Assessment of the Efficiency of Government Healthcare Expenditure in Selected European Union Member States: A DEA Approach

Автори

DOI :

https://doi.org/https://doi.org/10.37075/RP.2025.5.06

Ключови думи :

Ефективност, Метод на обвивка на данните, Публична администрация, Здравеопазване
H51, C67

Абстракт

The aim of this article is to assess the efficiency of expenditure of the sector “General Government” for the “Healthcare” function in the member states of the European Union (EU). To achieve this aim, the non-parametric method of data envelopment analysis (Data Envelopment Analysis (DEA)) is applied, oriented towards the input with variable returns to scale. The study uses the expenditure of the sector “General Government” for the “Healthcare” function per capita as input resource, and the indicators “life expectancy” and “mortality per 100,000 people due to non-contagious diseases, infectious diseases and unclearly diagnosed diseases” as output results. Since, historically, the EU member states have been characterized by different economic development, two relatively homogeneous groups of countries have been distinguished. The first includes the so-called „old” member states, and the second includes countries from Central and Eastern Europe (CEE). The conclusion that follows is that the final results for the „old” member states, and in particular Austria, Belgium, Germany, Finland, France and Italy, as well as for the CEE countries - Estonia, Latvia, Lithuania, Hungary and the Czech Republic, could be achieved with fewer input resources. The latter is reason to seek opportunities for optimizing the healthcare systems of the analyzed countries.

Литература (библиография)

Arnaudov, D (2017). Data Envelopment Analysis of Regional Healthcare Performance in Bulgaria, Annual of Sofia University - Faculty of Economics and Business Administration. URL: https://uni-sofia.bg/index.php/eng/the_university/faculties/faculty_of_economics_and_business_administration/research/annual_book/annual_book_volume_14_2017

Asandului, L., Popescu, C., Fătulescu I. P (2015). Identifying and Explaining the Efficiency of the Public Health Systems in European Countries. Scientific Annals of the ‟Alexandru Ioan Cuza" University of Iaşi Economic Sciences, 62(3), 357-368. DOI: https://doi.org/10.1515/aicue-2015-0024

Asandului, L., and Roman, M., and Fatulescu, P. (2014). The Efficienty of Healthcare Systems in Europe: A Data Envelopment Analysis Approach. Procedia Economics and Finance 10, 261-268. DOI: https://doi.org/10.1016/S2212-5671(14)00301-3

Afonso, A., and St.Aubyn, M (2011). Assessing health efficiency across countries with a two-step and bootstrap analysis, Appl. Econ. Lett, 1427-1430. DOI: https://doi.org/10.1080/13504851.2010.541149

Baciu, L., Botezat, A (2014). A Comparative Analysis of the Public Spending Efficiency of the New EU Member States: A DEA Approach, Emerging Markets Finance and Trade. 50(sup4), 31-46. DOI: https://doi.org/10.2753/REE1540-496X5004S40

Biernacki, M (2025). Assessment of the efficiency and effectiveness of health care systems in European Union countries before and during the CO- VID-19 pandemic, Front. Public Health. URL: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1592384/full

Blatechki, V., and Hristova, A (2020). Technical Efficiency of Bulgarian Healthcare Providers: A DEA Approach, Journal of Economic & Social Studies.

Cylus, J., and Papanicolas, I., and Smith, P. C (2017). Using data envelopment analysis to address the challenges of comparing health system efficiency. Global Policy, 8, 60-8. DOI: https://doi.org/10.1111/1758-5899.12212

Cooper, W., and L. Seiford, and Zhu, J. (2011). Handbook on Data Envelopment Analysis. Second Analysis.

Dutu, R., Sicari, P (2020). Public spending efficiency in the OECD: Benchmarking health care, education, and general administration, Review of Economic Perspectives, De Gruyter, Warsaw, Vol. 20. Iss. 3, 253-280. DOI: https://doi.org/10.2478/revecp-2020-0013

Eugene, B (2008). The Efficiency Frontier as a Method for Gauging the Performance of Public Expenditure: A Belgian Case Study, National Bank of Belgium Working Paper No. 138, Brussels. URL: http://hdl.handle.net/10419/144351

Eurostat (2025). General government expenditure by function.

Eurostat (2025). Life expectancy by age and sex, available at: https:// ec. europa.eu/eurostat/databrowser/view/demo_mlexpec$dv_.

Gómez-Gallego, J. C., and Gómez-Gallego, M., and García-García, J. F., and Faura-Martinez, U. (2021). Evaluation of the Efficiency of European Health Systems Using Fuzzy Data Envelopment Analysis, Healthcare. 9, 1270. DOI: https://doi.org/10.3390/healthcare9101270

Gavurova, B., and Kocisova, K., and Sopko, J. (2021). Health system efficiency in OECD countries: dynamic network DEA approach, Health Economics Review (2021) 11:40, p. 25. DOI: https://doi.org/10.1186/s13561-021-00337-9

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Публикуван

2025-12-12

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Как да цитирате

Цоклинова, М. (2025). Assessment of the Efficiency of Government Healthcare Expenditure in Selected European Union Member States: A DEA Approach. Научни трудове, 5, 71-98. https://doi.org/https://doi.org/10.37075/RP.2025.5.06