The Efficiency of Health Systems in Response to the Covid-19 Pandemic: Evidence from the EU Countries
Tamara Rađenović
tamara.radjenovic@znrfak.ni.ac.rsFaculty of Occupational Safety, University of Niš (Serbia)
https://orcid.org/0000-0003-1632-7772
Vladimir Radivojević
Faculty of Economics, University of Priština in Kosovska Mitrovica (Serbia)
https://orcid.org/0000-0002-3928-0623
Bojan Krstić
Faculty of Economics, University of Niš (Serbia)
https://orcid.org/0000-0003-4597-6819
Tanja Stanišić
Faculty of Hotel Management and Tourism in Vrnjačka Banja, University of Kragujevac (Serbia)
https://orcid.org/0000-0001-5809-794X
Snežana Živković
Faculty of Occupational Safety, University of Niš (Serbia)
https://orcid.org/0000-0002-7931-9334
Abstract
The COVID-19 pandemic has revealed the insufficient capacities and capabilities of countries around the world to deal with global infectious diseases and stressed the need to improve the international health security framework. An efficient and comprehensive health system that is able to cope with public health emergencies is an essential prerequisite for strengthening health security. The paper analyzes the efficiency of health systems in the European Union (EU) countries and their responsiveness to the COVID-19 pandemic. The research covers 27 EU countries and it is based on the secondary data contained in the 2019 Global Health Security Index Report. The aim of the paper is to identify key determinants for improving the efficiency of health systems in the EU, as well as to examine the interdependence between health expenditures and the efficiency of health system in this sample of countries. The research is conducted through descriptive statistics and correlation and regression analysis. The conclusions can be useful for the EU policy makers in formulating a strategy to improve the efficiency of Member States’ health systems and preparedness for possible new pandemics.
Keywords:
efficiency, health system, health security, health expenditures, EU countries, COVID-19References
ACEMOGLU D., CHERNOZHUKOV V., WERNING I., WHINSTON M.D., 2020, A multi-risk SIR model with optimally targeted lockdown, National Bureau of Economic Research Working Paper, No. 27102.
Google Scholar
ALBANESI S., KIM J., 2021, The gendered impact of the COVID-19 recession on the us labor market, National Bureau of Economic Research Working Paper, No. 28505.
DOI: https://doi.org/10.3386/w28505
Google Scholar
ALON, T.M., DOEPKE M., OLMSTEAD-RUMSEY J., TERTILT M., 2020, The impact of COVID19 on gender equality, National Bureau of Economic Research Working Paper, No. 26947.
DOI: https://doi.org/10.3386/w26947
Google Scholar
ALVAREZ F.E., ARGENTE D., LIPPI F., 2020, A simple planning problem for COVID-19 lockdown, National Bureau of Economic Research Working Paper, No. 26981.
DOI: https://doi.org/10.3386/w26981
Google Scholar
ANAND P., FERRER B., GAO Q., NOGALES R., UNTERHALTER E., 2020, COVID-19 as a capability crisis: Using the capability framework to understand policy challenges, Journal of Human Development and Capabilities, 21(3): 293-299.
DOI: https://doi.org/10.1080/19452829.2020.1789079
Google Scholar
ASHRAF N., 2020, Stock markets’ reaction to COVID-19: cases or fatalities? Research in International Business and Finance, 54, 101249.
DOI: https://doi.org/10.1016/j.ribaf.2020.101249
Google Scholar
BAKER S.R., BLOOM N., DAVIS S.J., TERRY S.J., 2020a, COVID-induced economic uncertainty, National Bureau of Economic Research Working Paper, No. 26983.
DOI: https://doi.org/10.3386/w26983
Google Scholar
BAKER S.R., FARROKHNIA R.A., MEYER S., PAGEL M., YANNELIS C., 2020b, How does household spending respond to an epidemic? Consumption during the 2020 COVID-19 pandemic, National Bureau of Economic Research Working Paper, No. 26949.
DOI: https://doi.org/10.3386/w26949
Google Scholar
BARTIK A.W., BERTRAND M., CULLEN Z.B., GLAESER E.L., LUCA M., STANTON C.T., 2020, How are small businesses adjusting to COVID-19? Early evidence from a survey, National Bureau of Economic Research Working Paper, No. 26989.
DOI: https://doi.org/10.3386/w26989
Google Scholar
BOYCE M.R., ATTAL-JUNCQUA A., LIN J., MCKAY S., KATZ R., 2021, Global Fund contributions to health security in ten countries, 2014-20: Mapping synergies between vertical disease programmes and capacities for preventing, detecting, and responding to public health emergencies, The Lancet Global Health, 9(2): e181-e188.
DOI: https://doi.org/10.1016/S2214-109X(20)30420-4
Google Scholar
Council of Europe, n.d., Health: Manual for human rights education with young people, https://www.coe.int/en/web/compass/health (20.06.2021).
Google Scholar
CYLUS J., PAPANICOLAS I., SMITH P.C., 2017a, Using Data Envelopment Analysis to Address the Challenges of Comparing Health System Efficiency, Global Policy, 8(2): 60-68.
DOI: https://doi.org/10.1111/1758-5899.12212
Google Scholar
CYLUS J., PAPANICOLAS I., SMITH P.C., 2017b, How to make sense of health system efficiency comparisons? WHO Regional Office for Europe Policy Brief, No. 27.
Google Scholar
DYAKOVA M., HAMELMANN C., BELLIS M.A., BESNIER E., GREY C.N.B., ASHTON K. et al., 2017, Investment for health and well-being: a review of the social return on investment from public health policies to support implementing the Sustainable Development Goals by building on Health 2020, Health Evidence Network (HEN) synthesis report 51, WHO Regional Office for Europe, Copenhagen.
Google Scholar
EICHENBAUM M., REBELO S., TRABANDT M., 2020, The macroeconomics of epidemics, National Bureau of Economic Research Working Paper, No. 26882.
DOI: https://doi.org/10.3386/w26882
Google Scholar
Eurostat, 2021, Real GDP growth rate – volume: Percentage change on previous year, https://ec.europa.eu/eurostat/databrowser/view/tec00115/default/table?lang=en (28.06.2021).
Google Scholar
FERRANNINI A., BARBIERI E., BIGGERI M., DITOMMASO M., 2021, Industrial policy for sustainable human development in the post-Covid19 era, World Development, 137: 105215.
DOI: https://doi.org/10.1016/j.worlddev.2020.105215
Google Scholar
GLOVER A., HEATHCOTE J., KRUEGER D., RIOS-RULL J.V., 2020, Health versus wealth: On the distributional effects of controlling a pandemic, National Bureau of Economic Research Working Paper, No. 27046.
DOI: https://doi.org/10.21034/sr.600
Google Scholar
GREEN D., LOUALICHE E., 2021, State and local government employment in the COVID-19 crisis, Journal of Public Economics, 193: 104321.
DOI: https://doi.org/10.1016/j.jpubeco.2020.104321
Google Scholar
JONES C.J., PHILIPPON T., VENKATESWARAN V., 2020, Optimal mitigation policies in a pandemic: Social distancing and working from home, National Bureau of Economic Research Working Paper, No. 26984.
DOI: https://doi.org/10.3386/w26984
Google Scholar
JONES K.E., PATEL N.G., LEVY M.A., STOREYGARD A., BALK D., GITTELMAN J., DASZAK P., 2008, Global trends in emerging infectious diseases, Nature, 451: 990-994.
DOI: https://doi.org/10.1038/nature06536
Google Scholar
John Hopkins University, 2021, Coronavirus Resource Center: Cases and mortality by country, https://coronavirus.jhu.edu/data/mortality (22.06.2021).
Google Scholar
KANDEL N., CHUNGONG S., OMAAR A., XING J., 2020, Health security capacities in the context of COVID-19 outbreak: An analysis of International Health Regulations annual report data from 182 countries, Lancet, 395(10229): 1047-1053.
DOI: https://doi.org/10.1016/S0140-6736(20)30553-5
Google Scholar
KAPLAN S., LEFLER J., ZILBERMAN D., 2021, The political economy of COVID-19, Applied Economic Perspectives and Policy, 1-12.
DOI: https://doi.org/10.1002/aepp.13164
Google Scholar
LAL A., ERONDU N.A., HEYMANN D.L., GITAHI G., YATES R., 2021, Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage, Health Policy, 397(10268): 61-67.
DOI: https://doi.org/10.1016/S0140-6736(20)32228-5
Google Scholar
MACHMUDDAH Z., UTOMO S.D., SUHARTONO E., ALI S., GHULAM A.W., 2020, Stock market reaction to COVID-19: evidence in customer goods sector with the implication for open innovation, Journal of Open Innovation: Technology, Market, and Complexity, 6(4): 99.
DOI: https://doi.org/10.3390/joitmc6040099
Google Scholar
MENSI W., SENSOY A., VO X.V., KANG S.H., 2020, Impact of COVID-19 outbreak on asymmetric multifractality of gold and oil prices, Resources Policy, 69, 101829.
DOI: https://doi.org/10.1016/j.resourpol.2020.101829
Google Scholar
MORENS D.M., FOLKERS G.K., FAUCI A.S., 2004, The challenge of emerging and re-emerging infectious diseases, Nature, 430: 242-249.
DOI: https://doi.org/10.1038/nature02759
Google Scholar
MORSE S., MAZET J., WOOLHOUSE M., PARRISH C., CARROLL D., KARESH W., ZAMBRANA-TORRELIO C., LIPKIN I., DASZAK P., 2012, Prediction and prevention of the next pandemic zoonosis, Lancet, 380: 1956-1965.
DOI: https://doi.org/10.1016/S0140-6736(12)61684-5
Google Scholar
Nuclear Threat Initiative, Johns Hopkins Center for Health Security, 2019, Global Health Security Index Report, https://www.ghsindex.org/wp-content/uploads/2020/04/2019-Global-Health-Security-Index.pdf.
Google Scholar
OECD, 2020, Strengthening health systems during a pandemic: The role of development finance, OECD Policy Responses to Coronavirus (COVID-19).
Google Scholar
OECD, European Union, 2020, Health at a Glance: Europe 2020: State of Health in the EU Cycle, OECD Publishing, Paris.
Google Scholar
OZKAN O., 2021, Impact of COVID-19 on stock market efficiency: Evidence from developed countries, Research in International Business and Finance, 58:101445.
DOI: https://doi.org/10.1016/j.ribaf.2021.101445
Google Scholar
RAVI S.J., WARMBROD K.L., MULLEN L., MEYER D., CAMERON E. et al., 2020, The value proposition of the Global Health Security Index, BMJ Global Health, 5: e003648.
DOI: https://doi.org/10.1136/bmjgh-2020-003648
Google Scholar
REINHARDT U.E., HUSSEY P.S., ANDERSON G., 2002, Cross-National Comparisons of Health Systems Using OECD Data, 1999, Health Affairs, 21(3): 169-181.
DOI: https://doi.org/10.1377/hlthaff.21.3.169
Google Scholar
STOJANOVIĆ-JOVANOVIĆ S., KRSTIĆ B., MARKOVIĆ M., 2020, International Business and Management in Pandemic-Related Conditions, Economics of Sustainable Development, 4(2): 25-36.
DOI: https://doi.org/10.5937/ESD2002025S
Google Scholar
STREET A., HAKKINEN U., 2009, Health system productivity and efficiency, Performance measurement for health system improvement: Experiences, challenges and prospects, eds. Smith P.C. et al., Cambridge University Press, Cambridge.
DOI: https://doi.org/10.1017/CBO9780511711800.009
Google Scholar
United Nations, 2020, Human Development Index Ranking, http://hdr.undp.org/en/data (23.06.2021).
Google Scholar
WEBSTER R.G., 1997, Predictions for future human influenza pandemic, Journal of infectious disease, 176: S14-S19.
DOI: https://doi.org/10.1086/514168
Google Scholar
World Bank, 2020, The Economic and Social Impact of COVID-19: Health systems, Western Balkans Regular Economic Report, 17.
Google Scholar
World Bank, 2021, Current health expenditure per capita, PPP (current international $), https://data.worldbank.org/indicator/SH.XPD.CHEX.PP.CD.
Google Scholar
ZHANG D., HU M., JI Q., 2020, Financial markets under the global pandemic of COVID-19, Finance Research Letters, 36: 101528.
DOI: https://doi.org/10.1016/j.frl.2020.101528
Google Scholar
Authors
Tamara Rađenovićtamara.radjenovic@znrfak.ni.ac.rs
Faculty of Occupational Safety, University of Niš Serbia
https://orcid.org/0000-0003-1632-7772
Authors
Vladimir RadivojevićFaculty of Economics, University of Priština in Kosovska Mitrovica Serbia
https://orcid.org/0000-0002-3928-0623
Authors
Bojan KrstićFaculty of Economics, University of Niš Serbia
https://orcid.org/0000-0003-4597-6819
Authors
Tanja StanišićFaculty of Hotel Management and Tourism in Vrnjačka Banja, University of Kragujevac Serbia
https://orcid.org/0000-0001-5809-794X
Authors
Snežana ŽivkovićFaculty of Occupational Safety, University of Niš Serbia
https://orcid.org/0000-0002-7931-9334
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