Life expectancy and health expenditure evolution in Eastern Europe-DiD and DEA analysis
(2016) In Expert Review of Pharmacoeconomics & Outcomes Research 16(4). p.46-537- Abstract
BACKGROUND: Exploration of long-term health expenditure and longevity trends across three major sub-regions of Eastern Europe since 1989.
METHODS: 24 countries were classified as EU 2004, CIS, or SEE. European Health for All Database (HFA-DB) 1989-2012 data were processed using difference-in-difference (DiD) and data envelopment analysis (DEA).
RESULTS: The strongest expenditure growth was recorded in EU 2004 followed by SEE and the CIS. A surprisingly similar longevity increase was present in SEE and EU 2004. In 1989, countries that joined EU in 2004 were relatively inefficient in the number of life-years gained yet had a lower life expectancy than the SEE region and was only slightly higher than the CIS region (DEA). By... (More)
BACKGROUND: Exploration of long-term health expenditure and longevity trends across three major sub-regions of Eastern Europe since 1989.
METHODS: 24 countries were classified as EU 2004, CIS, or SEE. European Health for All Database (HFA-DB) 1989-2012 data were processed using difference-in-difference (DiD) and data envelopment analysis (DEA).
RESULTS: The strongest expenditure growth was recorded in EU 2004 followed by SEE and the CIS. A surprisingly similar longevity increase was present in SEE and EU 2004. In 1989, countries that joined EU in 2004 were relatively inefficient in the number of life-years gained yet had a lower life expectancy than the SEE region and was only slightly higher than the CIS region (DEA). By 2012 the revenue spent was roughly linear to additional life-year expectancies.
CONCLUSION: EU 2004 members were the best performers in terms of balanced longevity increase followed by health expenditure growth. The SEE economies' longevity gains were lagging slightly behind at a far lower cost. An extrapolated CIS expenditure to longevity increase ratio has the fastest-growing long-term promise.
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- author
- Jakovljevic, Mihajlo B LU ; Vukovic, Mira and Fontanesi, John
- publishing date
- 2016-08
- type
- Contribution to journal
- publication status
- published
- keywords
- Costs and Cost Analysis, Databases, Factual, Europe, Eastern, Health Expenditures/trends, Humans, Life Expectancy/trends, Longevity, Retrospective Studies
- in
- Expert Review of Pharmacoeconomics & Outcomes Research
- volume
- 16
- issue
- 4
- pages
- 46 - 537
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:26606654
- scopus:84950139756
- ISSN
- 1473-7167
- DOI
- 10.1586/14737167.2016.1125293
- language
- English
- LU publication?
- no
- id
- 4aeae0a0-fbc5-4979-b71d-1da50731f374
- date added to LUP
- 2018-09-01 22:49:07
- date last changed
- 2024-06-10 16:36:58
@article{4aeae0a0-fbc5-4979-b71d-1da50731f374,
abstract = {{<p>BACKGROUND: Exploration of long-term health expenditure and longevity trends across three major sub-regions of Eastern Europe since 1989.</p><p>METHODS: 24 countries were classified as EU 2004, CIS, or SEE. European Health for All Database (HFA-DB) 1989-2012 data were processed using difference-in-difference (DiD) and data envelopment analysis (DEA).</p><p>RESULTS: The strongest expenditure growth was recorded in EU 2004 followed by SEE and the CIS. A surprisingly similar longevity increase was present in SEE and EU 2004. In 1989, countries that joined EU in 2004 were relatively inefficient in the number of life-years gained yet had a lower life expectancy than the SEE region and was only slightly higher than the CIS region (DEA). By 2012 the revenue spent was roughly linear to additional life-year expectancies.</p><p>CONCLUSION: EU 2004 members were the best performers in terms of balanced longevity increase followed by health expenditure growth. The SEE economies' longevity gains were lagging slightly behind at a far lower cost. An extrapolated CIS expenditure to longevity increase ratio has the fastest-growing long-term promise.</p>}},
author = {{Jakovljevic, Mihajlo B and Vukovic, Mira and Fontanesi, John}},
issn = {{1473-7167}},
keywords = {{Costs and Cost Analysis; Databases, Factual; Europe, Eastern; Health Expenditures/trends; Humans; Life Expectancy/trends; Longevity; Retrospective Studies}},
language = {{eng}},
number = {{4}},
pages = {{46--537}},
publisher = {{Taylor & Francis}},
series = {{Expert Review of Pharmacoeconomics & Outcomes Research}},
title = {{Life expectancy and health expenditure evolution in Eastern Europe-DiD and DEA analysis}},
url = {{http://dx.doi.org/10.1586/14737167.2016.1125293}},
doi = {{10.1586/14737167.2016.1125293}},
volume = {{16}},
year = {{2016}},
}