Health indicators and the organization of health care systems in Western Europe

J. Elola, A. Daponte, Vicente Navarro

Research output: Contribution to journalArticle

Abstract

Objectives. This study investigated the association between health care systems and health indicators in developed countries. Methods. Cross-national comparisons were conducted with regression analysis between 17 Western European countries with two types of health care systems: national health services and social security systems. Results. Health care expenditures were inversely correlated to potential years of life lost to females and to infant mortality rates; they were positively correlated to life expectancy for females. Regression models predicted that countries with national health services systems would have lower infant mortality rates at similar levels of gross domestic product (GDP) and health care expenditures. Finally, increases in health care expenditures would decrease the ratio of observed to predicted infant mortality rates according to GDP; this decrease would be greater in countries with national health services than in those with social security systems. The model predicted this difference to be about 13% at average levels of health expenditures. Conclusions. National health services seem to he more efficient at producing lower infant mortality rates than social security systems in Western European countries.

Original languageEnglish (US)
Pages (from-to)1397-1401
Number of pages5
JournalAmerican Journal of Public Health
Volume85
Issue number10
StatePublished - 1995
Externally publishedYes

Fingerprint

National Health Programs
Infant Mortality
Health Expenditures
Organizations
Social Security
Delivery of Health Care
Health
Gross Domestic Product
Mortality
Life Expectancy
Developed Countries
Health Status
Regression Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Health indicators and the organization of health care systems in Western Europe. / Elola, J.; Daponte, A.; Navarro, Vicente.

In: American Journal of Public Health, Vol. 85, No. 10, 1995, p. 1397-1401.

Research output: Contribution to journalArticle

@article{62b45956eb154678a8a18191b142bb3b,
title = "Health indicators and the organization of health care systems in Western Europe",
abstract = "Objectives. This study investigated the association between health care systems and health indicators in developed countries. Methods. Cross-national comparisons were conducted with regression analysis between 17 Western European countries with two types of health care systems: national health services and social security systems. Results. Health care expenditures were inversely correlated to potential years of life lost to females and to infant mortality rates; they were positively correlated to life expectancy for females. Regression models predicted that countries with national health services systems would have lower infant mortality rates at similar levels of gross domestic product (GDP) and health care expenditures. Finally, increases in health care expenditures would decrease the ratio of observed to predicted infant mortality rates according to GDP; this decrease would be greater in countries with national health services than in those with social security systems. The model predicted this difference to be about 13{\%} at average levels of health expenditures. Conclusions. National health services seem to he more efficient at producing lower infant mortality rates than social security systems in Western European countries.",
author = "J. Elola and A. Daponte and Vicente Navarro",
year = "1995",
language = "English (US)",
volume = "85",
pages = "1397--1401",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "10",

}

TY - JOUR

T1 - Health indicators and the organization of health care systems in Western Europe

AU - Elola, J.

AU - Daponte, A.

AU - Navarro, Vicente

PY - 1995

Y1 - 1995

N2 - Objectives. This study investigated the association between health care systems and health indicators in developed countries. Methods. Cross-national comparisons were conducted with regression analysis between 17 Western European countries with two types of health care systems: national health services and social security systems. Results. Health care expenditures were inversely correlated to potential years of life lost to females and to infant mortality rates; they were positively correlated to life expectancy for females. Regression models predicted that countries with national health services systems would have lower infant mortality rates at similar levels of gross domestic product (GDP) and health care expenditures. Finally, increases in health care expenditures would decrease the ratio of observed to predicted infant mortality rates according to GDP; this decrease would be greater in countries with national health services than in those with social security systems. The model predicted this difference to be about 13% at average levels of health expenditures. Conclusions. National health services seem to he more efficient at producing lower infant mortality rates than social security systems in Western European countries.

AB - Objectives. This study investigated the association between health care systems and health indicators in developed countries. Methods. Cross-national comparisons were conducted with regression analysis between 17 Western European countries with two types of health care systems: national health services and social security systems. Results. Health care expenditures were inversely correlated to potential years of life lost to females and to infant mortality rates; they were positively correlated to life expectancy for females. Regression models predicted that countries with national health services systems would have lower infant mortality rates at similar levels of gross domestic product (GDP) and health care expenditures. Finally, increases in health care expenditures would decrease the ratio of observed to predicted infant mortality rates according to GDP; this decrease would be greater in countries with national health services than in those with social security systems. The model predicted this difference to be about 13% at average levels of health expenditures. Conclusions. National health services seem to he more efficient at producing lower infant mortality rates than social security systems in Western European countries.

UR - http://www.scopus.com/inward/record.url?scp=0029154358&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029154358&partnerID=8YFLogxK

M3 - Article

C2 - 7573624

AN - SCOPUS:0029154358

VL - 85

SP - 1397

EP - 1401

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 10

ER -