A Critique and Bibliometric Analysis of The Studies on Health System Effectiveness

Year 2024, Volume: 6 Issue: 1, 47 - 59, 29.06.2024

Yusuf Celik , Mehmet Aziz Çakmak

https://doi.org/10.52675/jhesp.1470534

Abstract

This study extensively examines the literature on the evaluation and measurement of the performance of healthcare systems. It has been determined that various methods and criteria are used for evaluating healthcare systems in the literature, and these evaluations generally rely on inputs such as healthcare expenditures, sociodemographic structure, healthcare facilities, and personnel numbers. Methods like Data Envelopment Analysis are frequently used, and it has been observed that the most intensive period of evaluation studies is between 2020 and 2024. Due to the use of different evaluation criteria and methods in studies, it has been found that the rankings of the most successful countries also vary. This indicates that publication bias and the input parameters used can influence evaluation results. The findings suggest that further research is needed for a more accurate assessment of healthcare system performance and the establishment of a platform involving all healthcare systems globally. Additionally, the bibliometric analysis of the study reveals which countries are focusing on studies related to healthcare system performance and which topics are being researched more. It emphasizes the importance of collaboration and knowledge sharing among countries. Adopting a more comprehensive and multidimensional approach to evaluating healthcare systems, determining standardized evaluation criteria, and using different methods together to obtain more robust results are recommended. Implementing these recommendations will contribute to more accurately measuring and improving the effectiveness and efficiency of healthcare systems.

Keywords

Health systems performance, Measurement assessment, OECD countries, Turkey, Dea frontier analysis

References

• Arah, O. A., Klazinga, N. S., Delnoij, D. M., Asbroek, A. T., & Custers, T. (2003). Conceptual frameworks for health systems performance: A quest for effectiveness, quality, and improvement. International Journal for Quality in Health Care, 15(5), 377–398. https://doi.org/10.1093/intqhc/mzg049
• Atun, R., & Moore, G. (2021). Building a high-value health system. Oxford University Press. Braithwaite, J., Tran, Y., Ellis, L. A., & Westbrook, J. (2020). Inside the black box of comparative national healthcare performance in 35 OECD countries: Issues of culture, systems performance and sustainability. Plos ONE, 15(9), e0239776. https://doi.org/10.1371/journal.pone.0239776
• Brevik, E. C., Slaughter, L., Singh, B. R., Steffan, J. J., Collier, D., Barnhart, P., & Pereira, P. (2020). Soil and human health: Current status and future needs. Air, Soil and Water Research, 13, 1178622120934441. https://doi.org/10.1177/1178622120934441
• Castaldo, A., Antonelli, M. A., De Bonis, V., & Marini, G. (2020). Determinants of health sector efficiency: Evidence from a two-step analysis on 30 OECD countries. Economics Bulletin, 40(2), 1651–1666.
• Çelik, Y., Khan, M., & Hikmet, N. (2017). Achieving value for money in health: A comparative analysis of OECD countries and regional countries. The International Journal of Health Planning and Management, 32(4), e279–e298. https://doi.org/10.1002/hpm.2375
• Ersoy, Y., & Aktaş, A. (2023). Efektywność systemów opieki zdrowotnej w krajach OECD–badanie za pomocą metody granicznej analizy danych. European Management Studies (wcześniej: problem zarządzania-management issues), 20(4), 90-109. https://dx.doi.org/10.7172/1644-9584.98.4
• Eze, N. D., Mateus, C., & Cravo Oliveira Hashiguchi, T. (2020). Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation. PloS One, 15(8), e0237585. https://doi.org/10.1371/journal.pone.0237585
• Gavurova, B., Kocisova, K., & Sopko, J. (2021). Health system efficiency in OECD countries: Dynamic network DEA approach. Health Economics Review, 11(1), 40. https://doi.org/10.1186/s13561-021-00337-9
• Kruk, M. E., & Freedman, L. P. (2008). Assessing health system performance in developing countries: A review of the literature. Health Policy, 85(3), 263-276. https://doi.org/10.1016/j.healthpol.2007.09.003
• Leary, V. A. (1994). The right to health in international human rights law. Health and Human Rights, 1(1), 24–56. https://doi.org/10.2307/4065261
• Ngami, A., & Ventelou, B. (2023). Respective healthcare system performances taking into account environmental quality: What are the re-rankings for OECD countries? Health Research Policy and Systems, 21(1), 57. https://doi.org/10.1186/s12961-023-01005-6
• Porter, M. E. (2010). What is value in health care?. The New England Journal of Medicine, 363(26), 2477–2481.
• Reibling, N., Ariaans, M., & Wendt, C. (2019). Worlds of healthcare: A healthcare system typology of OECD countries. Health Policy, 123(7), 611–620. https://doi.org/10.1016/j.healthpol.2019.05.001
• Sevim, F., & Aldogan, E. U. (2024). Evaluation of health systems performance of OECD countries using MOORA method. Journal of Health Management, 26(1), 172–183. https://doi.org/10.1177/09720634231215131
• Spekle, R. F., & Verbeeten, F. H. (2014). The use of performance measurement systems in the public sector: Effects on performance. Management Accounting Research, 25(2), 131–146. https://doi.org/10.1016/j.mar.2013.07.004
• Svalastog, A. L., Donev, D., Kristoffersen, N. J., & Gajović, S. (2017). Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croatian Medical Journal, 58(6), 431–435. https://doi.org/10.3325/cmj.2017.58.431
• Şenel, T., & Cengiz, M. A. (2016). A bayesian approach for evaluation of determinants of health system efficiency using stochastic frontier analysis and beta regression. Computational and Mathematical Methods in Medicine, 2016. http://dx.doi.org/10.1155/2016/2801081
• Tchouaket, É. N., Lamarche, P. A., Goulet, L., & Contandriopoulos, A. P. (2012). Health care system performance of 27 OECD countries. The International Journal of Health Planning and Management, 27(2), 104–129. https://doi.org/10.1002/hpm.1110