撒哈拉以南非洲国家卫生支出,机构质量和五岁以下儿童死亡率
Kin Sibanda1, Alungile Qoko1, Dorcas Gonese1
1Department of Business Management and Economics, Faculty of Economics and Financial Sciences, Walter Sisulu University, Mthatha Campus, Mthatha 5700, South Africa.
高质量的机构提高了医疗保健支出.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 发展研究 发展研究 研究
背景情况:
- 在撒哈拉以南非洲,五岁以下儿童的死亡率仍然是一个关键的挑战.
- 了解儿童健康结果的决定因素对于有效的政策至关重要.
研究的目的:
- 研究撒哈拉以南非洲地区卫生支出,机构质量和五岁以下儿童死亡率之间的关系.
- 探索机构质量在这种动态中扮演的调解角色.
主要方法:
- 从46个撒哈拉以南非洲国家 (2000-2021) 的数据分析.
- 一个系统的应用 时刻的通用化方法 (GMM) 模型.
主要成果:
- 机构质量在很大程度上影响了卫生支出对五岁以下儿童死亡率的影响.
- 强大的机构提高了外部卫生基金的有效性.
- 糟糕的机构增加了对私人/自有支出的依赖,结果恶化.
结论:
- 加强机构对于有效的卫生资源分配和管理至关重要.
- 政策的目标应该是增加卫生支出和加强机构能力.
- 减少对私人和自付医疗费用的依赖对于儿童的生存至关重要.
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