The impact of health expenditure on the number of chronic diseases

Becchetti, Leonardo; Conzo, Pierluigi; Salustri, Francesco

doi:10.1016/j.healthpol.2017.07.008

Cited by 14 publications

(17 citation statements)

References 18 publications

(10 reference statements)

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“…Intuitively, it is to be expected that if a person with greater social participation has a lower risk of suffering from multiple chronic diseases, this would be associated with low health care utilization [ 23 – 24 ]. As previously claimed by Becchetti et al [ 25 ], the identification of the different factors, as well as their heterogeneous impact across different population groups is decisive when tackling the challenge of improving health outcomes without threatening the sustainability of health care systems. Therefore, along with the traditional risk factors associated with lifestyles [ 26 ], “the newest” risks linked to isolation should be taken into consideration [ 27 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Social isolation and multiple chronic diseases after age 50: A European macro-regional analysis

2018

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BackgroundDifferent studies have found that socioeconomic determinants influence the prevalence of chronic diseases in older people. However, there has been relatively little research on the incidence of how social isolation may affect them. We suggest that social isolation is a serious concern for people living with chronic illnesses.MethodIn this paper, we examine whether there is an increase in the propensity of being diagnosed with chronic illnesses because of a decrease in social relations for elderly Europeans. We have used a panel data for Waves 1–6 (2004–2015) of Survey on Health, Ageing and Retirement in Europe (SHARE) and logistic regressions. Besides, we have studied three geographic macro-areas (Nordic, Continental and Southern). Being diagnosed with three or more chronic diseases is considered as a dependent variable, and as social control variables we have used three isolation proxies (living alone, providing help to family, friends or neighbours and participation-club activities). Other socio-demographic variables are included (gender, age, educational level, job situation, area of location and quality of life).ResultsOur results for the full sample indicate that people who participate in social activities have fewer probability of suffering from chronic diseases (OR = 0.70, 95% CI 0.54, 0.92). For people who live alone the reverse effect is observed (OR = 1.20, 95% CI 1.04, 1.39). Differences are shown by macro-areas, e.g. providing help (OR = 0.58, 95% CI 0.34, 0.97) isolation proxy is significant for the Nordic macro-area. Club-participation activities and living alone are significant for Continental and Southern macro-areas, respectively (OR = 0.65, 95% CI 0.55, 0.82; OR = 1.46, 95% CI 1.21, 1.77).ConclusionsSocial isolation increases the risk of being diagnosed with chronic illnesses. That is, people with greater social participation have lower risk of suffering from multiple chronic diseases. This risk linked to isolation, together with the traditional one associated with lifestyles, should be considered in the development of new public policies.

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Section: Discussionmentioning

confidence: 99%

Social isolation and multiple chronic diseases after age 50: A European macro-regional analysis

2018

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“…The literature is by no means shut of studies on the nexus between the environment, PHE, and health status. Recent studies that have examined this link include (Akinlo & Sulola, ; Becchetti, Conzo, & Salustri, ; Dhrifi, , ; Gomis‐Porqueras, Moslehi, & Suen, ; Jaba, Balan, & Robu, ; Kato, Mugarura, Kaberuka, Matovu, & Yawe, ; Li, Fujiura, Magaña, & Parish, ; Liang & Tussing, ; Linden & Ray, ; Nicholas, Edward, & Bernardin, ; Rahman, Khanam, & Rahman, ; van den Heuvel & Olaroiu, ; Ventelou & Abu‐Zaineh, ). Edeme et al () investigated the effect of PHE and urbanization on two different health status indicators in Nigeria from 1981 to 2014.…”

Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

Public health financing, environmental quality, and the quality of life in Nigeria

Nathaniel

Khan

2020

Journal of Public Affairs

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This study explores the relationship between health financing, environmental quality, and the quality of life in Nigeria. The Bayer and Hanck cointegration test affirms cointegration. Findings further reveal that CO2 emissions have no meaningful impact on life expectancy in the short run. In the long run, urbanization significantly deteriorates the quality of life. Also, public health expenditure has not contributed meaningfully to the quality of life. The study discovers no evidence of a feedback causality, but a one‐way causality flowing from urbanization to CO2 emissions. Policies that can enhance a sustainable environment and improve the quality of life are discussed.

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“…The effects of corruption on healthcare outcomes may be particularly detrimental for individuals living in low-income countries, for a number of interconnected reasons. First, low-GDP per capita is generally associated with low public healthcare expenditure, which has been shown to be correlated with poor health outcomes (Becchetti et al 2017). At the same time, professionals operating in lowexpenditure healthcare systems generally earn relatively low salaries, especially when the healthcare system is financed through general taxation (European Commission 2013).…”

Section: Heterogeneity Analysismentioning

confidence: 99%

“…We believe that our morbidity indicator (i.e. the number of chronic diseases) represents a much better proxy for the healthcare quality in high-income countries, where mortality indicators tend to be similar and chronic diseases are becoming more widespread (Seo et al 2017;Becchetti et al 2017). Third, differently from most of the existing literature, our dataset makes it possible to observe the variability of selected morbidity indicators at individual level.…”

Section: Introductionmentioning

confidence: 99%

The relationship between corruption and chronic diseases: evidence from Europeans aged 50 years and older

Ferrari

Salustri

2020

Int J Public Health

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Objectives Do people living in more corrupted countries report worse health? We answer this question by investigating the relationship between country-level corruption and the number of chronic diseases for a sample of Europeans aged above 50. Methods We link a rich panel dataset on individual health and socio-demographic characteristics with two country-level corruption indices, analyse the overall relationship with pooled ordinary least squares and fixed-effect models, explore heterogeneous effects driven by country and individual factors, and disentangle the effect across different public sectors. Results Individuals living in more corrupted countries suffer from a higher number of chronic diseases. The heterogeneity analysis shows that (1) health outcomes are worsened especially for respondents living in relatively low-income countries; (2) the health of females and people with poor socioeconomic status is more affected by corruption; (3) the corruptionhealth negative link mainly occurs for cardiovascular diseases and ulcers; (4) only corrupted sectors linked with healthcare are associated with poorer health. Conclusions We inform the policy debate with novel results in establishing a nexus between corruption and morbidity indicators.

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The impact of health expenditure on the number of chronic diseases

Cited by 14 publications

References 18 publications

Social isolation and multiple chronic diseases after age 50: A European macro-regional analysis

Social isolation and multiple chronic diseases after age 50: A European macro-regional analysis

Public health financing, environmental quality, and the quality of life in Nigeria

The relationship between corruption and chronic diseases: evidence from Europeans aged 50 years and older

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