Are better health outcomes related to social expenditure? A cross-national empirical analysis of social expenditure and population health measures

Rubin, Jennifer; Taylor, Jirka; Krapels, Joachim; Sutherland, Alex; Felician, Melissa Francisca; Liu, Jodi L.; Davis, Lois M.; Rohr, Charlene

doi:10.7249/rr1252

Cited by 29 publications

(21 citation statements)

References 130 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…State per capita health spending does not appear to be as relevant as it is expected for inpatient cost spent; however, the findings appear to show that overall expenditure on private hospitalization is lower in states with greater PCGHE than in states with low PCGHE, corroborating the notion that increased government health expenditure may reduce inpatient expenditure on private care 20,22,23 . It is evident from the literature 41,42 that higher government health spending ensures a better health outcomes in terms of reduction of infant mortality rate, child mortality rate and an overall improvement in health system responsiveness, especially in the low‐ and middle‐income countries including SAARC countries 43,44 . This indirectly implies that higher government spending on health care ensures a better public health system (reflected by better health outcomes), which may induce older adults to utilize public health services instead of expensive private health services.…”

Section: Discussionmentioning

confidence: 83%

Magnitude and determinants of inpatient health expenditure among the elderly in India

Chatterjee

Nayak

Mahakud

2021

Health Planning & Management

View full text Add to dashboard Cite

As India is experiencing both the epidemiological and demographic transition, the grey population is expected to incur huge expenditure on health care, especially hospitalization expenditure, in the coming decades. The present study, thus, examines the magnitude of different types of inpatient health expenditure (medical, non-medical, total and out-ofpocket expenditure) and factors affecting them among the Indian elderly, using a health expenditure model empirically tested by the World Health Organization. Data were drawn from the 75th Round of the Health Survey conducted by the National Sample Survey Office, Government of India. In addition to basic descriptive statistics, the study employs a two-stage least square and a generalized linear model with log-link and gamma distribution to conduct the econometric analysis. The study finds that higher income, education, and household size, diseases like cancer, treatment involving surgery, poor physical mobility, and the elderly opting for packages involve higher inpatient health spending, while both private and social health insurance tends to reduce the same. So, a thrust on insurance-financed health systems may reduce health spending among the elderly. In this context, the study suggests that a disease-specific policy is required for the elderly along with ensuring state-of-the-art treatment facilities for them in public hospitals for critical ailments.

show abstract

Section: Discussionmentioning

confidence: 83%

Magnitude and determinants of inpatient health expenditure among the elderly in India

Chatterjee

Nayak

Mahakud

2021

Health Planning & Management

View full text Add to dashboard Cite

show abstract

“…Indeed, a vast and largely consensual literature establishes a link between the welfare state and redistribution [ 36 ]. Several studies, however, contend that there is no association between overall redistribution and population health [ 10 , 11 , 26 ]. We argue that the association between welfare state generosity and health stems not so much from the total redistributive effect of the welfare state but rather from the provision of better social protection.…”

Section: Methodsmentioning

confidence: 99%

“…Our dependent variable is the age-standardized death rate (from all causes) per 100 000 inhabitants, for both men and women, extracted from the OECD Health Statistics. Mortality is selected as an indicator because it is one of the most important measures of population health in comparative studies [ 5 , 26 ]. In the Supporting information section, we present similar results with life expectancy at birth and at 65 years old.…”

Section: Methodsmentioning

confidence: 99%

Welfare state decommodification and population health

Jacques

Noël

2022

PLoS ONE

View full text Add to dashboard Cite

A generous welfare state decommodifies social relations and frees citizens from relying excessively on markets. We argue that decommodification is associated with population health in two ways: directly, as it provides better social protection to households and indirectly, as it mitigates health-damaging labour market polarization and reduces the incidence of labour market risks. Using time-series cross-sectional quantitative analysis for 21 OECD countries from 1971 to 2010, we observe a negative relationship between decommodification and the age-standardized death rate. We then analyze three correlates of decommodification—income redistribution, labour market polarization and the reduction of labour market risk incidence—and find that only the latter two are associated with population health. Higher labour market polarization, measured by the share of market income allocated to the richest decile relative to the share of the poorest decile, is associated with a higher death rate. A new measure of risk reduction, the degree to which the welfare state reduces the prevalence of large income losses, is also associated with lower death rates, especially for men. Welfare state decommodification thus contributes to population health directly, and indirectly, via the attenuation of labour market polarization and the mitigation of labour market risks.

show abstract

“…However, when the economic growth achieved through economic freedom is accompanied by weak environmental regulations, life expectancy is negatively influenced by environmental degradation ( 19 ). Meanwhile, lower government size can negatively affect life expectancy by decreasing social expenditures ( 20 ). As a consequence, the net influence of economic freedom on life expectancy can differ depending on which factors prevail.…”

Section: Introductionmentioning

confidence: 99%

Impact of Economic Freedom and Educational Attainment on Life Expectancy: Evidence From the New EU Member States

Rogoz

Sart

Bayar

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

Life expectancy is a significant indicator of public health, life quality, welfare and economic development. Therefore, improvement in life expectancy is among the priority targets of the countries. This paper investigates the effect of economic freedom and educational attainment on life expectancy in the new EU member states, experiencing an institutional, educational, and economic transformation, during the period 2000–2019 by using cointegration and causality tests, because economic freedom and educational attainment can foster the life expectancy through institutional and economic variables such as institutions, governance, sound monetary and fiscal policies, economic growth, innovation, technological development, better living standards and access to superior healthcare services. The causality and cointegration analyses reveal that economic freedom and educational attainment are significant factors underlying life expectancy in the short and long term. However, educational attainment is found to be more effective on life expectancy than economic freedom. The findings have important implications for educational and health policies in analyzed countries. Governments must understand the education–health relationship to be able to develop and promote educational policies that have the potential to improve public health.

show abstract

Are better health outcomes related to social expenditure? A cross-national empirical analysis of social expenditure and population health measures

Cited by 29 publications

References 130 publications

Magnitude and determinants of inpatient health expenditure among the elderly in India

Magnitude and determinants of inpatient health expenditure among the elderly in India

Welfare state decommodification and population health

Impact of Economic Freedom and Educational Attainment on Life Expectancy: Evidence From the New EU Member States

Contact Info

Product

Resources

About