Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns i...Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns in India and forecasted future trends and patterns until 2035.Methods Data on health expenditure in India from 2000 to 2019 was collected from the Organisation for Economic Co-operation and Development(OECD)iLibrary and National Health Accounts 2019 databases.Gross domestic product(GDP)data from the World Bank was also utilized.Descriptive statistics analyzed the composition and pattern,while the exponential smoothing model forecasted future health expenditures.Results The findings revealed that expenditure made by OOP is the primary health financing source,followed by government and pre-paid private spending.The percentage of GDP allocated to total health expenditure remains stable,while the per capita health expenditure fluctuates.Variations in expenditure among states are observed,with Karnataka relying heavily on pre-paid private coverage.Future projections suggest a decline in per capita and total health expenditure as a share of GDP,with a slight increase in the government’s share.Pre-paid private expenditure per capita and OOP health expenditure as a share of the total is projected to remain relatively constant but still high in absolute terms.Conclusion The study highlights variations in health spending in India,characterized by high OOP spending,limited public coverage,and a need for investments,and reforms to improve healthcare access and equity.展开更多
ackground:The gradual ageing of the population,and its effect on public spending,constitutes an urgent challenge for advanced economies.Through this study,we analyse the effect of older people,and their health and ind...ackground:The gradual ageing of the population,and its effect on public spending,constitutes an urgent challenge for advanced economies.Through this study,we analyse the effect of older people,and their health and individual characteristics,on public health spending.Methods:Using logistic regression methods,we have analysed the use of different health services and health technologies by older people in Spain,controlled for several health,socioeconomic,and other individual factors.Results:The main factors that explain the consumption of both health services and health technology,above age,are related to the so-called need factors:self-reported health status,presence of chronic diseases,and disability.Conclusion:Knowing the main factors that imply greater public health spending is a topic of special interest for designing efficient health policies,in a context of growth in public health spending.In this way,preventive attention on the so-called need factors may be an important driver to improve the effectiveness of spending.展开更多
As an aspect of human capital,a positive association exists amongst health,productivity,and growth in output per capita.On the other hand,social infrastructure defined by the institution of governance has a direct eff...As an aspect of human capital,a positive association exists amongst health,productivity,and growth in output per capita.On the other hand,social infrastructure defined by the institution of governance has a direct effect on the environment upon which productive activities take place to determine outcomes.Nigeria like most African countries is bedevilled by the high prevalence of inadequate health financing and poor governance.Health financing for Nigeria consistently has fallen short of the AU health funding commitment of 15%of annual budgetary allocation to the health sector.Secondly,poor governance conditions available resources and shape the state of infrastructure,particularly health infrastructure and socioeconomic conditions.In turn,this determines individuals’level of exposure to health risks and their capacity to actively contribute to productive activity for growth stimulation and sustainability.Against this backdrop,this study added to the existing literature in the context of Nigeria,by theoretically applying the Solow augmented Mankiw-Romer-Weil structural model in the examination of the impact of government size and governance quality in the health sector,on economic growth.Autoregressive Distributed Lag(ARDL)model was adopted in the estimation.Findings show that governance quality adversely affects growth and this reduces the capacity of health spending to stimulate growth by an almost equal margin.As a result,this study recommends legislative backing to the AU health funding commitment in Nigeria.展开更多
Does pollution drive up public spending on health care?This paper aims to answer such a crucial question empirically using a panel data set of 31 Chinese provinces during the period 1997–2014.In particular,this paper...Does pollution drive up public spending on health care?This paper aims to answer such a crucial question empirically using a panel data set of 31 Chinese provinces during the period 1997–2014.In particular,this paper explores the non-stationarity and cointegration properties between health care expenditure and environmental indicators in a panel cointegration framework;in doing so,it examines both the long-run and the short-run impacts of the per capita provincial GDP,waste gas emissions,dust and smog emissions,and waste water emissions on the per capita public health expenditure.We apply panel unit root tests,heterogeneous panel cointegration tests,FMOLS techniques,and a panel-based error-correction model.The conclusion is that,both in the long run and in the short run,public health care expenditure is positively affected not only by the provincial economy but also by the environmental quality.展开更多
Background:Since the declaration of the Millennium Development Goals(MDGs)in 1990,many countries of the Middle East and North Africa(MENA)region made some improvements in maternal and child health and in tackling comm...Background:Since the declaration of the Millennium Development Goals(MDGs)in 1990,many countries of the Middle East and North Africa(MENA)region made some improvements in maternal and child health and in tackling communicable diseases.The transition to the global agenda of Sustainable Development Goals brings new opportunities for countries to move forward toward achieving progress for better health,well-being,and universal health coverage.This study provides a profile of health status and health financing approaches in the MENA region and their implications on universal health coverage.Methods:Time-series data on socioeconomics,health expenditures,and health outcomes were extracted from databases and reports of the World Health Organization,the World Bank and the United Nations Development Program and analyzed using Stata 12 statistical software.Countries were grouped according to the World Bank income categories.Descriptive statistics,tables and charts were used to analyze temporal changes and compare the key variables with global averages.Results:Non-communicable diseases(NCDs)and injuries account for more than three quarters of the disabilityadjusted life years in all but two lower middle-income countries(Sudan and Yemen).Prevalence of risk factors(raised blood glucose,raised blood pressure,obesity and smoking)is higher than global averages and counterparts by income group.Total health expenditure(THE)per capita in most of the countries falls short of global averages for countries under similar income category.Furthermore,growth rate of THE per capita has not kept pace with the growth rate of GDP per capita.Out-of-pocket spending(OOPS)in all but the high-income countries in the group exceeds the threshold for catastrophic spending implying that there is a high risk of households getting poorer as a result of paying for health care.Conclusion:The alarmingly high prevalence of NCDs and injuries and associated risk factors,health spending falling short of the GDP and GDP growth rate,and high OOPS pose serious challenges for universal health coverage.Using multi-sector interventions,countries should develop and implement evidence-informed health system financing roadmaps to address these obstacles and move forward toward universal health coverage.展开更多
文摘Objectives Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket(OOP)expenses.The current study analyzed health expenditure patterns in India and forecasted future trends and patterns until 2035.Methods Data on health expenditure in India from 2000 to 2019 was collected from the Organisation for Economic Co-operation and Development(OECD)iLibrary and National Health Accounts 2019 databases.Gross domestic product(GDP)data from the World Bank was also utilized.Descriptive statistics analyzed the composition and pattern,while the exponential smoothing model forecasted future health expenditures.Results The findings revealed that expenditure made by OOP is the primary health financing source,followed by government and pre-paid private spending.The percentage of GDP allocated to total health expenditure remains stable,while the per capita health expenditure fluctuates.Variations in expenditure among states are observed,with Karnataka relying heavily on pre-paid private coverage.Future projections suggest a decline in per capita and total health expenditure as a share of GDP,with a slight increase in the government’s share.Pre-paid private expenditure per capita and OOP health expenditure as a share of the total is projected to remain relatively constant but still high in absolute terms.Conclusion The study highlights variations in health spending in India,characterized by high OOP spending,limited public coverage,and a need for investments,and reforms to improve healthcare access and equity.
文摘ackground:The gradual ageing of the population,and its effect on public spending,constitutes an urgent challenge for advanced economies.Through this study,we analyse the effect of older people,and their health and individual characteristics,on public health spending.Methods:Using logistic regression methods,we have analysed the use of different health services and health technologies by older people in Spain,controlled for several health,socioeconomic,and other individual factors.Results:The main factors that explain the consumption of both health services and health technology,above age,are related to the so-called need factors:self-reported health status,presence of chronic diseases,and disability.Conclusion:Knowing the main factors that imply greater public health spending is a topic of special interest for designing efficient health policies,in a context of growth in public health spending.In this way,preventive attention on the so-called need factors may be an important driver to improve the effectiveness of spending.
文摘As an aspect of human capital,a positive association exists amongst health,productivity,and growth in output per capita.On the other hand,social infrastructure defined by the institution of governance has a direct effect on the environment upon which productive activities take place to determine outcomes.Nigeria like most African countries is bedevilled by the high prevalence of inadequate health financing and poor governance.Health financing for Nigeria consistently has fallen short of the AU health funding commitment of 15%of annual budgetary allocation to the health sector.Secondly,poor governance conditions available resources and shape the state of infrastructure,particularly health infrastructure and socioeconomic conditions.In turn,this determines individuals’level of exposure to health risks and their capacity to actively contribute to productive activity for growth stimulation and sustainability.Against this backdrop,this study added to the existing literature in the context of Nigeria,by theoretically applying the Solow augmented Mankiw-Romer-Weil structural model in the examination of the impact of government size and governance quality in the health sector,on economic growth.Autoregressive Distributed Lag(ARDL)model was adopted in the estimation.Findings show that governance quality adversely affects growth and this reduces the capacity of health spending to stimulate growth by an almost equal margin.As a result,this study recommends legislative backing to the AU health funding commitment in Nigeria.
基金supported by the Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China[grant number.13XNJ017]Institute of China's Economic Reform&Development at Renmin University of China as the Key Research Base of Humanities and Social Sciences of Ministry of Education:Social Security System in China[grant number 14JJD790033].
文摘Does pollution drive up public spending on health care?This paper aims to answer such a crucial question empirically using a panel data set of 31 Chinese provinces during the period 1997–2014.In particular,this paper explores the non-stationarity and cointegration properties between health care expenditure and environmental indicators in a panel cointegration framework;in doing so,it examines both the long-run and the short-run impacts of the per capita provincial GDP,waste gas emissions,dust and smog emissions,and waste water emissions on the per capita public health expenditure.We apply panel unit root tests,heterogeneous panel cointegration tests,FMOLS techniques,and a panel-based error-correction model.The conclusion is that,both in the long run and in the short run,public health care expenditure is positively affected not only by the provincial economy but also by the environmental quality.
文摘Background:Since the declaration of the Millennium Development Goals(MDGs)in 1990,many countries of the Middle East and North Africa(MENA)region made some improvements in maternal and child health and in tackling communicable diseases.The transition to the global agenda of Sustainable Development Goals brings new opportunities for countries to move forward toward achieving progress for better health,well-being,and universal health coverage.This study provides a profile of health status and health financing approaches in the MENA region and their implications on universal health coverage.Methods:Time-series data on socioeconomics,health expenditures,and health outcomes were extracted from databases and reports of the World Health Organization,the World Bank and the United Nations Development Program and analyzed using Stata 12 statistical software.Countries were grouped according to the World Bank income categories.Descriptive statistics,tables and charts were used to analyze temporal changes and compare the key variables with global averages.Results:Non-communicable diseases(NCDs)and injuries account for more than three quarters of the disabilityadjusted life years in all but two lower middle-income countries(Sudan and Yemen).Prevalence of risk factors(raised blood glucose,raised blood pressure,obesity and smoking)is higher than global averages and counterparts by income group.Total health expenditure(THE)per capita in most of the countries falls short of global averages for countries under similar income category.Furthermore,growth rate of THE per capita has not kept pace with the growth rate of GDP per capita.Out-of-pocket spending(OOPS)in all but the high-income countries in the group exceeds the threshold for catastrophic spending implying that there is a high risk of households getting poorer as a result of paying for health care.Conclusion:The alarmingly high prevalence of NCDs and injuries and associated risk factors,health spending falling short of the GDP and GDP growth rate,and high OOPS pose serious challenges for universal health coverage.Using multi-sector interventions,countries should develop and implement evidence-informed health system financing roadmaps to address these obstacles and move forward toward universal health coverage.
