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宏观经济指标对医疗成本的作用。

The Role of Macroeconomic Indicators on Healthcare Cost.

作者信息

Zhou Lu Lin, Ampon-Wireko Sabina, Brobbey Ebenezer Wireko, Dauda Lamini, Owusu-Marfo Joseph, Tetgoum Arielle Doris Kachie

机构信息

Deparment of Management Science and Engineering, Jiangsu University, Zhenjiang 212013, China.

Ghana Education Service, Accra PMB, Ghana.

出版信息

Healthcare (Basel). 2020 May 4;8(2):123. doi: 10.3390/healthcare8020123.

DOI:10.3390/healthcare8020123
PMID:32375346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7349324/
Abstract

The progress of healthcare expenses is a striking issue for emerging nations. This is because an uncontrolled increase in healthcare expenses can push the nations to extreme poverty. The study examined the association between public health costs and macro-economic indicators within the emerging economies. Data for the study is extracted from the World Bank World Development Indicators for twenty-one (21) emerging countries spanning from 2000 to 2018. The generalized method of moments (GMM) and the Dumitrescu-Hurlin panel causality test are employed in the analysis of the study. The main findings of the study demonstrate that tax revenue and labor force participation increase public health expenses and inflation, on the other hand, showed a declining relationship. The study further reveals a u-shaped association between public health expenditure and economic growth. The interactive term between research and development and mortality rate of non-communicable diseases, reveal an increasing relationship. The study establishes that, among all the three models estimated, tax revenue, labor force participation and GDP per capita have positive effects on public health costs. Based on the findings, the study recommends governments to embark on policies that improve economic growth and tax revenue as well as stabilizing inflation. These strategic policies could boost public healthcare expenditure since it has a strong association with macroeconomic indicators.

摘要

医疗保健费用的增长对新兴国家来说是一个突出问题。这是因为医疗保健费用的无节制增长会使这些国家陷入极度贫困。该研究考察了新兴经济体中公共卫生成本与宏观经济指标之间的关联。研究数据取自世界银行《世界发展指标》中2000年至2018年期间的21个新兴国家。研究分析采用了广义矩估计法(GMM)和杜米特雷斯库-胡林面板因果检验。该研究的主要结果表明,税收收入和劳动力参与率会增加公共卫生费用,而通货膨胀则呈现出下降关系。该研究还进一步揭示了公共卫生支出与经济增长之间呈U形关联。研发与非传染性疾病死亡率之间的交互项呈现出上升关系。该研究确定,在所有估计的三个模型中,税收收入、劳动力参与率和人均国内生产总值对公共卫生成本都有积极影响。基于这些研究结果,该研究建议各国政府着手制定改善经济增长、税收收入以及稳定通货膨胀的政策。这些战略政策可以促进公共医疗保健支出,因为它与宏观经济指标有着紧密的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/223c7542e1d2/healthcare-08-00123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/fd0aa942a2ed/healthcare-08-00123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/3b956891c756/healthcare-08-00123-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/223c7542e1d2/healthcare-08-00123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/fd0aa942a2ed/healthcare-08-00123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/3b956891c756/healthcare-08-00123-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d0/7349324/223c7542e1d2/healthcare-08-00123-g003.jpg

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本文引用的文献

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Int J Environ Res Public Health. 2019 Dec 14;16(24):5115. doi: 10.3390/ijerph16245115.
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Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries.医疗保健融资系统及其效果:OECD 国家的实证研究。
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The effect of macroeconomic indicators on health-care expenditure in Iran.
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BMC Health Serv Res. 2020 Aug 24;20(1):774. doi: 10.1186/s12913-020-05414-z.
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Economic development and health outcomes: Evidence from cardiovascular disease mortality in Europe.经济发展与健康结果:来自欧洲心血管疾病死亡率的证据。
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