Aísa Rosa, Clemente Jesús, Pueyo Fernando
Departamento de Análisis Económico, Universidad de Zaragoza, Gran Vía 2, 50005, Saragossa, Spain.
Int J Public Health. 2014 Oct;59(5):867-75. doi: 10.1007/s00038-014-0574-6. Epub 2014 Jul 2.
We report new evidence on the contribution of health expenditure to increasing life expectancy in OECD countries, differentiating the effects of public and private health expenditures.
A theoretical model is presented and estimated though a cross-country fixed effects multiple regression analysis for a sample of OECD countries over the period 1980-2000.
Although the effect of aggregate health expenditure is not conclusive, public health expenditure plays a significant role in enhancing longevity. However, its influence diminishes as the size of the public health sector on GDP expands, reaching a maximum around the 8 %.
With the influence of public health expenditure being positive, the ambiguous effect of the aggregate expenditure suggests that the weight of public and private health sectors matters, the second having a lower impact on longevity. This might explain the poor evolution of the life expectancy in countries with a high amount of private resources devoted to health. In such cases, an extension of public services could give rise to a better outcome from the overall health investment.
我们报告了有关经合组织国家卫生支出对预期寿命增长贡献的新证据，区分了公共和私人卫生支出的影响。
通过对1980 - 2000年期间经合组织国家样本进行跨国固定效应多元回归分析，提出并估计了一个理论模型。
尽管总体卫生支出的影响尚无定论，但公共卫生支出在延长寿命方面发挥了重要作用。然而，随着公共卫生部门在国内生产总值中所占比例的扩大，其影响会减弱，在约8%时达到最大值。
由于公共卫生支出的影响是积极的，总体支出的模糊影响表明公共和私人卫生部门的权重很重要，后者对预期寿命的影响较小。这可能解释了在将大量私人资源用于卫生的国家中预期寿命增长不佳的情况。在这种情况下，扩大公共服务可能会使整体卫生投资产生更好的结果。
