Gupta Sanjeev, Verhoeven Marijn, Tiongson Erwin R
Fiscal Affairs Department, International Monetary Fund, Washington, DC 20431, USA.
Health Econ. 2003 Aug;12(8):685-96. doi: 10.1002/hec.759.
This paper uses new cross-country data to assess the relationship between public spending on health care and the health status of the poor. Data are drawn from two sources: (i) existing data on health status by income quintile tabulated from demographic health surveys in 44 countries; and (ii) our estimates of the health status of the poor in over 70 countries drawn from a new technique in decomposing social indicators. Our estimates confirm that the poor have significantly worse health status than the nonpoor and the regression results provide new evidence that public spending on health care matters more to them. However, the results suggest that increased public spending alone will not be sufficient to significantly improve health status.
本文利用新的跨国数据来评估医疗保健公共支出与穷人健康状况之间的关系。数据来自两个来源：（i）44个国家人口健康调查所列出的按收入五分位数划分的现有健康状况数据；（ii）我们通过一种分解社会指标的新技术对70多个国家穷人健康状况的估计。我们的估计证实，穷人的健康状况明显比非穷人差，回归结果提供了新的证据，表明医疗保健公共支出对他们更为重要。然而，结果表明，仅增加公共支出不足以显著改善健康状况。
