医疗支出是否会影响ECOWAS分区域的五岁以下儿童死亡率和预期寿命?
Dejun Zhou1, Rowland A Bassey2, Mouchun Yan3
1School of Law, Jiangsu University, Zhenjiang 212013, Jiangsu, China.
African journal of reproductive health
|December 15, 2023
概括
西非公共卫生支出增加提高了预期寿命,但公共,私人和外部卫生支出显著影响婴儿死亡率. 政策制定者应该优先考虑医疗保健预算,以获得更好的健康结果.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 西非发展,西非发展.
背景情况:
- 健康结果是社会经济发展的关键指标.
- 了解健康结果的决定因素,特别是健康支出,对于制定政策至关重要.
- 西非国家经济共同体 (ECOWAS) 在医疗保健提供和结果方面面临着独特的挑战.
研究的目的:
- 调查各种卫生支出与ECOWAS成员国的关键健康结果之间的关系.
- 分析公共,私人和外部卫生支出对预期寿命和婴儿死亡率的影响.
- 为改善该地区的健康结果提供基于证据的建议.
主要方法:
- 利用了所有15个ECOWAS成员国的2001年至2020年的面板数据.
- 进行描述性统计和单位根测试 (Dickey-Fuller增强) 进行数据静止.
- 应用了完全修改的普通最小平方 (FMOLS) 方法来估计医疗支出的影响.
主要成果:
- 公共卫生支出与预期寿命有统计学上显著的间接关系.
- 公共,私人和外部卫生支出都与婴儿死亡率有显著的关联.
- 公共卫生支出与婴儿死亡率有直接的积极关系,而私人和外部支出与婴儿死亡率有负面关系.
结论:
- 公共卫生支出是影响经济体中预期寿命和婴儿死亡率的重要因素.
- 建议针对性地增加公共卫生预算,以提高预期寿命和降低死亡率.
- 政策干预应考虑公共,私人和外部卫生融资对健康结果的不同影响.
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