当治疗方法泄露时:马拉维的腐败,医疗支出和健康结果
Emmanuel George Yusufu1, Bertha Chipo Bangara1, Lloyd George Banda2,3
1Department of Economics, School of Law, Economics and Government, University of Malawi, Zomba, Malawi.
Frontiers in public health
|January 28, 2026
概括
腐败严重破坏了马拉维的健康状况,减少了预期寿命,增加了婴儿死亡率,尽管有医疗支出. 政策变化是必要的,以将卫生支出与可衡量的结果联系起来,并制腐败.
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
- 发展研究 发展研究 研究
背景情况:
- 由于广泛的腐败,公共卫生支出的有效性受到质疑.
- 存在一种悖论,即增加投资并不总是带来更好的健康结果.
研究的目的:
- 检查卫生支出对马拉维卫生结果的影响.
- 分析腐败趋势如何影响卫生支出与结果之间的关系.
主要方法:
- 自行回归分布式滞后 (ARDL) 方法.
- 边界协同整合和错误纠正模型 (ECM).
- 从1990年到2023年的年度时间序列数据的分析.
主要成果:
- 长期:腐败的增加使预期寿命减少0.146%,婴儿死亡率增加0.0226%.
- 医疗支出对预期寿命产生积极影响,并降低五岁以下儿童死亡率.
- 腐败加剧了负面的健康结果,结果恶化了0.317% (预期寿命) 和0.149% (五岁以下的死亡率).
结论:
- 腐败作为外部效应,降低公共卫生投资的生产力和技术进步.
- 这些发现与机构假设和Solow天生长模型一致.
- 政策建议包括将卫生支出与可衡量的结果联系起来,以提高效率并防止资金泄漏.
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