Publicação
Do national cancer plans improve the efficiency of cancer spending?
| Resumo: | National Cancer Control Plans are central to organising cancer care, yet evidence on their economic impact remains scarce. This study investigates whether upgrading a plan improves cancer mortality or spending efficiency across fifteen European countries (2000–2024). Using a staggered difference-in-differences framework, results reveal that while robust plans don’t generate immediate efficiency gains, they act as convergence mechanisms. In high-mortality, low-spending systems, robust governance is associated with significant efficiency improvements, whereas developed systems see diminishing returns. Portugal confirms this trajectory, suggesting that the value of recent reforms lies in consolidating institutional capacity rather than generating immediate structural breaks in efficiency. |
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| Autores principais: | Costa, Inês Isabel Nunes da |
| Assunto: | Cancer Cancer mortality Efficiency Health spending Health policy National cancer control plans |
| Ano: | 2026 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| Resumo: | National Cancer Control Plans are central to organising cancer care, yet evidence on their economic impact remains scarce. This study investigates whether upgrading a plan improves cancer mortality or spending efficiency across fifteen European countries (2000–2024). Using a staggered difference-in-differences framework, results reveal that while robust plans don’t generate immediate efficiency gains, they act as convergence mechanisms. In high-mortality, low-spending systems, robust governance is associated with significant efficiency improvements, whereas developed systems see diminishing returns. Portugal confirms this trajectory, suggesting that the value of recent reforms lies in consolidating institutional capacity rather than generating immediate structural breaks in efficiency. |
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