Pswarayi Hakunawadi, Dankwah Emmanuel, Kaur Manpreet, Okon Imaeyen, Yaghoubi Mohsen, Qarmout Tamer, Steeves Megan, Farag Marwa
School of Public Health, University of Saskatchewan, Canada.
School of Public Administration and Development Economics, Doha Institute for Graduate Studies, Qatar.
Int J Health Plann Manage. 2018 Oct;33(4):1071-1081. doi: 10.1002/hpm.2582. Epub 2018 Aug 3.
Health expenditures on cardiovascular disease (CVD) account for a large proportion of health care expenditures of all the diseases in Canada, and hence there is a need to examine the responsiveness of CVD outcomes to health expenditures. The objective of this study was to examine the relationship between health care expenditures and CVD mortality, as a health care outcome at the provincial level in Canada.
A 10-year (2000-2009) panel dataset was constructed from multiple data sources for the purposes of this study. The dataset composed of age standardized CVD mortalities, health care expenditures, and covariates for the 10 Canadian provinces. We employed a fixed effects model based on the results of the Hausman test, with CVD mortalities as the dependent variable and health care expenditure and other covariates, as explanatory variables.
Health care expenditures were significantly (0.05) and negatively associated with CVD mortality, with a 1% increase in health care expenditures associated with a decrease of 6.31 per 1 000 000 people in CVD mortality.
In the Canadian context, increases in spending on health care were associated with improvements in CVD outcomes for the time period under investigation.
在加拿大，心血管疾病（CVD）的医疗支出在所有疾病的医疗保健支出中占很大比例，因此有必要研究CVD结果对医疗支出的反应性。本研究的目的是在加拿大省级层面上，研究医疗保健支出与作为医疗保健结果的CVD死亡率之间的关系。
为了本研究的目的，从多个数据源构建了一个10年（2000 - 2009年）的面板数据集。该数据集由加拿大10个省的年龄标准化CVD死亡率、医疗保健支出和协变量组成。基于豪斯曼检验的结果，我们采用固定效应模型，以CVD死亡率作为因变量，医疗保健支出和其他协变量作为解释变量。
医疗保健支出与CVD死亡率显著负相关（P < 0.05），医疗保健支出每增加1%，CVD死亡率每100万人中减少6.31人。
在加拿大的背景下，在所研究的时间段内，医疗保健支出的增加与CVD结果的改善相关。
