efficiency should be assessed by considering the contribution of health inputs to the ultimate goal of improving the population s health status rather than the mere production of health services which in some cases might not be provided in an optimal way or may even have limited effect on health the analysis estimates that if finland reached the efficiency frontier the performance achieved by the most efficient oecd countries life expectancy could be more than years higher for the same level of spending figure panel b a scenario assuming a move towards the efficiency frontier over a ten year horizon suggests that health spending could be about points of gdp lower at the end of the period compared to a noreform scenario