Department of Sociology, University of South Florida, Tampa, Florida, USA.
Int J Health Serv. 2022 Jan;52(1):73-88. doi: 10.1177/0020731420960972. Epub 2020 Oct 5.
What can national governments do to improve their capacity for well-being? While increasing public medical care expenditures can facilitate increased well-being in developing nations, cross-national research often finds that public medical care expenditures have no effect on indicators of well-being, such as child mortality. This ineffective public spending could be due to a lack of governance; however, this relationship is understudied in the cross-national literature. Using 2-way fixed and generalized least squares random effects models for a sample of 74 low- and middle-income nations from 1996 to 2012, I examine how the interaction among 5 measures of national governance and public medical care expenditures impact child mortality. The findings reveal the importance of governance in determining the effectiveness of public medical care expenditures. Both public medical care expenditures and governance improvements are essential to reduce child mortality.
国家政府可以采取哪些措施来提高幸福感？虽然增加公共医疗保健支出可以促进发展中国家幸福感的提高，但跨国研究经常发现，公共医疗保健支出对幸福感指标没有影响，例如儿童死亡率。这种无效的公共支出可能是由于治理不善造成的；然而，这种关系在跨国文献中研究得还不够。本研究使用双向固定和广义最小二乘随机效应模型，对 1996 年至 2012 年 74 个中低收入国家的样本进行了分析，考察了国家治理的 5 项措施之间的相互作用以及公共医疗保健支出如何影响儿童死亡率。研究结果表明，治理在确定公共医疗保健支出的有效性方面起着重要作用。公共医疗保健支出和治理的改善对于降低儿童死亡率都是必不可少的。
