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Health systems efficiency in Eastern Mediterranean Region: a data envelopment analysis

机译：东地中海地区的卫生系统效率：数据包络分析

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Background:One of the most important issues in public policy and welfare state is health care. Poor management leads to the waste of resources, including money, human resources, facilities, and equipment.Aims:This paper seeks to answer the question of which eastern Mediterranean countries are more effective in allocating their health resources, and does Iran, in relation to those countries, have an effective health system.Methods:This study examined technical efficiency among eastern Mediterranean countries in 2018. Data were extracted from Global Health Observatory data World Health Organization. We applied input-oriented Data Envelopment Analysis (DEA) models to estimate efficiency scores. Inputs are Physicians density per 10,000 populations, Total hospital beds per 10,000 populations, Current expenditure on health, % of gross domestic product and outputs are infant survival rate and Life expectancy.Results:The most efficient health systems in the eastern Mediterranean were Bahrain, Egypt, Iran, Lebanon, Morocco, Oman, Pakistan, Qatar, Tunisia and the United Arab Emirates. The inefficient countries are Iraq, Jordan, Kuwait, Libya, Palestine and Saudi Arabia.Conclusions:Among the efficient countries, one category of high-entry countries such as Bahrain and Qatar with high input especially in health expenditure had higher output. The second group of countries with lower inputs such as Iran and Morocco has been able to produce similar output with other countries. Also, inefficiency in countries such as Saudi Arabia can be attributed to this with higher input such as health expenditure has lower output such life expectancy and infant survival rate.? The Author(s) 2020.
机译：背景：公共政策和福利国家最重要的问题之一是医疗保健。糟糕的管理导致资源浪费，包括金钱，人力资源，设施和装备。此论文旨在回答东地中海国家在分配健康资源方面更有效的问题，并与伊朗有关这些国家有一个有效的健康系统。方法：这项研究在2018年在东部地中海国家进行了技术效率。从全球卫生天文台数据世界卫生组织中提取了数据。我们应用了面向输入的数据包络分析（DEA）模型以估算效率分数。投入是每10,000名群体的医生密度，每10,000名群体总医院病床，当前的健康支出，国内生产总值和产出的百分比是婴儿生存率和预期寿命。结果：东地中海的最有效的卫生系统是巴林，埃及是巴林，伊朗，黎巴嫩，摩洛哥，阿曼，巴基斯坦，卡塔尔，突尼斯和阿拉伯联合酋长国。效率低下的国家是伊拉克，约旦，科威特，利比亚，巴勒斯坦和沙特阿拉伯。结论：在高效的国家中，巴林和卡塔尔等一类高入的国家，特别是在卫生支出中的产出更高。第二组国家，伊朗和摩洛哥等较低投入的国家能够与其他国家生产类似的产出。此外，沙特阿拉伯等国家的低效率可以归因于诸如较高的投入，如保健支出降低产出寿命和婴儿生存率。作者2020年。

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