Within last seventy years, healthcare spending in Europe has grown faster than national income. However, this does not always translate into good health indicators, suggesting a problem of eﬃciency in diﬀerent European health systems. This paper analyzes the eﬃciency of such systems for 185 European regions in 17 countries by grouping them into three clusters according to their institutional setting: regulation, funding and service provision. We investigate their productive performance by adopting a metafrontier framework for exploring the role of technological spillovers. Our ﬁndings suggest that the three European health systems show similar eﬃciency performance; the best performers are regions that have adopted social healthcare insurance; kernel analysis indicates that there is convergence toward a single club in each frontier. Finally, we ﬁnd a dramatic change in the convergence process after the nancial crisis, with European regions converging toward dierent groups with dierent levels of eciency.
|Titolo:||Assessment of regional productive performance of European health systems under a metatechnology framework|
BONASIA, Mariangela (Corresponding)
NAPOLITANO, Oreste (Corresponding)
|Data di pubblicazione:||2019|
|Appare nelle tipologie:||1.1 Articolo in rivista|