Document Type : Research Article


1 University of Sousse, Tunisia

2 Faculty of Economic Sciences and Management of Sousse, Tunisia

3 Riadh City, 4023 Sousse, Tunisia


We investigate the differences of efficiency in health system  between Tunisian governorates over  the period 2010-2015 and examine how   socioeconomic factors influence the regional distribution of the efficiency scores. The parametric stochastic frontier approach with fixed effects is employed to cacultate Tunisian governorate-level health efficiency scores. Spatial analysis tools  are  used to determine the spatial pattern of the efficiency scores  and spatial econometric model are used to examinetheimpact of the socioeconomic and demographic factors on health efficiency. Our results show that education  affects positively the efficiency  of health system not only in region itself but also its neighbouring regions .However,  the effects of unemployement are negative.


Main Subjects

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