Abstract
National healthcare delivery systems and social determinants of a population coexist within the confines of capitalism. But not all capitalist economies behave the same way and national economies engage in coordination or liberal competition differently. COVID-19 for example demonstrated that nations with Coordinated Market Economies (CME) fared better in both economic (national GDP and labor productivity measures) and health outcomes (case positivity rates and deaths) than Liberal Market Economies (LMEs). The distinguishing trait of the CME is the degree to which protection is afforded to the individual via social policy and normative values. Therefore social and welfare markets are more prevalent within CMEs. The current practice of evaluating differences in healthcare costs across nations utilizes the GINI coefficient and market income. This research creates a Coordination Index across values of economic equality, education, political institutions, market concentration and employment stability. This new approach evaluates whether the OECD nations based on their level of coordination (i.e. CME vs. LME traits) produce significant differences via cost, care quality, and system performance by using the Coordination Index to assess cost on a total per capita expenditures basis; quality through life expectancy of the total population, and system performance via avoidable mortality. A conceptual framework was first designed to explain the synergies across existing frameworks through comprehensive literature review. Finally, the model and hypothesis are tested empirically using average measures of multidimensional datasets identified in literature review. Linear regression analyses to examine the association between Coordination Index and cost, quality, and system performance.
Details
Presentation Type
Paper Presentation in a Themed Session
Theme
Economic and Demographic Perspectives on Aging
KEYWORDS
ECONOMICS, UNIVERSAL HEALTH, POLITICS, INSTITUTIONS, VALUES
