Comparison of Healthcare Performance and its Determinants in European Countries Using the TOPSIS Approach

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Agata Sielska

Abstract

The paper provides a comparison of European countries with respect to their healthcare. Two dimensions were taken into account. The first set of criteria contains the resources provided by the healthcare sector to the inhabitants, such as the number of practising physicians and the number of hospital beds per one hundred thousand inhabitants, and the resources provided to the sector by financing entities, such as health care expenditures. The second dimension reflects the output sphere which results from the quality of healthcare system performance; this set of criteria includes life expectancy, the share of people with good or very good perceived health, and the infant mortality rate. Countries were ranked using the TOPSIS method. Results reveal that resources are crucial to the assessment.

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How to Cite
Sielska, A. . (2019). Comparison of Healthcare Performance and its Determinants in European Countries Using the TOPSIS Approach. Warsaw Forum of Economic Sociology, 10(20), 71–94. Retrieved from https://econjournals.sgh.waw.pl/wfes/article/view/3136
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References

Ardielli, E. (2016), Comparison of Multiple Criteria Decision Making Approaches: Evaluating eGovernment Development. Littera Scripta [online]. České Budějovice: The Institute of Technology and Business in České Budějovice, 9(2): 10–19, http://journals.vstecb.cz/wp-content/uploads/2017/02/Ardielli-pro-tisk-2.pdf, accessed: 2019.12.20
Asandului, L., Roman, M., Fatulescu, P. (2014), ‘The efficiency of healthcare systems in Europe: A Data Envelopment Analysis Approach’, Procedia Economics and Finance 10: 261–268, https://doi.org/10.1016/s2212-5671(14)00301-3
Baer-Nawrocka, A., Markiewicz, N. (2010), ‘Zróżnicowanie przestrzenne potencjału produkcyjnego rolnictwa w krajach Unii Europejskiej’, Roczniki Nauk Rolniczych, Seria G, 97(4): 9–15, http://sj.wne.sggw.pl/pdf/RNR_2010_n4_s9.pdf, accessed: 9.12.2019
Balcerzak, A.P., Pietrzak, M.P. (2016), ‘Application of TOPSIS Method for Analysis of Sustainable Development in European Union Countries’, in: T. Loster, T. Pavelka (eds.), The 10th International Days of Statistics and Economics. Conference Proceedings. September 8–10, 2016, Prague: Institute of Economic Research: 82–92, http://econpapers.repec.org/bookchap/pesecchap/19.htm, accessed: 9.12.2019
Dąbrowa, M. (2011), ‘Study in standard of living – methodology of structure of selected indicators’. The Małopolska School of Economics in Tarnów, Research Papers Collection1: 67–82, https://www.google.pl/url?sa=t&rct=j&q=&esrc=s& source=web&cd=3&cad=rja&uact=8&ved=2ahUKEwiKgJe8hL_mAhVx_SoKHepOC_kQFjACegQIBRAC&url=http%3A%2F%2Fyadda.icm.edu.pl%2Fyadda%2Felement%2Fbwmeta1.element.desklight-96b5b665-2e85-4d3b-bdb9-5f0a1be8db38%2Fc%2F67-82.pdf&usg=AOvVaw0N4TwZ1yLkJEIxGNVH2Sun, accessed: 11.12.2019
Dasgupta, P. (2000), Valuation and Evaluation: Measuring the Quality of Life and Evaluating Policy (Resources for the Future Discussion Paper 00–24), https://pdfs.semantic scholar.org/0c00/45ccaca901247a67b2536013d4bd695c9e41.pdf, accessed: 11.12.2019
Demirel, T., Tüzün, S. (2016), ‘Analyzing and Comparing the Districts of Istanbul Using TOPSIS’, International Journal of Arts & Sciences 09(01): 339–348, http://www.universitypublications.net/ijas/0901/pdf/DE5C492.pdf, accessed: 9.12.2019
Deng, H., Yeh, Ch.-S., Willis R.J. (2000), ‘Inter-company comparison using modified TOPSIS with objective weights’, Computers & Operations Research 27: 963–973, https://doi.org/10.1016/s0305-0548(99)00069-6
Diakoulaki, D., Mavrotas, G., Papayannakis, L. (1995), ‘Determining objective weights in multiple criteria problems: The CRITIC method’, Computers & Operations Research, 22(7): 763–770, https://doi.org/10.1016/0305-0548(94)00059-h
Dinçer, S.E. (2011), ‘Multi-criteria Analysis of Economic Activity for European Union Member States and Candidate Countries: TOPSIS and WSA Applications’, European Journal of Social Sciences 21(4): 563–572, http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.465.4762&rep=rep1&type=pdf, accessed: 9.12.2019
Ertman, A. (2011), ‘Zróżnicowanie elastyczności rynków pracy w wybranych krajach europejskich oraz USA w świetle metody TOPSIS’, Oeconomia Copernicana 2(3): 43–64, https://doi.org/10.12775/oec.2011.012
Eyüboğlu, K. (2016), ‘Comparison of Developing Countries’ Macro Performances with AHP and TOPSIS Methods’, Journal of The Faculty of Economics and Administrative Sciences 6(1): 131–146, https://dergipark.org.tr/en/download/article-file/382409, accessed: 9.12.2019
Gajdzik, B. (2015), ‘Próba implementacji metody DEA do oceny efektywności procesu restrukturyzacji sektora hutniczego w Polsce’, w: R. Knosala (red.), Innowacje
w zarządzaniu i inżynierii produkcji, T. 1, Opole: Oficyna Wydaw. Polskiego Towarzystwa Zarządzania Produkcją: 424–435
Girginer, N. (2013), ‘A Comparison of the Healthcare Indicators of Turkey and The European Union Members Countries Using Multidimensional Scaling Analysis and Cluster Analysis’, Iktisat Isletme ve Finans, Bilgesel Yayincilik 28(323): 55–72, https://doi.org/10.3848/iif.2013.323.3387
Glaize, A., Duenas, A., Di Martinelly, Ch., Fagnot, I. (2019), ‘Healthcare decision-making applications using multicriteria decision analysis: A scoping review’, Journal of Multi-Criteria Decision Analysis. Optimization, Learning and Decision Support 26(1–2): 62–83, https://doi.org/10.1002/mcda.1659
Grausová, M., Hužvár M., Štrangfeldová, J. (2014), ‘Healthcare systems efficiency in the Visegrád Group’, 17th AMSE, Applications of Mathematics in Economics. InternationalScientific Conference: Poland, 27–31 August, 2014. Conference Proceedings Full Text Papers: 104–113, https://doi.org/10.15611/amse.2014.17.11
Health care (n.d.), Retrieved from at http://www.numbeo.com/health-care/indices_explained.jsp (11.12.2019)
Hosseini, S.M., Bahadori, M., Raadabadi, M., Ravangard, R. (2019), ‘Ranking Hospitals Based on the Disasters Preparedness Using the TOPSIS Technique in Western Iran’, Hospital Topics 97(1): 23–31. DOI: 10.1080/00185868.2018.1556571
https://ec.europa.eu/eurostat, accessed: 3.12.2019
Hwang C.L., Yoon K. (1981), Multiple Attribute Decision Making: Methods and Applications. New York: Springer-Verlag
Kriksciuniene, D., Sakalauskas, V. (2017), ‘DEA Based Algorithm for EU Healthcare Efficiency Evaluation’, in: W. Abramowicz (ed.), Business Information Systems Workshops. BIS 2017. Lecture Notes in Business Information Processing, Vol. 303: 97–109, Cham: Springer
Kringos, D., Boerma, W., Bourgueil, Y., Cartier, T., Dedeu, T., Hasvold, T., Hutchinson, A., Lember, M., Oleszczyk, M., RotarPavlic, D., Svab, I., Tedeschi, P., Wilm, S., Wilson, A., Windak, A., Van der Zee, J., Groenewegen, P. (2013), ‘The strength of primary care in Europe: an international comparative study’, British Journal of General Practice, November 63 (616); e742-e750, https://doi.org/10.3399/bjgp13x674422
Kujawska, J. (2015), ‘Wydatki na opiekę zdrowotną a efekty zdrowotne – analiza porównawcza krajów europejskich metodą DEA’, Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu 412: 156–165, https://doi.org/10.15611/pn.2015.412.13
Kujawska, J. (2018), ‘Efficiency of healthcare systems in European countries – the DEA network approach’, Metody Ilościowe w Badaniach Ekonomicznych XIX (1): 60–70, https://doi.org/10.22630/mibe.2018.19.1.6
Kuszewski, T., Sielska, A. (2010), ‘Użyteczna sztuka rankingów ekonomiczno-społecznych’, Współczesna Ekonomia 1(13): 143–162, http://yadda.icm.edu.pl/yadda/element/bwmeta1.element.ekon-element-000171289207, accessed: 9.12.2019
Majka, A. (2015), ‘Przestrzenne zróżnicowanie poziomu życia ludności w Polsce w ujęciu dynamicznym’ , Wiadomości Statystyczne 5: 27–41, http://cejsh.icm.edu.pl/cejsh/element/bwmeta1.element.ekon-element-000171388639, accessed: 16.12.2019
Masca, M. (2017), ‘Economic performance evaluation of European Union countries by TOPSIS method’, North Economic Review 1: 83–94, https://pdfs. semanticscholar.org/efb6/35ef12fe22243d76e050a1d061e0e478b48b.pdf?_ga=2.74830162 .1758802572.1576485176-364601084.1576485176, accessed: 9.12.2019
Matel, A., Marcinkiewicz, J. (2017), ‘Analiza dostępności mieszkań w miastach wojewódzkich Polski z wykorzystaniem metody TOPSIS’, Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu 475: 170–182, doi:10.15611/pn.2017.475.15
Miszczyńska, K. (2013), ‘Multivariate analysis of healthcare systems in selected European Union countries. Cluster analysis’, Quantitative methods in economic XIV(2): 99–107, http://cejsh.icm.edu.pl/cejsh/element/bwmeta1.element.desklight -4dac21df-9540-47fc-bf1a-79c92c2c45d7, accessed: 16.12.2019
Murgante, B., Salmani, M., Molaei Qelichi, M., Hajilo, M. (2017), ‘A Multiple Criteria Decision-Making Approach to Evaluate the Sustainability Indicators in the Villagers’ Lives in Iran with Emphasis on Earthquake Hazard: A Case Study', Sustainability 9: 1491, https://doi.org/10.20944/preprints201703.0154.v2
Nixon, J. (2000), How does the UK NHS compare with European standards? A review of EU health care systems using hierarchical cluster analysis (The University of York discussion paper no 182), https://cirano.qc.ca/icirano/public/pdf/webevents201103_british_york_1.pdf, accessed: 10.12.2019
Önen, Z., Sayın, S. (2018), ‘Evaluating Healthcare System Efficiency of OECD Countries: A DEA-Based Study’, in: C. Kahraman, Y. Topcu (eds.), Operations Research Applications in Health Care Management. International Series in Operations Research & Management Science 262: 141–158, https://doi.org/10.1007/978-3-319-65455-3_6
Panagiota Digkoglou, P., Papathanasiou, J. (2018), ‘Ranking the EU countries according to the environmental performance index using PROMETHEE’, International Journal of Sustainable Agricultural Management and Informatics 4(3–4): 290–305, https://doi.org/10.1504/ijsami.2018.10020709
Pelone, F., de Belvis, A.G., Volpe, M., Ricciardi, W., (2008), ‘Is there a relationship between health care models and their performance assessment? The results of an extensive review’, Italian Journal of Public Health 5(2): 102–106, https://pdfs.semanticscholar.org/db83/2e26f911627e57d26746d6bf2717ce766cc3.pdf, accessed: 10.12.2019
Pezer, M. (2018), ‘Maternity support policies: a cluster analysis of 22 European Union countries’, in: Proceedings of the ISCCRO – International Statistical Conference in Croatia ISCCRO’18, 10–11 May 2018, Opatija, Croatia, https://www.google.pl/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=2ahUKEwjwxd-D3bnmAhWSrIsKHWLcCHsQFjAAegQIARAJ&url=https%3A%2F%2Fwww.bib.irb.hr%2F937900%2Fdownload%2F937900.Pezer_M._-_ISCCRO_18.pdf&usg=AOvVaw2qmDTDq_53P8MUJegTs7kZ, accessed: 16.12.2019
Przybyła, K. (2015), ‘Poziom życia w wybranych miastach województwa śląskiego’, Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu 391: 183–192, https://doi.org/ 10.15611/pn.2015.391.19
Rađenović, Ž., Veselinović, I. (2017), ‘Integrated AHP-TOPSIS Method for the Assessment of Health Management Information Systems Efficiency’, Economic Themes 55(1): 121–142, https://doi.org/10.1515/ethemes-2017-0008
Rao, R.V. (2013), ‘A Novel Subjective and Objective Integrated Multiple Attribute Decision Making Method’, in: R.V. Rao, Decision Making in Manufacturing Environment Using Graph Theory and Fuzzy Multiple Attribute Decision Making Methods. Springer Series in Advanced Manufacturing, London: Springer: 137–157, https://doi.org/10.1007/978-1-4471-4375-8_4
Roszkowska, E. (2011), ‘Multi-criteria decision making models by applying the TOPSIS method to crisp and interval data’, in: T. Trzaskalik, T. Wachowicz (eds.), Multiple Criteria Decision Making, Vol. 6, Katowice: The University of Economics: 200–230, http://yadda.icm.edu.pl/yadda/element/bwmeta1.element.ekon-element-000171231687, accessed: 9.12.2019
Roszkowska, E. (2013), ‘Rank ordering criteria weighting methods – a comparative overview’, Optimum. Studia Ekonomiczne 5(65): 14–33, https://doi.org/10.15290/ose.2013.05.65.02
Roszkowska, E., Karwowska, R. (2014), ‘Analiza porównawcza województw Polski ze względu na poziom zrównoważonego rozwoju w roku 2010’, Prace Naukowe Uniwersytetu Ekonomicznego we Wrocławiu. Taksonomia 23(328): 30–40, https://www.dbc.wroc.pl/publication/27850, accessed: 16.12.2019
Roszkowska, E., Filipowicz-Chomko, M. (2019), ‘Measuring sustainable development in the education area using multi-criteria methods: a case study’, Central European Journal of Operations Research: 1–23, https://doi.org/10.1007/s10100-019-00641-0
Roznerski, M., Brudniak, G., Szymanowski, W. (2019), ‘Analiza rozbieżności przestrzennych województw Polski w obszarze systemu bodźców gospodarczych i instytucjonalnych (2009–2016)’, Roczniki Kolegium Analiz Ekonomicznych, Szkoła Główna Handlowa w Warszawie, nr 54: 211–220, http://rocznikikae.sgh.waw.pl/p/roczniki_kae_z54_16.pdf, accessed: 9.12.2019
Sahin, A., Yapici Pehlivan, N. (2017), ‘Evaluation of life quality by integrated method of AHP and TOPSIS based on interval type-2 fuzzy sets’, Hacettepe Journal of Mathematics and Statistics 46(3): 511–523, https://doi.org/10.15672/hjms.2017.420
Sheykholeslami, S.J.S., Rahmani, S., Asghar Yousefi, A. (2015), ‘Assessment of the access of the cities of Alborz province to healthcare infrastructure using TOPSIS and MORIS models’, Management Issues in Healthcare System 1: 38–48, https://doi.org/10.33844/mihs.2015.60347
Sielska, A. (2010), ‘O pewnej propozycji zastosowania rankingów wielokryterialnych w analizie portfelowej’, Prace Naukowe, Akademia Ekonomiczna w Katowicach, Modelowanie preferencji a ryzyko ‘09: 85–99
Slottje, D.J. (1991), ‘Measuring the Quality of Life Across Countries’, The Review of Economics and Statistics 73(4): 684–693, https://doi.org/10.2307/2109407
Stecyk, A. (2019), ‘The AHP-TOPSIS Model in the Analysis of the Counties Sustainable Development in the West Pomeranian Province in 2010 and 2017’, Journal of Ecological Engineering 20(7): 233–244, https://doi.org/10.12911/22998993/109870
van Zanden, J., et al. (eds.) (2014), How Was Life?: Global Well-being since 1820, Paris: OECD Publishing
Walczak, R., Piekut, M., Kludacz-Alessandri, M., Sloka, B., Šimanskiene, L., Paas, T. (2018), ‘Health care spending structures in Poland, Latvia, Lithuania and Estonia over the years as compared to other EU countries’, Foundations of Management 10: 45–58, https://doi.org/10.2478/fman-2018-0005
Wang, Y.-M., Luo, Y. (2010), ‘Integration of correlations with standard deviations for determining attribute weights in multiple attribute decision making’, Mathematical and Computer Modelling 51: 1–12, https://doi.org/10.1016/j.mcm.2009.07.016
Xu, X. (2004), ‘A note on the subjective and objective integrated approach to determine attribute weights’, European Journal of Operational Research 156: 530–532, https://doi.org/10.1016/s0377-2217(03)00146-2
Yilmaz Işikhan, S., Güleç, D. (2018), ‘The Clustering of World Countries Regarding Causes of Death and Health Risk Factors’, Iranian Journal of Public Health 47(10): 1520–1528, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277727/pdf/IJPH-47-1520.pdf, accessed: 10.12.2019
Zhang, B., Shmelev, S.E. (2019), ‘Multidimensional sustainability assessment for the cities of the Global South: the PROMETHEE approach’, in: S.E. Shmelev (ed.), Sustainable Cities Reimagined: Multidimensional Assessment and Smart Solutions, Routledge: 115–172
Žmuk, B. (2015), ‘Quality of life indicators in selected European countries: Statistical Hierarchical cluster analysis approach’, Croatian Review of Economic, Business and Social Statistics (CREBSS) 1(1–2): 42–54, https://doi.org/10.1515/crebss-2016-0004.