The Effect of Public Health Spending on Health Outcomes: Evidence from Spain Based on Self-Reported Health Status

Authors

  • Carlos Navarro-García UAX
  • Antonio Sarria-Santamera Nazarbayeb University, School of Medicine

DOI:

https://doi.org/10.14738/bjhmr.103.14841

Keywords:

self-reported health status, public health expenditure, determinants of health status, diminishing returns, JEL Classification Codes: H51, I10, I18

Abstract

In this paper, we analyse the relationship between public health spending and other biological, sociodemographic, lifestyle and health service use determinants on self-reported health status (SRHS). The study is based on individual SRHS data from the 2017 Spanish National Health Survey and public health expenditure in each of the Autonomous Communities in Spain, and is controlled through a series of separate determinants known to affect the health of individuals. The findings indicate that, increased public health expenditure results in a limited but statistically significant reduction in the possibility of reporting good health statuses. But when we consider the Moulton problem, this relationship is not statistically significant. All other individual health determinants are statistically significant.

References

Banerjee, D., Perry, M., Tran, D. et al. (2010). Self-reported Health, Functional Status and Chronic Disease in Community Dwelling Older Adults: Untangling the Role of Demographics. J Community Health 35, 135–141.

Berger, M., Messer, J. (2002). Public financing of health expenditures, insurance, and health outcomes. Appl Econ 34:2015-2113

Cochrane, AL., St. Leedger, A., Moore F. (1978). Health service 'input' and mortality 'output' in developed countries. Journal of Epidemiology & Community Health 1979; 33 307-307

Crémieux, P-Y., Mieilleur, M-C., Ouellette, P., Petit, P., Zelder, P., Potvin, K. (2005). Public and private pharmaceutical spending as determinants of health outcomes in Canada. Health Econ 14:107–116Franks, P.,

Clancy, C., Gold. M., Nutting, P. (1993). Health insurance and subjective health status: data from the 1987 National Medical Expenditure survey. Am J Public Health. Sep;83(9):1295-9.

Greene, W. (2018) Econometric Analysis, 8th ed, Pearson.

Greiner, P., Snowdon, D., Greiner, L. (1999). Self-Rated Function, Self-Rated Health, and Postmortem Evidence of Brain Infarcts: Findings from the Nun Study. The Journals of Gerontology: Series B, Volume 54B, Issue 4, Pages S219–S222.

Grigoli, F., Kapsoli, J. (2013). Waste Not, Want Not: The Efficiency of Health Expenditure in Emerging and Developing Economies. IMF Working Papers. 13. 10.5089/9781484364260.001.

Han, X., Nguyen, B.T, Drope, J., Jemal, A. (2015). Health-Related Outcomes among the Poor: Medicaid Expansion vs. Non-Expansion States. PLoS One. Dec 31;10 (12): e0144429.

Herrarte, A., Medina, E., Vicens, J. (2007). Cambios en la situación laboral de la población española ante el incremento de la inmigración. Ekonomiaz, nº 66, 3 quarter.

Ivankova, V., Kotulic, R., Gonos, J., Rigelsky, M. (2019). Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries. Int. J. Environ. Res. Public Health, 16, 3839

Kuen, T., Lane, S. (2013). Government Health Expenditure and Public Health Outcomes: A Comparative Study among 17 Countries and Implications for US Health Care Reform. American International Journal of Contemporary Research Vol. 3 No. 9

Lipton, B. (2019). Association between Health Insurance and Health among Adults with Diabetes: Evidence from Medicare. J Am Geriatr Soc. Oct 30. doi: 10.1111/jgs.16238.

Maguire, P., Reay, R., Raphael, B. (2016). Correlates of a single-item Self-Rated Mental Health Question in people with schizophrenia. Australasian Psychiatry. Volume: 24 issues: 5, page(s): 473-477

McGee D, Liao Y, Cao G, Cooper R. (1999). Self-reported Health Status and Mortality in a Multiethnic US Cohort. American Journal of Epidemiology. Volume 149, Issue 1, Pages 41–46, https://doi.org/10.1093/oxfordjournals.aje.a009725

Mica et al. (2020). Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3. The Lancet, Volume 396, Issue 10252, Pages 693-724, https://doi.org/10.1016/S0140-6736(20)30608-5.

Mostofsky, E., Mukamal, K., Giovannucci, E.,Stampfer, M., and Rimm, E. (2016) Key Findings on Alcohol Consumption and a Variety of Health Outcomes From the Nurses’ Health Study. American Journal of Public Health 106, 1586_1591, https://doi.org/10.2105/AJPH.2016.303336

Moulton, B. R. (1990). An illustration of a pitfall in estimating the effects os aggregate variables on micro units. Rewiew of Economics and Statistics. 72(2): 334-338.

Murphy, K.M., Tope,l R. (2003). Diminishing Returns? The Costs and Benefits of Improving Health. Perspectives in Biology and Medicine, vol. 46 no. 3, p. S108-S128. Project MUSE, doi:10.1353/pbm.2003.0048.

Nixon, J., Ulmann, P. (2006). The relationship between health care expenditure and health outcomes. Eur J Health Econom. 7:7–18

Norström, F.,Virtanen, P., Hammarström, A., Gustafsson, P. E.,&Janlert, U. (2014). How does unemployment affect self-assessed health? A systematic review focusing on subgroup effects. BMC Public Health, 14, 1310.

Novignon J, Lawanson A (2017). Health expenditure and child health outcomes in Sub-Saharan Africa. African Review of Economics and Finance | Volume 9 | Issue 1

Piérard, E. (2016). The effect of health care expenditure on self-rated health status and Health Utility Index: Evidence from Canada. Int. J. Health Econ Manag 16: 1-21.

Pietilainen, O., Laaksonen, M., Rahkonen, O., Lahelma, E. (2011). Self-Rated Health as a Predictor of Disability Retirement – The Contribution of Ill-Health and Working Conditions. PLoS ONE 6(9): e25004. doi: 10.1371/journal.pone.0025004

Richardson, E, Chisom E, Ogechi M (2017).. Public Health Expenditure and Health Outcomes in Nigeria. American Journal of Biomedical and Life Sciences. Vol. 5, No. 5, pp. 96-102. doi: 10.11648/j.ajbls.20170505.13

Rivera, B. (2001). The effects of public health spending on self-assessed health status: an orderer probit model. Applied economics, 33:10, 1313-1319.

Rodríguez, L., Sobrino, C. (2015). Public HEs, diminishing returns, and life expectancy in Latin American and Caribbean countries: a panel data análisis. J Bras Econ Saúde 2;7(2): 91-98

Sargent-Cox, K.A., Anstey, K.J., Luszcz, M.A. (2010). The choice of self-rated health measures matter when predicting mortality: evidence from 10 years follow-up of the Australian longitudinal study of ageing. BMC Geriatr 10, 18.

Singh, S. (2014). Public Health Spending and Population Health. A Systematic Review. Am J Prev Med;47(5):634–

Smith, P., Glazier, R., Sibley, L. (2010). The predictors of self-rated health and the relationship between self-rated health and health service needs are similar across socioeconomic groups in Canada. Journal of Clinical Epidemiology Volume 63, Issue 4, Pages 412-421

Sunil, A., Swaroop, V (2017). Public spending and outcomes: Does governance matter? Journal of Development Economics. Volume 86, Issue 1, Pages 96-111

Downloads

Published

2023-06-24

How to Cite

Navarro-García, C., & Sarria-Santamera, A. (2023). The Effect of Public Health Spending on Health Outcomes: Evidence from Spain Based on Self-Reported Health Status. British Journal of Healthcare and Medical Research, 10(3), 323–335. https://doi.org/10.14738/bjhmr.103.14841