "Efficiency Of The Health Care System: A Sub†State Level Analysis For West Bengal (India)," Review of Urban & Regional Development Studies, Wiley Blackwell, vol. 20(3), pages 212-225, November.
    • Handle: RePEc:bla:revurb:v:20:y:2008:i:3:p:212-225
    DOI: 10.1111/j.1467-940X.2008.00149.x
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    Cited by:

    1. Brijesh C. Purohit, 2015. "Health Policy, Inequity and Convergence in India," Working Papers id:7155, eSocialSciences.
    2. Suranjan Majumder & Subham Roy & Arghadeep Bose & Indrajit Roy Chowdhury, 2023. "Understanding regional disparities in healthcare quality and accessibility in West Bengal, India: A multivariate analysis," Regional Science Policy & Practice, Wiley Blackwell, vol. 15(5), pages 1086-1113, June.
    3. Brijesh C. Purohit, 2012. "Health Policy, Inequity and Convergence in India," Working Papers 2012-074, Madras School of Economics,Chennai,India.
    4. Brijesh C Purohit, 2012. "Poverty, Human Development and Health Financing in India," Working Papers id:5150, eSocialSciences.
    5. Swadhin Mondal & Henry Lucas & David Peters & Barun Kanjilal, 2014. "Catastrophic out-of-pocket payment for healthcare and implications for household coping strategies: evidence from West Bengal, India," Economics Bulletin, AccessEcon, vol. 34(2), pages 1303-1316.

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