Dhungana Bharat Ram, Singh Jitendra Kumar, Dhungana Samrat
School of Business, Pokhara University, Pokhara, Gandaki Province, Nepal.
Department of Community Medicine, Janaki Medical College, Tribhuvan University, Janakpur, Madhesh Province, Nepal.
PLoS One. 2024 Dec 23;19(12):e0310153. doi: 10.1371/journal.pone.0310153. eCollection 2024.
Affordable health care is often a result of increased government spending on the health sector. Out-of-pocket expenses remain the primary health care funding source in many South Asian nations. Lack of adequate public funding for health services, difficulty in obtaining health insurance, and high out-of-pocket costs can result in indebtedness, reductions in actual consumption, and decreased access to health care services. The study examines life expectancy and health care spending in South Asian countries. The life expectancy of South Asian countries is studied as a health outcome in relation to health care spending, gross national income per capita, and expected years of schooling. This study is based on secondary data from World Bank statistics that covers eight South Asian countries from 2000 to 2021, for a total of 176 pooled time series and cross-sectional observations. The data were analysed using econometric models, including the cross sectional dependency test, panel unit root test, panel co-integration test, vector error correction model, pair-wise Granger causality test, and Wald test statistics. The vector error correction model results indicate that health care spending, anticipated years of schooling, and gross national income per capita have a long-run association with health outcomes. Health care spending, per capita gross national income, and expected years of education have all greatly enhanced life expectancy in South Asian countries. An effective health strategy is necessary to increase people's healthy life expectancy and well-being. To accomplish this, government may need to promote school enrolment to help people become more health literate and aware of their health outcomes. As a result, persons with more years of schooling have better health, higher levels of well-being, healthier habits, and ultimately, a longer life expectancy. This study will provide an important insight to policymakers in improving health outcomes through targeted and sustained health care spending in South Asia.
负担得起的医疗保健通常是政府增加对卫生部门支出的结果。在许多南亚国家,自付费用仍然是主要的医疗保健资金来源。卫生服务缺乏足够的公共资金、难以获得医疗保险以及高昂的自付费用可能导致负债、实际消费减少以及获得医疗保健服务的机会降低。该研究考察了南亚国家的预期寿命和医疗保健支出。将南亚国家的预期寿命作为与医疗保健支出、人均国民收入和预期受教育年限相关的健康结果进行研究。本研究基于世界银行统计的二手数据,涵盖了2000年至2021年的八个南亚国家,共有176个合并的时间序列和横截面观测值。使用计量经济学模型对数据进行了分析,包括横截面依赖性检验、面板单位根检验、面板协整检验、向量误差修正模型、成对格兰杰因果检验和沃尔德检验统计量。向量误差修正模型的结果表明,医疗保健支出、预期受教育年限和人均国民收入与健康结果存在长期关联。医疗保健支出、人均国民收入和预期受教育年限都极大地提高了南亚国家的预期寿命。需要一项有效的卫生战略来提高人们的健康预期寿命和福祉。为实现这一目标,政府可能需要促进入学,以帮助人们提高健康素养并了解自己的健康状况。因此,受教育年限更长的人健康状况更好、幸福感更高、生活习惯更健康,最终预期寿命也更长。本研究将为政策制定者提供重要见解,以通过在南亚进行有针对性的持续医疗保健支出改善健康状况。