School of Political Science and Public Administration, Shandong University, Qingdao, China.
School of Humanitarian Studies, Royal Roads University, Victoria, Canada.
Int J Health Plann Manage. 2020 Nov;35(6):1546-1558. doi: 10.1002/hpm.3034. Epub 2020 Sep 25.
How do public investments in public health actually impact health outcomes? This question has not been investigated enough, especially regarding infectious diseases. This study investigates the correlations between public health expenditure and the incidence of tuberculosis in China using a provincial panel dataset. The analysis focuses on the correlations between public health expenditure and tuberculosis incidence, using the fixed effects models and Two Stage Least Squares (2SLS) method. Overall, a 10% increase of public health expenditure per capita is associated with a 0.0019% decrease of tuberculosis incidence. A series of robustness tests show that the correlation between public health expenditure and TB incidence is valid. Future research should focus more on the performance of public health, particularly infectious diseases like tuberculosis, and provide references for health policymakers.
公共卫生投入如何实际影响健康结果?这个问题还没有得到充分研究,特别是在传染病方面。本研究使用省级面板数据集调查了公共卫生支出与中国结核病发病率之间的相关性。分析侧重于公共卫生支出与结核病发病率之间的相关性,使用固定效应模型和两阶段最小二乘法(2SLS)方法。总体而言,人均公共卫生支出增加 10%,结核病发病率降低 0.0019%。一系列稳健性测试表明,公共卫生支出与结核病发病率之间的相关性是有效的。未来的研究应更多地关注公共卫生的绩效,特别是像结核病这样的传染病,并为卫生政策制定者提供参考。