Mohammad-Pour Saeed, Barkhordari Sajjad, Tabatabaei Sharareh Majdzadeh, Hadian Mohammad
Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Economics, University of Tehran, Iran.
J Educ Health Promot. 2024 Apr 29;13:140. doi: 10.4103/jehp.jehp_199_23. eCollection 2024.
Considering the increase in health expenses and the government's role in health financing, this study investigated the economic impact of increases in the share of the health sector in the government budget while taxes remain unchanged and government spending is fixed.
The economic model used in this study was a macroeconomic Computable General Equilibrium (CGE) model. This model was calibrated using a 2011 Social Accounting Matrix (SAM) Of Iran. The CGE model was solved with non-linear programming using the General Algebraic Modeling System package, version 2.50. The effect of this simulation on the government budget deficit, the production of different sectors of the economy, and the employment rate was investigated.
Based on our fundings the elasticity of substitution in the agricultural and industrial sectors is higher than in the health and service sector. Also, the biggest decrease in production occurred in the industry, agriculture, and service sectors, respectively. With the doubling of the share of government spending in the health sector, the employment rate of this sector has increased by 40.9%, but the highest decrease in the ignition rate is related to the service sectors (-2.7%), agriculture (-0.23%), and industry (-0.14%).
Increasing the share of government spending in the health sector in comparison with other sectors of the economy, provided that government spending is maintained in general, leads to a decrease in production and economic welfare. It seems that the Iranian government should seek to increase the sources of health financing and the share of government expenditures in the health sector with other ways in order to improve the health level of the society and have a positive effect on other economic sectors.
考虑到医疗费用的增加以及政府在医疗融资中的作用,本研究调查了在税收不变且政府支出固定的情况下,政府预算中卫生部门份额增加所产生的经济影响。
本研究使用的经济模型是一个宏观经济可计算一般均衡(CGE)模型。该模型使用伊朗2011年社会核算矩阵(SAM)进行校准。CGE模型使用通用代数建模系统软件包2.50版通过非线性规划求解。研究了这种模拟对政府预算赤字、经济不同部门的产出以及就业率的影响。
根据我们的研究结果,农业和工业部门的替代弹性高于卫生和服务业。此外,产出下降幅度最大的分别是工业、农业和服务业。随着政府在卫生部门支出份额翻倍,该部门的就业率提高了40.9%,但点火率下降幅度最大的是服务业(-2.7%)、农业(-0.23%)和工业(-0.14%)。
与经济的其他部门相比,增加政府在卫生部门的支出份额,前提是总体上保持政府支出不变,会导致产出和经济福利下降。伊朗政府似乎应该寻求增加卫生融资来源,并通过其他方式提高政府在卫生部门的支出份额,以提高社会的健康水平,并对其他经济部门产生积极影响。
需注意,原文中“ignition rate”可能有误,结合语境推测可能是“某个比率”之意,但无法准确判断。以上译文按原文准确翻译。