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Prediction of Life Expectancy at Birth in Europe: A Comparison of Univariate and Multivariate Time Series Forecasting
Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.ORCID iD: 0000-0003-4620-7472
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background The rising life expectancy at birth marks a significant victory for modern medicine and public health initiatives. Advances in medical technology, improved healthcare services, enhanced nutrition, and greater awareness of health and wellness have all contributed to prolonging the average human lifespan. In recent decades, many countries, particularly in Europe, have seen life expectancy at birth surpass previous historical limits. This increase significantly affects public health, economics, and social structures. As populations age, the demand for healthcare services, long-term care, and pensions increases, adding strain on both public and private sectors. These shifts necessitate modifications in social services, healthcare delivery, and pension plans to accommodate an older demographic. Therefore, accurate forecasts of life expectancy at birth are crucial for governments and organizations to make well-informed decisions and effectively plan for future demographic changes. Forecasting life expectancy at birth has become central to demographic research due to its pivotal role in planning and policy formulation.

Methods Numerous studies have introduced various methods and techniques to predict future life expectancy, utilizing a broad array of statistical tools and models. These methods range from simple linear projections based on historical data to complex models that incorporate multiple variables and sophisticated statistical techniques. Despite the availability of numerous forecasting methods, there is a notable gap in the literature concerning systematic evaluations of these techniques, as most studies focus on creating new forecasting methods or refining existing models to increase predictive accuracy. This study addresses this gap by examining the performance of two principal econometric models, namely the Autoregressive Integrated Moving Average (ARIMA) and the Vector Error Correction (VEC) model, in predicting future life expectancy at birth in Europe. These models represent different approaches to time series forecasting, each with distinct assumptions and capabilities. This research used Root Mean Square Error (RMSE), Mean Absolute Error (MAE), and the Diebold-Mariano (DM) tests to compare the forecast accuracy of the two models.

Results The results from RMSE and MAE showed that the ARIMA model better predicted future life expectancy at birth for half of the European countries in this study, while the VEC model was more accurate for the other half. The DM test indicated statistically significant differences in forecast accuracy between the ARIMA and VEC models in some European countries.

Conclusions This study aimed to determine which model delivers the most accurate and reliable predictions by comparing these models in predicting future life expectancy at birth across several European countries. Such insights are crucial for policymakers, planners, and researchers developing health systems and social policies tailored to an aging European population.

Keywords [en]
life expectancy at birth, ARIMA, VECM, forecasting accuracy, Diebold-Mariano test
National Category
Computational Mathematics
Research subject
Industrial Economics a nd Managemen
Identifiers
URN: urn:nbn:se:bth-26121OAI: oai:DiVA.org:bth-26121DiVA, id: diva2:1852613
Available from: 2024-04-18 Created: 2024-04-18 Last updated: 2024-04-25Bibliographically approved
In thesis
1. Enhancing the Performance and Efficiency of Healthcare Systems Using Industrial Economic Principles and Statistical Techniques
Open this publication in new window or tab >>Enhancing the Performance and Efficiency of Healthcare Systems Using Industrial Economic Principles and Statistical Techniques
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Optimizing healthcare systems has become more crucial in recent years due to escalating healthcare demands and economic constraints. This dissertation employed industrial economic principles and advanced statistical methods to analyze the performance and efficiency of healthcare systems in Europe. The study provided a detailed analysis of how healthcare systems can enhance service delivery and maintain cost-effectiveness by integrating industrial economic theories with empirical data. The dissertation was organized into a series of analyses, each focusing on different aspects of healthcare system performance, resource allocation, operational efficiency, and forecasting future health demands, as well as evaluating the accuracy of these forecasting models. Statistical techniques such as time series and multilevel regression analyses were used to examine the interplay between healthcare resources, healthcare systems, and health outcomes across European nations. The two main healthcare models in Europe, the Beveridge and Bismarck models, were compared in terms of performance, efficiency, and resource allocation. The main findings revealed that effective resource allocation and efficient management practices can significantly enhance the performance of healthcare systems. The study indicated that a healthcare system's efficiency depends on its ability to adjust resource allocation to changes in demographic and economic conditions. Additionally, this dissertation forecasted future demands for healthcare services, social security benefits, and pensions by incorporating macro-level determinants such as economic growth, unemployment rates, and population density into the forecasting models. The accuracy of these models provided valuable insights for policymakers to effectively plan for future healthcare, social security, and pension needs. Moreover, this dissertation employed an economic evaluation to compare the cost-effectiveness of Beveridge-type and Bismarck-type healthcare systems over the past twenty years. An effectiveness ratio was applied to measure the relationship between inputs (medical spending) and outputs (health outcomes). These effectiveness ratios demonstrated which healthcare system yields better health outcomes for each dollar spent. Furthermore, the findings indicated that the efficiency of healthcare systems varies from country to country, highlighting the challenges of adopting a universal approach to healthcare policy. This dissertation contributes to the academic field by demonstrating how industrial economic principles can be applied to improve the performance and efficiency of healthcare systems. It offered a framework for evaluating healthcare performance and efficiency, which can inform future reforms to achieve sustainable, high-quality healthcare services. This study promotes a dynamic approach to healthcare planning that adapts to technological advancements and demographic changes to enhance population health. 

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2024. p. 370
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 10
Keywords
Healthcare system efficiency, industrial economics, performance measurement, healthcare resource allocation, healthcare model comparison, forecasting healthcare demand
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Industrial Economics a nd Managemen
Identifiers
urn:nbn:se:bth-26122 (URN)978-91-7295-483-0 (ISBN)
Public defence
2024-06-13, J1630, Blekinge Institute of Technology, 371 79 Karlskrona, Karlskrona, 13:00 (English)
Opponent
Supervisors
Available from: 2024-04-19 Created: 2024-04-18 Last updated: 2024-05-23Bibliographically approved

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