预防和治疗保健在经济发展中的作用。
The roles of preventive and curative health care in economic development.
机构信息
Department of Economics and Department of Public Health, National Cheng Kung University, Tainan, Taiwan.
出版信息
PLoS One. 2018 Nov 7;13(11):e0206808. doi: 10.1371/journal.pone.0206808. eCollection 2018.
INTRODUCTION
Both the preventive and curative healthcare provisions accumulate agents' health stock and stimulate economies' productivities. However, with limited medical resources, increases in preventive health expenditure crowd out curative expenditure, and vice versa, which in turn impairs the population's health and deters economic growth. This research aims to provide a empirically rigorous test on the hypothesis that optimally allocating health expenditure between prevention and cures stimulates economic growth within different countries, especially developed countries, and investigates whether health services are luxury goods on the path of economic development.
METHODS
Based on OECD country experiences, this present study uses the system generalized method of moments (GMM) estimation method to examine the roles of preventive and curative healthcare services over the path of economic development and proves that preventive and curative health spending have non-linear effects on economic performance.
RESULTS
For growth maximization, the optimal share of preventive health expenditure to GDP is 0.44% with per capita GDP at US$40,465; the real share is 0.25% with per capita GDP at US$35,230. The optimal share of curative health expenditure to GDP is 10.96% with per capita GDP at US$41,816; the real share is 8.26% with per capita GDP at US$35,230. Accordingly, the estimated optimal provision of health services are currently underprovided. This research further estimates the effects of income on demand for care and shows that the income elasticities of preventive and curative health care are greater than unity. Health services are luxury goods.
CONCLUSIONS
Economies with higher incomes demand such services more than those with lower incomes. The large positive effects of income on preventive care use exist.
简介
预防和治疗保健措施既能积累代理人的健康存量,又能刺激经济生产力。然而,由于医疗资源有限,增加预防健康支出会排挤治疗支出,反之亦然,这反过来又会损害人口健康并阻碍经济增长。本研究旨在对以下假设进行严格的实证检验:在不同国家(尤其是发达国家),在预防和治疗之间优化分配卫生支出会刺激经济增长,并探讨卫生服务是否是经济发展道路上的奢侈品。
方法
基于经合组织国家的经验,本研究使用系统广义矩估计(GMM)方法来检验预防和治疗医疗服务在经济发展过程中的作用,并证明预防和治疗性卫生支出对经济表现具有非线性影响。
结果
为了实现增长最大化,预防卫生支出占 GDP 的最佳份额为 0.44%,人均 GDP 为 40465 美元;实际份额为 0.25%,人均 GDP 为 35230 美元。预防卫生支出占 GDP 的最佳份额为 10.96%,人均 GDP 为 41816 美元;实际份额为 8.26%,人均 GDP 为 35230 美元。相应地,目前卫生服务的估计最佳供给不足。本研究进一步估计了收入对护理需求的影响,并表明预防和治疗性卫生保健的收入弹性大于 1。卫生服务是奢侈品。
结论
收入较高的经济体比收入较低的经济体对这类服务的需求更大。收入对预防保健使用的正向影响较大。