Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 22 Carol I, 700505 Iasi, Romania.
Faculty of Law and Administrative Sciences, Ștefan cel Mare University, Universitatii 13, 720229 Suceava, Romania.
Int J Environ Res Public Health. 2021 Jan 28;18(3):1134. doi: 10.3390/ijerph18031134.
The COVID-19 pandemic stressed the importance of understanding the sources of vulnerabilities that can lead to a financial crisis and highlighted the predominant impact on health systems. Firstly, the paper aims to conduct a retrospective analysis of the Romanian health care system, over the period of time 1985-2019, based on our own computed sustainability index for public health. Secondly, using the Gregory-Hansen cointegration method, we provide new evidence on the causal relationship between health expenditure and GDP for Romania over the period of time 1985-2017. Based on the retrospective analysis of the long-run co-movement between health spending and GDP, the study allows one to prospectively examine not only the effects of the COVID-19 pandemic on health care spending, but also to reveal the government's fiscal position and vulnerabilities. Our results highlight the intergenerational costs related to the policy incoherence roadmap and regulatory fragmentation, stressing the importance of economic system resilience through fiscal diligence and the consolidation of the institutional context.
新冠疫情凸显了理解可能导致金融危机的脆弱性来源的重要性，并突出了对卫生系统的主要影响。
首先，本文旨在根据我们自己计算的公共卫生可持续性指数，对 1985 年至 2019 年期间罗马尼亚的医疗保健系统进行回顾性分析。其次，我们使用 Gregory-Hansen 协整方法，为罗马尼亚在 1985 年至 2017 年期间的卫生支出与 GDP 之间的因果关系提供新的证据。
基于对卫生支出与 GDP 之间长期共同运动的回顾性分析，该研究不仅可以前瞻性地检查新冠疫情对医疗保健支出的影响，还可以揭示政府的财政状况和脆弱性。我们的研究结果强调了与政策不连贯路线图和监管碎片化相关的代际成本，强调了通过财政谨慎和巩固制度环境来提高经济体系韧性的重要性。
