Determinants of health-system efficiency: evidence from OECD countries

  • Pablo Hernández de Cos
  • Enrique Moral-BenitoEmail author


This paper analyzes the most important determinants of healthcare efficiency across OECD countries. As previously documented in the literature, we first provide evidence of significant differences in the cross-country level of efficiency in healthcare provision. We then investigate how improvements in efficiency can be achieved by considering alternative efficiency indices (parametric and non-parametric) and a novel dataset with information on the characteristics of healthcare systems across OECD countries. Our empirical findings suggest a positive correlation between policies such as increasing the regulation of prices billed by providers and reducing the degree of gate keeping and the efficiency of national healthcare systems.


Healthcare systems Efficiency Bayesian model averaging 

JEL Classification

I12 I18 H51 



The authors would like to thank Beatriz González López-Valcárcel, Guillem López-Casasnovas, Eloísa Ortega, Bazoumana Ouattara, Anna Tur Prats, Laura Vallejo-Torres and Dominika Wranik for useful comments and discussions. They also thank two anonymous referees and Pedro Barros (The Editor) for helpful suggestions. The opinions and analyses in this paper are the responsibility of the authors and are not necessarily shared by the Banco de España or the Eurosystem.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Pablo Hernández de Cos
    • 1
  • Enrique Moral-Benito
    • 1
    Email author
  1. 1.Banco de EspañaMadridSpain

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