Comparative efficiency of national health systems

doi:10.1136/bmj.324.7328.48

BMJ 2002;324:48 ( 5 January )

Letters

Comparative efficiency of national health systems

Developed countries must pay attention to wider issues in helping developing countries

Methodological problems were understated

Author's reply

To improve health care system's performance, drink red wine

Developed countries must pay attention to wider issues in helping developing countries

The first 150 words of the full text of this article appear below.

EDITOR $---$ The contribution by Evans et al to the debate on the World Health Report 2000 deserves a comment on the wider issuesof the findings rather than just on their validity. ¹ ² Theoutstanding feature of the league table on performance is howwell most of the countries of the European Union have done andhow poorly the countries of sub-Saharan Africa have performedin comparison. This raises the question of whether we in the Westernworld should be exercising an even greater responsibility thanpreviously for the health of those living in poorer countries.³The key activities that must be included in the context of richerWestern nations helping poorer ones are thefollowing.

World leaders, especially of the G8, should review the globalisation of the world economies with a view to removing unpayabledebts, providing targeted economic aid directed towards sustainabledevelopment, making serious inroads into controlling . . . [Full text of this article]

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Relevant Article

Comparative efficiency of national health systems: cross national econometric analysis: David B Evans, Ajay Tandon, Christopher J L Murray, and Jeremy A Lauer
BMJ 2001 323: 307-310. [Abstract] [Full Text] [PDF]