> -----Original Message-----
> From: Ruggiero, Mrs. Ana Lucia (WDC) [SMTP:[log in to unmask]]
> Sent: Monday, 26 February 2001 14:31
> To: [log in to unmask]
> Subject: Paper: Exploring the Effects of Health Care on Mortality
> across O ECD Countries
>
>
> Exploring the Effects of Health Care on Mortality across OECD Countries
>
> Zeynep Or
> OECD - Organisation for Economic Co-operation and Development, 2000
> Labour Market and Social Policy - Occasional Papers No. 46
> Paris, France
>
> Available as PDF file [40p.] at:
> <http://www.olis.oecd.org/OLIS/2000DOC.NSF/c5ce8ffa41835d64c125685d005300b
> 0/c125692700623b74c12569d0004e93ad/$FILE/00087510.PDF>
>
> "........ Two of the most important questions facing health policy makers
> in OECD countries are:
>
> i. whether the increasing sums of money devoted to health care are
> yielding commensurate value in terms of improvements in health status; and
>
> ii. whether different ways of financing and delivering health care -and,
> hence, health care reforms-make a difference to health.
>
> This paper explores the effect of variations in the volume of health care
> and in certain characteristics of health systems on mortality across 21
> OECD countries over the past 25 years, after controlling for certain other
> determinants of health status.
> It builds on previous research on the determinants of health outcomes in
> OECD countries (Or, 2000). In contrast to the earlier work, it
> concentrates on a non-monetary measure of health care supply - number of
> doctors - to avoid a number of measurement issues. It also uses a range of
> summary measures of mortality to assess the performance of health care
> systems and incorporates a number of judgmental variables to capture some
> basic characteristics of health care financing.
>
> 3. Given the received wisdom - that the marginal productivity of medical
> care is close to zero in industrialised countries - the results are
> surprising and encouraging for health care reforms. They suggest that over
> the past 25 years, increasing doctor numbers have been strongly and
> significantly associated with lower mortality, after allowing for other
> determinants of health status for which we have data. In addition, the
> results suggest that the relative importance of the determinants varies
> with the type of mortality...."
>
> TABLE OF CONTENTS
>
> 1. INTRODUCTION
>
> 2. HEALTH STATUS IN OECD COUNTRIES: AN OVERVIEW
> Measuring health status: mortality indicators
> Box 1. Definitions of health indicators
> Trends in mortality
> Country disparities in mortality
>
> 3. HEALTH SYSTEMS - INPUTS AND ORGANISATION
> Box 2. Ambulatory care -- Methods of paying doctors and referral practices
>
> Box 3. Secondary care -- Methods of paying hospitals
>
> 4. MODELLING HEALTH STATUS: DATA AND METHODOLOGY
> Box 4. Definitions of variables
>
> 5. RESULTS OF THE REGRESSION ANALYSIS
> 6. DISCUSSION AND CONCLUSIONS
>
> _____
>
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