The effect of health care expenditure on sickness absence

Granlund, David

doi:10.1007/s10198-009-0213-y

Cited by 9 publications

(10 citation statements)

References 23 publications

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“…They demonstrated that an increase in government expenditure on education and healthcare contributed to an increase in the number of people attending school and a reduction in mortality rates for infants and children. Several studies have examined the impact of government healthcare expenditures on health outcomes [25][26] . Many researchers have also assessed the impact of private healthcare expenditures [27][28][29] .…”

Section: Introductionmentioning

confidence: 99%

Healthcare spending and health outcomes: evidence from selected East African countries

et al. 2017

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Background: Over the last decade, total healthcare expenditures, comprised of both public and private healthcare expenditures, have increased in most East African countries. At the same time, health outcomes such as infant mortality rates, life expectancy at birth and other health outcome indicators have improved. Objectives: This paper examines the association between healthcare expenditures and health outcomes for eight East African countries: Burundi, Eritrea, Ethiopia, Kenya, Rwanda, Sudan, Tanzania, and Uganda. In this study, health outcomes are defined as an improvement in adult life expectancy and a reduction in the number of neonatal, infant, and under-five deaths. Methods: We implemented a panel data regression technique, analyzing both cross-sectional and time series information. This combined method has been used in healthcare studies by several authors. Data obtained from world development indicators for the years 2000-2014 was used for the panel study. Results: First, we documented that there is a strong, positive association between total healthcare expenditures and total life expectancy. While we identified a positive relationship between healthcare expenditures and female and male life expectancy, we found that healthcare had a stronger effect on improving life expectancy in females than in males. Moreover, we found a negative relationship between healthcare expenditures and the number of neonatal, infant, and under-five deaths. Conclusion:The results of this study have important policy and management implications for the eight East African countries. From a policy perspective, it is necessary to understand if a greater allocation of resources to the healthcare sector is worthwhile and to determine whether to encourage private healthcare investment. From the management perspective, investing in more private institutions, such as hospitals and clinics, is essential for health outcomes in the average country. The results of this study can be used by the World Health Organization as well as other non-governmental organizations that provide financial assistance to East African countries.

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Section: Introductionmentioning

confidence: 99%

Healthcare spending and health outcomes: evidence from selected East African countries

et al. 2017

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“…The GNIpc for all of the included countries was divided by 1000 to standardize this value for comparisons. Second, health spending defined as the percentage of the total gross domestic product spent on health expenditures was also added in the models because it is considered a significant explanatory variable for health outcomes in previous studies [ 29 , 30 ]. Although the relationship between health care expenditures and health outcomes is conflicting according to how health outcomes are defined, we decided to include health care expenditure in the models because we thought it might be a mediating variable between civic participation and health.…”

Section: Methodsmentioning

confidence: 99%

Civic participation and Self-rated health: A Cross-national multilevel analysis using World Value Survey

Kim

You

2015

J Prev Med Public Health

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Objectives:Civic participation, that which directly influences important decisions in our personal lives, is considered necessary for developing a society. We hypothesized that civic participation might be related to self-rated health status.Methods:We constructed a multi-level analysis using data from the World Value Survey (44 countries, n=50 859).Results:People who participated in voting and voluntary social activities tended to report better subjective health than those who did not vote or participate in social activities, after controlling for socio-demographic factors at the individual level. A negative association with unconventional political activity and subjective health was found, but this effect disappeared in a subset analysis of only the 18 Organization for Economic Cooperation and Development (OECD) countries. Moreover, social participation and unconventional political participation had a statistically significant contextual association with subjective health status, but this relationship was not consistent throughout the analysis. In the analysis of the 44 countries, social participation was of borderline significance, while in the subset analysis of the OECD countries unconventional political participation was a stronger determinant of subjective health. The democratic index was a significant factor in determining self-rated health in both analyses, while public health expenditure was a significant factor in only the subset analysis.Conclusions:Despite the uncertainty of its mechanism, civic participation might be a significant determinant of the health status of a country.

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“…Thus, the importance of public health and disease prevention is not foreign to health policy makers. Researchers have paid a significant amount of attention to public health expenditures (Brown, 2014;Brown et al, 2014;Duggan, 2000;Rivera, 2001;Self and Grabowski, 2003;Glick and Menon, 2009;Potrafke, 2010;Granlund, 2010;Herwartz and Theilen, 2014;Bailey and Goodman-Bacon, 2015), non of which explore the effect on hospital efficiency. Brown (2014) and Brown et al (2014) Research focusing on public health primarily analyzes the impact of public health expenditures, typically on an aggregated health measure.…”

Section: Public Health and Health Care Expendituresmentioning

confidence: 99%

Better outcomes at lower costs? The effect of public health expenditures on hospital efficiency

Hunt

2019

Applied Economics

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Local health departments play a critical role in the community that they serve as they comprise the foundation of the U.S. public health system. Providing public health services such as immunizations to the less affluent and advocating for state smoking bans, local health departments rely on government resources to fund their operations. Research indicates a positive impact of public health expenditures on the overall health of the population. However, individuals may not be the sole beneficiaries of public health expenditures. A healthier population may lead to efficiency gains for surrounding health care providers. In this research, I use efficiency analysis to explore the relationship between public health expenditures and hospital efficiency. Specifically, I use the two-stage semi-parametric Data Envelopment Analysis proposed by Simar and Wilson (2007) to estimate how public health spending affects the technical efficiency of the surrounding hospitals. The results of this research suggest that hospitals are indeed positively affected by higher levels of public health spending that has occurred in their patient market two years prior. Specifically, hospitals operating in an area with a high level of per capita public health expenditures experience gains in efficiency of approximately 1.66 percentage points relative to those hospitals operating in low public health spending areas. x

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The effect of health care expenditure on sickness absence

Cited by 9 publications

References 23 publications

Healthcare spending and health outcomes: evidence from selected East African countries

Healthcare spending and health outcomes: evidence from selected East African countries

Civic participation and Self-rated health: A Cross-national multilevel analysis using World Value Survey

Better outcomes at lower costs? The effect of public health expenditures on hospital efficiency

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