Faculty of Economics and Management, Sun Yat-sen University, Guangzhou, China.
Int J Health Plann Manage. 2019 Oct;34(4):e1968-e1979. doi: 10.1002/hpm.2837. Epub 2019 Jun 21.
Governments around the world are committed to enhance health equity, but the effectiveness of government health expenditure in improving health equity is still full of controversy. To respond to it, this study investigates the influence of government health expenditure (including domestic government health expenditure and foreign-sourced health expenditure distributed by government) on child mortality rate across the world, in doing so evaluates its role in improving the social equity of health outcome. Using data of health expenditure and child mortality rate across the world (2000-2015), empirical results show that both domestic government and foreign-sourced health expenditure can greatly reduce the child mortality rate of families in rural areas with the lower level of maternal education and in the medium or low-income stratum. Further, even though domestic government health expenditure is found more effective to reduce the child mortality rate of males, foreign-sourced health expenditure can help cover such gender bias due to making a greater reduction in child mortality rate of females.
世界各国政府都致力于增强健康公平性，但政府卫生支出在改善健康公平方面的有效性仍存在争议。针对这一问题，本研究考察了政府卫生支出（包括国内政府卫生支出和政府分配的国外来源卫生支出）对全球儿童死亡率的影响，从而评估其在改善卫生结果社会公平方面的作用。利用全球卫生支出和儿童死亡率数据（2000-2015 年），实证结果表明，国内政府和国外来源的卫生支出都可以大大降低母亲教育水平较低和中等或低收入阶层农村家庭的儿童死亡率。此外，尽管国内政府卫生支出在降低男性儿童死亡率方面更有效，但国外来源的卫生支出可以通过更大程度地降低女性儿童死亡率来弥补这种性别偏见。
