Department of Economics, School of Economics, Qingdao University, Qingdao, China.
Department of Graduate School, Graduate School, St. Paul University Philippines, Tuguegarao, Philippines.
Front Public Health. 2021 Sep 10;9:699821. doi: 10.3389/fpubh.2021.699821. eCollection 2021.
This paper aims to determine the existence of convergence in health expenditures among Association for South East Asian Nations (ASEAN) countries. Based on the SPSM procedure and panel KSS unit root test results, the public health expenditures (PUHE) in Indonesia, Lao PDR, Cambodia, the Philippines, and Myanmar are converging, while that of Brunei Darussalam, Malaysia, Vietnam, Singapore, and Thailand are diverging. In addition, the sequences of private health expenditures (PRHE) in ASEAN member states are stationary, which implies convergence. This finding is in accordance with Wagner's law, that is, as nations develop, they are forced to expand public expenditure. Specifically, countries with low levels of PUHE tend to catch up with the high health spending countries. This research has policy implications with regard to the convergence of health expenditure across countries. The government in low- and lower-middle income countries should raise PUHE to provide access to health services for those who are unaffordable individuals.
本文旨在确定东南亚国家联盟(东盟)国家卫生支出是否存在趋同现象。基于 SPSM 程序和面板 KSS 单位根检验结果,印度尼西亚、老挝人民民主共和国、柬埔寨、菲律宾和缅甸的公共卫生支出(PUHE)正在趋同,而文莱达鲁萨兰国、马来西亚、越南、新加坡和泰国的公共卫生支出则在趋异。此外,东盟成员国的私人卫生支出(PRHE)序列是平稳的,这意味着趋同。这一发现符合瓦格纳定律,即随着国家的发展,它们被迫扩大公共支出。具体而言,PUHE 水平较低的国家往往会赶上高卫生支出国家。这项研究对各国卫生支出趋同具有政策意义。中低收入国家的政府应提高 PUHE,为那些负担不起医疗服务的人提供获得医疗服务的机会。