Convergence in Spanish Public health expenditure: Has the decentralization process generated disparities?

Clemente, Jesús; Lázaro-Alquézar, Angelina; Montañés, Antonio

doi:10.1016/j.healthpol.2019.03.003

Cited by 5 publications

(5 citation statements)

References 22 publications

(25 reference statements)

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“…Musgrove et al (32) think that as income rises there is a convergence in the healthcare spending represented by public expenditure and out-of-pocket spending in WHO member states. Clemente et al (33) found several convergence groups and reveal the existence of different patterns of behavior and disparities in the Spanish health system. However, contradictory conclusions are also proved by Lau et al (7), who provide evidence that cannot be rejected by the existence of unit root for the health expenditure of most EU member states, even after taking non-linearity into account.…”

Section: Literature Reviewmentioning

confidence: 99%

Do Health Expenditures Converge Among ASEAN Countries?

Liu

Tao

et al. 2021

Front. Public Health

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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.

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Section: Literature Reviewmentioning

confidence: 99%

Do Health Expenditures Converge Among ASEAN Countries?

Liu

Tao

et al. 2021

Front. Public Health

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“…In Spain, this conceptual confusion may be more noticeable than elsewhere, due to the confluence of several distinguishing factors. Firstly, the decentralised nature of government in Spain, with 17 largely autonomous regions (termed Autonomous Communities), means that each of the 17 health systems enjoys a high level of independence in organising the provision of services and prioritising health policies [ 17 ]. Furthermore, within each Autonomous Community different organisations exist to accredit professional competencies; the categories established may receive different levels of remuneration, but these differences do not necessarily imply any modification of clinical roles and responsibilities.…”

Section: Introductionmentioning

confidence: 99%

Competency Gradients in Advanced Practice Nurses, Specialist Nurses, and Registered Nurses: A Multicentre Cross-Sectional Study

Gutiérrez-Rodríguez

García‐Mayor

León‐Campos

et al. 2022

IJERPH

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(1) Background: Identifying differences in the competencies of different areas of nursing is a crucial aspect for determining the scope of practice. This would facilitate the creation of a formal structure for clinical practice in advanced and specialised services. The aims of this study are to analyse the distribution of advanced competencies in registered, specialist and advanced practice nurses in Spain, and to determine the level of complexity of the patients attended by these nurses. (2) Methods: A cross-sectional study was developed on registered, specialist and advanced practice nurses, all of whom completed an online survey on their perceived level of advanced competencies and their professional characteristics. (3) Results: In total, 1270 nurses completed the survey. Advanced practice nurses recorded the highest self-perceived level of competency, especially for the dimensions of evidence-based practice, autonomy, leadership and care management. (4) Conclusions: Among registered, specialist and advanced practice nurses, there are significant differences in the level of self-perceived competencies. Patients attended by advanced practice nurses presented the highest levels of complexity. Understanding these differences could facilitate the creation of a regulatory framework for clinical practice in advanced and specialized services.

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“…According to the findings, health care is a (national) necessity, not a luxury good, as prior research has shown. Clemente et al . (2019a, b) studied the convergence in government health spending across the different regions of Spain covering a period of 1991–2010.…”

Section: Review Of Existing Literaturementioning

confidence: 99%

“…Instead, the study discovers multiple convergence clubs demonstrating distinct behavioral patterns and significant variations in the Spanish health system. Clemente et al . (2019a, b) examines the evolution of state health expenditures in the United States from 1966 to 2014.…”

Section: Review Of Existing Literaturementioning

confidence: 99%

Inter-state disparities in government health expenditure in India: a study of national rural health mission

Din

Dar

Haseen

2023

IJHG

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PurposeThe study aims to compare India's public health expenditure at the international and state levels. The paper also empirically examines the regional disparities in NRHM spending across the 21 selected states of India.Design/methodology/approachThe tools of absolute β-and σ-convergence are used in the analysis to test the regional convergence. The average annual growth rate across the states is the dependent variable for β-convergence, and time is the second dependent variable but is used for s-convergence. In contrast, the initial value of NRHM expenditure and the coefficient of variation of NRHM expenditure are used as independent variables, respectively. Descriptive statistics are also used for the study. The data are annual and cover the panel from 2007 to 2020.FindingsThe study attests to the hypothesis of β-and σ-convergence for the selected states in the period mentioned. The observed convergence in NRHM expenditure is due to the shift in the government's attention from the non-high focus high focus states to high states through the national rural health mission policy. The coefficient of variation across the states also shows a declining trend and provides the robustness of the σ-convergence.Originality/valueAs far as the literature is concerned, none of the existing studies examines the convergence of a public health expenditure scheme like the National Rural Health Mission across the Indian states by applying the techniques of β-and σ-convergence. The novelty of the study is using the newly updated dataset and validating the convergence hypotheses in the National Rural Health Mission expenditure case.

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Convergence in Spanish Public health expenditure: Has the decentralization process generated disparities?

Cited by 5 publications

References 22 publications

Do Health Expenditures Converge Among ASEAN Countries?

Do Health Expenditures Converge Among ASEAN Countries?

Competency Gradients in Advanced Practice Nurses, Specialist Nurses, and Registered Nurses: A Multicentre Cross-Sectional Study

Inter-state disparities in government health expenditure in India: a study of national rural health mission

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