Document Type : Original Article
Authors
1 Department of Economics, Shahroud University of Technology, Shahroud, Iran.
2 Department of Economics, Ferdowsi University of Mashhad, Mashhad, Iran.
Abstract
Purpose: This study uses the Panel Data model to compare the effect of public and private health expenditures on the health status of D-8 member countries from 2020 to 1995.
Methodology: The statistical population studied in this research includes research from D-8 group member countries. Time series information about these countries was collected from reputable international sources, including the World Bank, which, using Eviews software, was tested. Variables used in this study include health status (infant mortality rate), human capital, economic growth, public health expenditures, private health expenditures, and urbanization rates.
Findings: The study's results indicate a significant negative effect of public and private health costs on infant mortality. Still, the impact of public spending has been more substantial than the private sector. In other words, allocating the government budget significantly impacts the health sector more than the private sector in reducing infant mortality, health expenditures, and urbanization rates. It can be argued that increasing public health care costs can significantly improve health and accelerate development goals to reduce infant mortality in these countries.
Originality/Value: The present study showed that public health costs in this group of countries have a more significant effect than other model variables in reducing neonatal mortality, which could be a vital factor in improving health states and even the distribution of resources
Keywords
Abdul Maliki, H., & Mahdavi, M. (2013). Analysis of the effect of health indicators on regional development in Iran; econometric approach to integrated data. Akhlagh-e zisti, 3(8), 11-42. (In Persian). https://journals.sbmu.ac.ir/be/article/view/13966
Aisa, R., & Pueyo, F. (2006). Government health spending and growth in a model of endogenous longevity. Economics letters, 90(2), 249-253. https://doi.org/10.1016/j.econlet.2005.08.003
Akbarian, N., Bushehri, E., Alizadeh, A., & Aghamolaei, T. (2016). Barriers and facilitators in health education for the people from health care provider's perspective: a qualitative study. Journal of qualitative research in health sciences, 4(4), 387-400. (In Persian). http://jqr1.kmu.ac.ir/article_91099.html
Alsan, M., Schoemaker, L., Eggleston, K., Kammili, N., Kolli, P., & Bhattacharya, J. (2015). Out-of-pocket health expenditures and antimicrobial resistance in low-income and middle-income countries: an economic analysis. The lancet infectious diseases, 15(10), 1203-1210. https://doi.org/10.1016/S1473-3099(15)00149-8
Anyanwu, J. C., & Erhijakpor, A. E. (2009). Health expenditures and health outcomes in Africa. African development review, 21(2), 400-433. https://doi.org/10.1111/j.1467-8268.2009.00215.x
Arthur, E., & Oaikhenan, H. E. (2017). The effects of health expenditure on health outcomes in Sub‐Saharan Africa (SSA). African development review, 29(3), 524-536. https://doi.org/10.1111/1467-8268.12287
Asgari, H., & Badpa, B. (2015). The effects of public and private health care expenditure on health status in Iran. Journal of Ilam University, 23(5), 36-46. (In Persian). http://sjimu.medilam.ac.ir/article-1-2346-en.html
Baltagi, B. H. (1995). Econometric analysis of panel data (Vol. 2). New York: Wiley.
Baroni, M., Herati Khalilabadi, T., & Herati, J. (2015). The effect of health expenditures (public-private) on the human development index in selected countries with high, medium and low-income levels: 2000 - 2010. Journal of health management, 6(2), 81-91. (In Persian). https://jhm.srbiau.ac.ir/article_7783.html?lang=fa
Basakha, M., Kermani, S.M., & Yavari, Y. (2011). The effectiveness of government expenditures on human development indicators case study: organization of Islamic countries. Journal of health administration, 14(45), 11-16. (In Persian). http://jha.iums.ac.ir/article-1-943-fa.html
Becker, G. S. (1962). Investment in human capital: a theoretical analysis. Journal of political economy, 70(5, Part 2), 9-49. https://doi.org/10.1086/258724
Birch, E. L., & Wachter, S. M. (Eds.). (2011). Global urbanization. Philadelphia, PA: University of Pennsylvania Press.
Bradley, E. H., Elkins, B. R., Herrin, J., & Elbel, B. (2011). Health and social services expenditures: associations with health outcomes. BMJ quality & safety, 20(10), 826-831. http://dx.doi.org/10.1136/bmjqs.2010.048363
Darvishi Selokolayi, D., & Heydari Gorji, S. (2021). A new approach to the economic problem of dumping based on game theory with grey parameters. Innovation management and operational strategy, 2(1), 14-29. (In Persian). http://www.journal-imos.ir/article_129900.html
de Mello-Sampayo, F., & Vale, S. (2014). Financing health care expenditure in the OECD countries: evidence from a heterogeneous, cross-sectional dependent panel. Financing health care expenditure in the OECD countries: evidence from a heterogeneous, cross-sectional dependent panel, (2), 207-225. DOI: 10.2298/PAN1402207M
Ely, D. M., Driscoll, A. K., & Matthews, T. J. (2017). Infant mortality rates in rural and urban areas in the United States. Retrieved from https://pubmed.ncbi.nlm.nih.gov/29155685/
Fakher, H. A. (2020). Analytical insights on the relationship between economic growth and invironmental degradation in framework of EKC hypothesis and various environmental indicators. Innovation management and operational strategy, 1(3), 252-268. (In Persian). http://www.journal-imos.ir/article_126003.html
Forster, T., Kentikelenis, A. E., Stubbs, T. H., & King, L. P. (2020). Globalization and health equity: the impact of structural adjustment programs on developing countries. Social science & medicine, 267, 112496. https://doi.org/10.1016/j.socscimed.2019.112496
Grossman, M. (1972 a). On the concept of health capital and the demand for health. Journal of political economy, 80(2), 223-255.
Gumbau Albert, M. (2021). The impact of health status and human capital formation on regional performance: empirical evidence. Papers in regional science, 100(1), 123-139. DOI: 10.1111/pirs.12561
Hausman, J. A. (1983). Specification and estimation of simultaneous equation models. Handbook of econometrics, 1, 391-448. https://doi.org/10.1016/S1573-4412(83)01011-9
Jaba, E., Balan, C. B., & Robu, I. B. (2014). The relationship between life expectancy at birth and health expenditures estimated by a cross-country and time-series analysis. Procedia economics and finance, 15, 108-114. https://doi.org/10.1016/S2212-5671(14)00454-7
Jakovljevic, M., Potapchik, E., Popovich, L., Barik, D., & Getzen, T. E. (2017). Evolving health expenditure landscape of the BRICS nations and projections to 2025. Health economics, 26(7), 844-852. https://doi.org/10.1002/hec.3406
Jnani, A. (2005). Examining the performance of government expenditures and budget policies in the health sector. Economic journal, 5(51), 5-26. (In Persian). https://ejip.ir/browse.php?a_id =379 &sid=1&slc _lang=fa
Judge, G. G., Hill, R. C., Griffiths, W. E., Lütkepohl, H., & Lee, T. C. (1988). Introduction to the theory and practice of econometrics (No. 330.015195 I61 1988). J. Wiley.
Kargardehbidi, N., Ghorbanian, E., & Fathi, F. (2018). Factors affecting health expenditures in Islamic countries of d-8 group. Iranian journal of economic research, 23(77), 195-2015. (In Persian). https://ijer.atu.ac.ir/article_10152.html?lang=en
Kavoosi Davoodi, S.M., Seraj, Y., & Esmaili Dehkalani, Z. (2020). The effect of working capital management on profitability in companies listed on the Tehran stock exchange. Innovation management and operational strategy, 1(3), 284-296. (In Persian). http://www.journal-imos.ir/article_126132.html
Khanzadi, A., Fattahi, SH., & Moradi, S. (2017). Analyzing the effects of public sector health and treatment expenditures on economic growth in Iran. Quarterly journal of the macro and strategic policies, 5(5), 49-67. (In Persian). http://www.jmsp.ir/article_48460.html?lang=en
Lawanson, A. O., & Olaniyan, O. (2013). Health expenditure and health status in northern and southern Nigeria: a comparative analysis using national health account framework. African journal of health economics, 2(1), 31-46. DOI: 10.35202/AJHE.2013.2103
Linden, M., & Ray, D. (2017). Life expectancy effects of public and private health expenditures in OECD countries 1970–2012: panel time series approach. Economic analysis and policy, 56, 101-113. https://doi.org/10.1016/j.eap.2017.06.005
Long, S. H., Marquis, M. S., & Rodgers, J. (1999). State health expenditure accounts: purposes, priorities, and procedures. Health care financing review, 21(2), 25-45.
Lotfalipour, MR., Falahi, M. A., & Borji, M. (2012). The effects of health indices on economic growth in Iran. Journal of health administration, 14(46), 57-70. (In Persian). http://jha.iums.ac.ir/article-1-1024-en.html
Lu, C., Schneider, M. T., Gubbins, P., Leach-Kemon, K., Jamison, D., & Murray, C. J. (2010). Public financing of health in developing countries: a cross-national systematic analysis. The lancet, 375(9723), 1375-1387. https://doi.org/10.1016/S0140-6736(10)60233-4
Mohammadzadeh, P., Nafisi Moghaddam, M., & Heydari Dizgrani, A. (2014). Investigating the effects of private and public sector health expenditures on health status in selected countries with a panel data approach. National conference on new approaches to business management. Tabriz, Iran. (In Persian). https://civilica.com/doc/324890/
Moradi, A., & Mostashari, F. (2018). The effects of public and private health expenses on workerforce efficiency in Iran (2004-2014). Journal of health administration (JHA), 21(72), 29-40.
Murray, C. J. (2015). Shifting to sustainable development goals—implications for global health. New England journal of medicine, 373(15), 1390-1393. DOI: 10.1056/NEJMp1510082
Nketiah-Amponsah, E. (2019). The impact of health expenditures on health outcomes in sub-Saharan Africa. Journal of developing societies, 35(1), 134-152. DOI: 10.1177/0169796X19826759
Novignon, J., & Lawanson, A. O. (2017). Health expenditure and child health outcomes in Sub-Saharan Africa. African review of economics and finance, 9(1), 96-121.
Novignon, J., Olakojo, S. A., & Nonvignon, J. (2012). The effects of public and private health care expenditure on health status in sub-Saharan Africa: new evidence from panel data analysis. Health economics review, 2(1), 1-8. https://doi.org/10.1186/2191-1991-2-22
Panahi, H., & Aleemran, S.A. (2016). The effect of government health expenditures on economic growth in countries of d-8 organization for economic cooperation. Journal of health & development, 4(4), 327-336. (In Persian). http://jhad.kmu.ac.ir/article_91196.html
Penno, E., Sullivan, T., Barson, D., & Gauld, R. (2021). Private choices, public costs: evaluating cost-shifting between private and public health sectors in New Zealand. Health policy, 125(3), 406-414. https://doi.org/10.1016/j.healthpol.2020.12.008
Quintussi, M., Van de Poel, E., Panda, P., & Rutten, F. (2015). Economic consequences of ill-health for households in northern rural India. BMC health services research, 15(1), 1-11. https://doi.org/10.1186/s12913-015-0833-0
Rad, E. H., Vahedi, S., Teimourizad, A., Esmaeilzadeh, F., Hadian, M., & Pour, A. T. (2013). Comparison of the effects of public and private health expenditures on the health status: a panel data analysis in eastern mediterranean countries. International journal of health policy and management, 1(2), 163-167. DOI: 10.15171/ijhpm.2013.29
Rahman, M. M., Khanam, R., & Rahman, M. (2018). Health care expenditure and health outcome nexus: new evidence from the SAARC-ASEAN region. Globalization and health, 14(1), 1-11. https://doi.org/10.1186/s12992-018-0430-1
Roemer, M. I. (1988). Comments received on multinational hospital growth trends in privatization of health services: the meaning of equity: response from dr. roemer. American journal of public health, 78(5), 593-594.
Sadeghi, S. K., Motafekker Azad, M.A., & Jalilpour, S. (2014). Investigating main determinants of private healthcare expenditure and their effects between different income levels in Asian countries. Social welfare quarterly, 14(53), 55-75. (In Persian). http://refahj.uswr.ac.ir/article-1-1638-fa.html
Sadeghi, S.K., & Mohammadi Khaneghahi, R. (2015).The impact of health care expenditure on health indicators: an empirical analysis in middle-income countries. Iranian institute for health sciences research payesh (Health Monitor), 14(1), 7-14. (In Persian). https://payeshjournal.ir/article-1-252-fa.html
Samadpoor, N., Emadzade, M., Rangbar, H., & Azizi, F. (2014). The impact of education on health in Iran: a production function approach. Journal of economic modeling research kharazmi university, 4(15), 147-178. (In Persian). http://jemr.khu.ac.ir/article-1-823-fa.html
Simon, L., Greenberg, J., Harmon-Jones, E., Solomon, S., Pyszczynski, T., Arndt, J., & Abend, T. (1997). Terror management and cognitive-experiential self-theory: evidence that terror management occurs in the experiential system. Journal of personality and social psychology, 72(5), 1132-1146. https://doi.org/10.1037/0022-3514.72.5.1132
Solow, R. M. (1956). A contribution to the theory of economic growth. The quarterly journal of economics, 70(1), 65-94. https://doi.org/10.2307/1884513
Somi, M. F., Butler, J. R., Vahid, F., Njau, J. D., & Abdulla, S. (2009). Household responses to health risks and shocks: a study from rural Tanzania raises some methodological issues. Journal of international development: the journal of the development studies association, 21(2), 200-211. https://doi.org/10.1002/jid.1555
Thornton, J. (2002). Estimating a health production function for the US: some new evidence. Applied economics, 34(1), 59-62. https://doi.org/10.1080/00036840010025650
Van den Berg, H. (2016). Economic growth and development. World Scientific Publishing Company.
Wagstaff, A., Flores, G., Hsu, J., Smitz, M. F., Chepynoga, K., Buisman, L. R., ... & Eozenou, P. (2018). Progress on catastrophic health spending in 133 countries: a retrospective observational study. The lancet global health, 6(2), e169-e179. https://doi.org/10.1016/S2214-109X(17)30429-1
World Health Organization. (2020). Health policy and system support to optimize community health worker programmes for HIV, TB and malaria services: an evidence guide. Retrieved from https://apps.who.int/iris/handle/10665/340078
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