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更多的医疗支出,能带来更好的经济表现?来自经合组织国家的实证证据。

More Health Expenditure, Better Economic Performance? Empirical Evidence From OECD Countries.

作者信息

Wang Fuhmei

机构信息

National Cheng Kung University, Tainan, Taiwan

出版信息

Inquiry. 2015 Aug 25;52. doi: 10.1177/0046958015602666. Print 2015.

Abstract

Recent economic downturns have led many countries to reduce health spending dramatically, with the World Health Organization raising concerns over the effects of this, in particular among the poor and vulnerable. With the provision of appropriate health care, the population of a country could have better health, thus strengthening the nation's human capital, which could contribute to economic growth through improved productivity. How much should countries spend on health care? This study aims to estimate the optimal health care expenditure in a growing economy. Applying the experiences of countries from the Organization for Economic Co-Operation and Development (OECD) over the period 1990 to 2009, this research introduces the method of system generalized method of moments (GMM) to derive the design of the estimators of the focal variables. Empirical evidence indicates that when the ratio of health spending to gross domestic product (GDP) is less than the optimal level of 7.55%, increases in health spending effectively lead to better economic performance. Above this, more spending does not equate to better care. The real level of health spending in OECD countries is 5.48% of GDP, with a 1.87% economic growth rate. The question which is posed by this study is a pertinent one, especially in the current context of financially constrained health systems around the world. The analytical results of this work will allow policymakers to better allocate scarce resources to achieve their macroeconomic goals.

摘要

近期的经济衰退致使许多国家大幅削减医疗支出,世界卫生组织对此产生的影响表示担忧,尤其是对穷人和弱势群体的影响。通过提供适当的医疗保健,一个国家的人口健康状况能够得到改善,从而增强该国的人力资本,这可以通过提高生产力来促进经济增长。各国应在医疗保健上投入多少资金?本研究旨在估计经济增长过程中的最优医疗支出。本研究运用经济合作与发展组织(经合组织)国家在1990年至2009年期间的经验,引入系统广义矩估计法(GMM)来推导核心变量估计量的设计。实证证据表明,当医疗支出占国内生产总值(GDP)的比例低于7.55%的最优水平时,医疗支出的增加有效地带来了更好的经济表现。超过这一水平,更多的支出并不等同于更好的医疗服务。经合组织国家医疗支出的实际水平为GDP的5.48%,经济增长率为1.87%。本研究提出的问题是一个相关问题,特别是在当前全球医疗体系面临资金限制的背景下。这项工作的分析结果将使政策制定者能够更好地分配稀缺资源以实现其宏观经济目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c9d/5813635/c55c4df6ca75/10.1177_0046958015602666-fig1.jpg

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