Department of Immunology and Infectious Diseases, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.
Health Econ. 2010 Nov;19(11):1361-76. doi: 10.1002/hec.1557.
This study uses the second National Family Health Survey of India to estimate the effect of state-level public health spending on mortality across all age groups, controlling for individual, household, and state-level covariates. We use a state's gross fiscal deficit as an instrument for its health spending. Our study shows a 10% increase in public spending on health in India decreases the average probability of death by about 2%, with effects mainly on the young, the elderly, and women. Other major factors affecting mortality are rural residence, household poverty, and access to toilet facilities.
本研究利用印度第二次国家家庭健康调查的数据,估计了各州公共卫生支出对各年龄段死亡率的影响,同时控制了个人、家庭和州级协变量。我们使用一个州的总财政赤字作为其卫生支出的工具变量。我们的研究表明,印度公共卫生支出增加 10%,平均死亡概率就会降低约 2%,这主要影响年轻人、老年人和女性。影响死亡率的其他主要因素包括农村居住、家庭贫困和获得厕所设施的机会。