Economic evaluation of cost and outcomes of healthcare services: A guide for optimal healthcare decision-making

Abubakar M. Idris, M. Nwoko, S. S. Umar, Emhenya A. Iyoha, K. Maduako
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Abstract

This study evaluated the cost and outcomes of healthcare services in some African countries with a particular focus on the sub-Saharan African (SSA) regions. It carried out analyses of fixed, random, and dynamic effect of lagged cost of healthcare on health outcomes. To achieve the study’s objective, cross-sectional data from eight (8) African countries were obtained from secondary sources. Panel regression econometric techniques and panel generalised moment/dynamic (PGMM/D) methods were used to determine the lagged effects among the study variables. This study identified the pooled, fixed, and random effects of healthcare costs on health outcomes. It was statistically significant at a 5 percent level. This study documented a positive relationship between health outcomes needs and healthcare costs. The behaviour exhibited by the variables was symmetrical, as revealed by the mean and the standard deviation of the descriptive analysis estimates. The findings of the regression analysis confirmed the peculiarity of the health outcomes and healthcare cost positions among the selected countries. The health outcomes estimate constituted strong drivers of healthcare costs. Therefore, in line with the findings of Healthcare Value Hub (2018), optimal interventions to address technological inadequacy and inefficient system performance to achieve quality health outcomes are recommended
医疗保健服务成本和结果的经济评估:最佳医疗保健决策指南
本研究评估了一些非洲国家医疗保健服务的成本和结果,特别关注撒哈拉以南非洲(SSA)地区。它分析了医疗保健滞后成本对健康结果的固定、随机和动态影响。为了实现研究的目标,从二手来源获得了来自8个非洲国家的横断面数据。使用面板回归计量经济技术和面板广义矩/动力(PGMM/D)方法来确定研究变量之间的滞后效应。本研究确定了医疗费用对健康结果的综合、固定和随机影响。在5%的水平上具有统计学意义。本研究记录了健康结果需求与医疗保健费用之间的正相关关系。正如描述性分析估计的均值和标准差所揭示的那样,变量表现出的行为是对称的。回归分析的结果证实了选定国家之间健康结果和医疗保健费用状况的特殊性。健康结果估计是医疗保健费用的重要驱动因素。因此,根据医疗保健价值中心(2018)的研究结果,建议采用最佳干预措施来解决技术不足和低效的系统性能,以实现高质量的健康结果
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CiteScore
1.20
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