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Efficiency of Health Care Sector at Sub-State Level in India: A Case of Punjab

Purohit, BC (2009) Efficiency of Health Care Sector at Sub-State Level in India: A Case of Punjab. [Journal (On-line/Unpaginated)]

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Abstract

In recent years, WHO and other individual researchers have advocated estimation of health system performance through stochastic frontier models. It provides an idealized yardstick to evaluate economic performance of health system. So far attempts in India have remained focused at state level analysis. This paper attempts a sub-state level analysis for an affluent Indian state, namely Punjab, by using stochastic frontier technique. Our results provide pertinent insight into state health system and facilitate health facility planning at the sub-state level. Carried out in two stages of estimation, our results suggest that life expectancy in the Indian state could be enhanced considerably by correcting the factors that are adversely influencing the sub-state level health system efficiency. A higher budgetary allocation for health manpower is recommended by us to improve efficiency in poorly performing districts. This may be supported by policy initiatives outside the health system by empowering women through better education and work participation

Item Type:Journal (On-line/Unpaginated)
Keywords:Health, Efficiency, Sub-State Level, India, Punjab, disparity, Gini coefficients, Stochastic frontier model, Health facility planning
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6950
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:13 Sep 2010 03:56
Last Modified:11 Mar 2011 08:57

References in Article

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1. W.H.O. The World Health Report, 2000, Health Systems: Improving Performance. 2000. World Health Organisation.

2. Murray, CJL, J Frenk. A WHO Framework for Health System Performance Assessment. Global Programme on Evidence and Information for Policy. 1999. World Bank.

3. Hollingsworth B, Wildman J. The Efficiency of Health Production: Re-estimating the WHO Panel Data Using Parametric and Nonparametric Approaches to Provide Additional Information. Working Paper No. 131. 2002. Centre for Health Programme Evaluation, Monash University, Australia.

4. Hollingsworth B, Dawson PJ, Maniadakis N. Efficiency Measurement of Health Care: A Review Of Non-Parametric Methods And Applications. Health Care Management Science 1999;2(3):161-72.

5. Jamison DT, Sandbu M, Wang J. Cross Country Variation in Mortality Decline, 1962-87: The Role of Country Specific Technical Progress. CMH Working Paper Series Paper No WGI: 4. 2001.Commission on Macroeconomics and Health, WHO.

6. Salomon JA, Mathers CD, Murray CJL, Ferguson B. Method for Life Expectancy and Healthy Life Expectancy Uncertainty Analysis’, Global Programme on Evidence for Health Policy. Working Paper No 10. 2001.World Health Organization.

7. Evans DB, Tandon A, Murray CJL, Lauer JA. The Comparative Efficiency of National Health Systems in Producing Health: An Analysis of 191 Countries. GPE Discussion Paper Series: No. 29.2001EIP/GPE/EQC/World Health Organization.

8. Wang J, Jamison DT, Bos E, Preker A, Peaboy J. Measuring Country Performance on Health: Selected Indicators for 115 Countries. Human Development Network, Health, Nutrition and Population Studies, IBRD/World Bank, Washington.

9. Sankar Deepa, Kathuria Vinish. Health System Performance in Rural India: Efficiency Estimates across States. Economic and Political Weekly. 2004March; 27:1427-1433.

10. Worthington AC. Frontier Efficiency Measurement in Health Care: A Review of Empirical Techniques and Selected Applications. Medical Care Research and Review. 2004;61(2):135-170.

11. Fried HO, Lovell CA, Schmidt SS. The Measurement of Productive Efficiency: Techniques And Applications, 1993. Oxford University Press, New York.

12. Charnes A, Cooper WW, Lewin AY, Seiford LM. Data envelopment analysis: Theory, Methodology and Applications. 1995. Kluwer, Boston.

13. Coelli T, Rao DSP, Battese G. An Introduction To Efficiency and Productivity Analysis. 1998.Kluwer, Boston.

14. Punjab Human Development Report, 2004. Government of Punjab. 2004. New Delhi.

15. Ghuman BS, Mehta A. Health Care for the Poor in India with Special Reference to Punjab State. In Raza Ahmad (ed). 2006. The Role of Public Administration in Building a Harmonious Society. Asian Development Bank and Network of Asia-Pacific Schools and Institute of Public Administration and Governance, Philippines.

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