Health Resources and Scores in European Countries, 1996-2019: Expenditure per capita and Rates of Doctors, Nurses and Beds in France, Germany, Italy, Spain, Switzerland and the UK
Maria-Carmen Guisan
Regional and Sectoral Economic Studies, 2023, vol. 23, issue 1, 111-130
Abstract:
We analyze the evolution of several indicators of Health Services Resources for the period 1996-2019 in 6 European countries; Health Expenditure at constant prices, and rates fo Hospital Beds, Doctors and Nurses per thousand people. We include a comparison of these 6 European countries with the United States and the World average. As indicators of outcomes we compare the rates of Hospital Discharges, as an indicator of the number of patients treated per year, and indicators of quality of the Health Services, like the Accessability Score and the Global Scores of the Euro Health Consumer Index (EHCI). We present several econometric equations that relate indicators of outcomes /(Accessability Score, Global Score and Rate of Hospital Discharges) with health resources. Finally we present a comparison of some health resources at regional level in Spain and in 216 regions of the European Union. In the Annex we include some indicators among OECD countries. Switzerland presents, in year 2019, high rates of Doctors and Nurses and high value of Health Expenditure per capita, and gets the first position in the Global Score of the EHCI. The order of the ranking position in the Global Score, among the 6 European countries of ths study, was: Switzerland, France, Germany, the UK, Italy and Spain. Italy and Spain had a Doctors Rate similar to Switzerland but a much lower value of the Nurses Rate and Health Expenditure per capita. Although there was a positive evolution of the Nurses rate, for the period 1996-2019 in Italy (from around 5.4 to 6.4) and Spain (from 3.4 to 6.1), the values in year 2019 were yet too low in comparison with Switzerland (18.3), Germany (14.2), France (11.8), the UK (8.9) and the United States (15.7). A low value of the Nurses rate has negative consequences on the quality service for patiens, and also may imply overwork and stress for Nurses and Doctors working in health services.
Keywords: Health Resources in Europe; Health Global Score; Health Econometric Model; Health Expenditure 1996-2019. Regional Health Resources. (search for similar items in EconPapers)
JEL-codes: C5 H51 H75 I1 N34 N94 O52 R58 (search for similar items in EconPapers)
Date: 2023
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