当前位置: X-MOL 学术Journal of Developing Societies › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
The Impact of Health Expenditures on Health Outcomes in Sub-Saharan Africa
Journal of Developing Societies Pub Date : 2019-03-01 , DOI: 10.1177/0169796x19826759
Edward Nketiah-Amponsah 1
Affiliation  

This article investigates the core macroeconomic and social determinants of health expenditures as well as the effect of health expenditures on select critical health outcomes (life expectancy, under-five mortality and maternal mortality) in recent years in sub-Saharan Africa (SSA). The study utilizes data on 46 sub-Saharan African countries covering the period 2000–2015. The results indicate that gross domestic product (GDP) per capita, physician per 1,000 population, population aged above 65 years and under-five mortality rate are the most significant determinants of health expenditure in the region. Overall, health expenditure is less income-elastic, not rising as a portion of GDP in wealthier nations. Health expenditure was found to exert a positive and significant impact on all three health outcomes. Specifically, a 1 percent increase in health expenditure per capita resulted in a 0.5 percent reduction in under-five mortality and a 0.35 percent fall in maternal mortality, while improving life expectancy by 0.06 percent. The results suggest that steady increases in health expenditures over time have the tendency to improve health outcomes in SSA.

中文翻译:

卫生支出对撒哈拉以南非洲地区卫生成果的影响

本文调查了撒哈拉以南非洲(SSA)近年来健康支出的核心宏观经济和社会决定因素,以及健康支出对某些关键健康结局(预期寿命,五岁以下死亡率和孕产妇死亡率)的影响。该研究利用了2000年至2015年期间撒哈拉以南非洲46个国家的数据。结果表明,人均国内生产总值(GDP),每千人口中的医生,65岁以上的人口和5岁以下的死亡率是该地区卫生支出的最重要决定因素。总体而言,卫生支出的收入弹性较小,在较富裕国家中,卫生支出不占GDP的一部分。发现卫生支出对所有三个卫生结果均产生积极而重大的影响。具体来说,人均卫生支出增加1%,五岁以下儿童死亡率降低0.5%,孕产妇死亡率降低0.35%,同时将预期寿命提高0.06%。结果表明,随着时间的推移,卫生支出的稳定增长有改善SSA卫生成果的趋势。
更新日期:2019-03-01
down
wechat
bug