IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v11y2019i11p3229-d238901.html
   My bibliography  Save this article

Does Quality of Government Matter in Public Health?: Comparing the Role of Quality and Quantity of Government at the National Level

Author

Listed:
  • Sunhee Kim

    (Department of Welfare Administration, School of Social Welfare, Seowon University, Musimseoro 377-3, Cheongju 28674, Korea)

  • Jaesun Wang

    (Department of Public Administration, Honam University, 417, Eodeung-daero, Gwangsan-gu, Gwangju 62399, Korea)

Abstract

This study aims to examine the degree of direct or indirect impact of quality and quantity of government on public health. It is a very important topic in that previous studies did not consider the role of government; they focused on the impact of national economic, social, and political factors on public health, therefore, disregarding the governmental factors. We measured the quantity of government by public expenditure on heath (i.e., rate of share of government budget to gross domestic product (GDP)) and the quality of government by five variables such as corruption control, government effectiveness, regulatory quality, voice and accountability, and rule of law. Based on national-level panel data (three waves) that covered 148–194 countries, we examined how quality and quantity of government has an impact on four kinds of public health, i.e., infant mortality, under-five mortality, maternal mortality, and life expectancy. Results show that both the quality and quantity of government had a significant impact on public health. In the quality of government, government effectiveness has a positive impact on life expectancy and a negative influence on infant deaths. Moreover, the quality of government has a greater impact on public health than the quantity of government. Lastly, the quality of government plays a role in moderating the relationships between quantity of government and the predicted variables.

Suggested Citation

  • Sunhee Kim & Jaesun Wang, 2019. "Does Quality of Government Matter in Public Health?: Comparing the Role of Quality and Quantity of Government at the National Level," Sustainability, MDPI, vol. 11(11), pages 1-24, June.
  • Handle: RePEc:gam:jsusta:v:11:y:2019:i:11:p:3229-:d:238901
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/11/11/3229/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/2071-1050/11/11/3229/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jacob Novignon & Solomon Olakojo & Justice Nonvignon, 2012. "The effects of public and private health care expenditure on health status in sub-Saharan Africa: new evidence from panel data analysis," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    2. Cornia, Giovanni Andrea & Mwabu, Germano, "undated". "Health Status and Health Policy in Sub-Saharan Africa: A Long-Term Perspective," WIDER Working Papers 295466, United Nations University, World Institute for Development Economic Research (UNU-WIDER).
    3. Sharmistha Self & Richard Grabowski, 2003. "How effective is public health expenditure in improving overall health? A cross-country analysis," Applied Economics, Taylor & Francis Journals, vol. 35(7), pages 835-845.
    4. La Porta, Rafael & Lopez-de-Silanes, Florencio & Shleifer, Andrei & Vishny, Robert, 1999. "The Quality of Government," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 15(1), pages 222-279, April.
    5. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    6. Sanjeev Gupta & Marijn Verhoeven & Erwin R. Tiongson, 2003. "Public spending on health care and the poor," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 685-696, August.
    7. Alassane Drabo, 2011. "Impact of Income Inequality on Health: Does Environment Quality Matter?," Environment and Planning A, , vol. 43(1), pages 146-165, January.
    8. Christian Bjørnskov & Axel Dreher & Justina Fischer, 2007. "The bigger the better? Evidence of the effect of government size on life satisfaction around the world," Public Choice, Springer, vol. 130(3), pages 267-292, March.
    9. Sen, Amartya, 1998. "Mortality as an Indicator of Economic Success and Failure," Economic Journal, Royal Economic Society, vol. 108(446), pages 1-25, January.
    10. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273, March.
    11. Rosa Aísa & Jesús Clemente & Fernando Pueyo, 2014. "The influence of (public) health expenditure on longevity," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(5), pages 867-875, October.
    12. Mayer, Susan E. & Sarin, Ankur, 2005. "Some mechanisms linking economic inequality and infant mortality," Social Science & Medicine, Elsevier, vol. 60(3), pages 439-455, February.
    13. Ramón E. López & Vinod Thomas & Yan Wang, 2008. "The Quality of Growth," World Bank Publications - Books, The World Bank Group, number 28198, December.
    14. Aisa, Rosa & Pueyo, Fernando, 2006. "Government health spending and growth in a model of endogenous longevity," Economics Letters, Elsevier, vol. 90(2), pages 249-253, February.
    15. Gupta, Sanjeev & Verhoeven, Marijn & Tiongson, Erwin R., 2002. "The effectiveness of government spending on education and health care in developing and transition economies," European Journal of Political Economy, Elsevier, vol. 18(4), pages 717-737, November.
    16. Mr. Paulo Silva Lopes, 2002. "A Comparative Analysis of Government Social Spending Indicators and Their Correlation with Social Outcomes in Sub-Saharan Africa," IMF Working Papers 2002/176, International Monetary Fund.
    17. John Anyanwu & Andrew E. O. Erhijakpor, 2009. "Health Expenditures and Health Outcomes in Africa," African Development Review, African Development Bank, vol. 21(2), pages 400-433.
    18. Agnafors, Marcus, 2013. "Quality of Government: Toward a More Complex Definition," American Political Science Review, Cambridge University Press, vol. 107(3), pages 433-445, August.
    19. Mr. Erwin H Tiongson & Mr. Hamid R Davoodi & Mr. Sanjeev Gupta, 2000. "Corruption and the Provision of Health Care and Education Services," IMF Working Papers 2000/116, International Monetary Fund.
    20. Rajan, Keertichandra & Kennedy, Jonathan & King, Lawrence, 2013. "Is wealthier always healthier in poor countries? The health implications of income, inequality, poverty, and literacy in India," Social Science & Medicine, Elsevier, vol. 88(C), pages 98-107.
    21. Rajkumar, Andrew Sunil & Swaroop, Vinaya, 2008. "Public spending and outcomes: Does governance matter?," Journal of Development Economics, Elsevier, vol. 86(1), pages 96-111, April.
    22. John Nixon & Philippe Ulmann, 2006. "The relationship between health care expenditure and health outcomes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(1), pages 7-18, March.
    23. Marwa Farag & A. Nandakumar & Stanley Wallack & Dominic Hodgkin & Gary Gaumer & Can Erbil, 2013. "Health expenditures, health outcomes and the role of good governance," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 33-52, March.
    24. Kaufmann, Daniel & Kraay, Aart & Mastruzzi, Massimo, 2010. "The worldwide governance indicators : methodology and analytical issues," Policy Research Working Paper Series 5430, The World Bank.
    25. Natalya Ketenci & Vasudeva N. R. Murthy, 2018. "Some determinants of life expectancy in the United States: results from cointegration tests under structural breaks," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 42(3), pages 508-525, July.
    26. Lindstrom, Martin & Mohseni, Mohabbat, 2009. "Social capital, political trust and self-reported psychological health: A population-based study," Social Science & Medicine, Elsevier, vol. 68(3), pages 436-443, February.
    27. James W. Shaw & William C. Horrace & Ronald J. Vogel, 2005. "The Determinants of Life Expectancy: An Analysis of the OECD Health Data," Southern Economic Journal, John Wiley & Sons, vol. 71(4), pages 768-783, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mihaela Onofrei & Anca-Florentina Vatamanu & Georgeta Vintilă & Elena Cigu, 2021. "Government Health Expenditure and Public Health Outcomes: A Comparative Study among EU Developing Countries," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    2. Zhou, Jie & Jamaani, Fouad, 2023. "Electricity production, government effectiveness eco-innovation, and public health: Novel findings in the context of sustainability policies," Utilities Policy, Elsevier, vol. 81(C).
    3. Oana-Ramona Socoliuc (Guriță) & Nicoleta Sîrghi & Dănuţ-Vasile Jemna & Mihaela David, 2022. "Corruption and Population Health in the European Union Countries—An Institutionalist Perspective," IJERPH, MDPI, vol. 19(9), pages 1-20, April.
    4. Lizheng Ma & Congzhi Zhang & Kai Lisa Lo & Xiangyan Meng, 2023. "Can Stringent Government Initiatives Lead to Global Economic Recovery Rapidly during the COVID-19 Epidemic?," IJERPH, MDPI, vol. 20(6), pages 1-16, March.
    5. Pedro Antonio Martín Cervantes & Nuria Rueda López & Salvador Cruz Rambaud, 2020. "Life Expectancy at Birth in Europe: An Econometric Approach Based on Random Forests Methodology," Sustainability, MDPI, vol. 12(1), pages 1-17, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Deepak Kumar Behera & Umakant Dash, 2020. "Is health expenditure effective for achieving healthcare goals? Empirical evidence from South-East Asia Region," Asia-Pacific Journal of Regional Science, Springer, vol. 4(2), pages 593-618, June.
    2. Mohanty, Ranjan Kumar & Behera, Deepak Kumar, 2020. "How Effective is Public Health Care Expenditure in Improving Health Outcome? An Empirical Evidence from the Indian States," Working Papers 20/300, National Institute of Public Finance and Policy.
    3. Noshaba Aziz & Jun He & Tanwne Sarker & Hongguang Sui, 2021. "Exploring the Role of Health Expenditure and Maternal Mortality in South Asian Countries: An Approach towards Shaping Better Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-14, November.
    4. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    5. Seemab Gillani & Muhammad Nouman Shafiq & Tusawar Iftikhar Ahmad, 2019. "Military Expenditures and Health Outcomes: A Global Perspective," iRASD Journal of Energy and Environment, International Research Association for Sustainable Development (iRASD), vol. 1(1), pages 1-20, June.
    6. Hilaire Gbodja Houeninvo, 2022. "Effects of health expenditures on infant and child mortality rates: A dynamic panel data analysis of 37 African countries," African Development Review, African Development Bank, vol. 34(2), pages 255-267, June.
    7. Seemab Gillani & Muhammad Nouman Shafiq & Tusawar Iftikhar Ahmad, 2019. "Military Expenditures and Health Outcomes: A Global Perspective," iRASD Journal of Economics, International Research Alliance for Sustainable Development (iRASD), vol. 1(1), pages 1-20, June.
    8. Bernadette O'Hare & Steve G. Hall, 2022. "The Impact of Government Revenue on the Achievement of the Sustainable Development Goals and the Amplification Potential of Good Governance," Central European Journal of Economic Modelling and Econometrics, Central European Journal of Economic Modelling and Econometrics, vol. 14(2), pages 109-129, June.
    9. Bienvenido Ortega & Jesús Sanjuán & Antonio Casquero, 2017. "Determinants of efficiency in reducing child mortality in developing countries. The role of inequality and government effectiveness," Health Care Management Science, Springer, vol. 20(4), pages 500-516, December.
    10. Zechariah Langnel & Ponlapat Buracom, 2020. "Governance, health expenditure and infant mortality in sub‐Saharan Africa," African Development Review, African Development Bank, vol. 32(4), pages 673-685, December.
    11. Gebregziabher, Fiseha & Niño-Zarazúa, Miguel, 2014. "Social spending and aggregate welfare in developing and transition economies," WIDER Working Paper Series 082, World Institute for Development Economic Research (UNU-WIDER).
    12. Micheal Kofi Boachie & Tatjana Põlajeva & Albert Opoku Frimpong, 2020. "Infant Mortality in Low- and Middle-income Countries: Does Government Health Spending Matter?," Journal of Development Policy and Practice, , vol. 5(1), pages 54-73, January.
    13. AfDB AfDB, 2007. "Working Paper 91 - Health Expenditures and Health Outcomes in Africa," Working Paper Series 2224, African Development Bank.
    14. Eric Arthur & Hassan E. Oaikhenan, 2017. "The Effects of Health Expenditure on Health Outcomes in Sub-Saharan Africa (SSA)," African Development Review, African Development Bank, vol. 29(3), pages 524-536, September.
    15. Issa Dianda & Idrissa Ouedraogo, 2021. "The synergistic effect of government health spending and institutional quality on health capital accumulation in WAEMU countries," Economics Bulletin, AccessEcon, vol. 41(2), pages 495-506.
    16. Tayyebe Azodi & Seyed Mohammad Javad Razmi & Ali Akbar Naji Meidani & Mohammad Ali Falahi, 2019. "The Effect of Public and Private Health Expenditures on Life Expectancy in Different Countries: Using Panel Data Model," International Journal of Business and Economic Sciences Applied Research (IJBESAR), International Hellenic University (IHU), Kavala Campus, Greece (formerly Eastern Macedonia and Thrace Institute of Technology - EMaTTech), vol. 12(1), pages 64-69, April.
    17. AfDB AfDB, 2007. "Working Paper 91 - Health Expenditures and Health Outcomes in Africa," Working Paper Series 2304, African Development Bank.
    18. Jaison Chireshe & Matthew K. Ocran, 2020. "Health care expenditure and health outcomes in sub‐Saharan African countries," African Development Review, African Development Bank, vol. 32(3), pages 349-361, September.
    19. Stephen Hall & Janine Illian & Innocent Makuta & Kyle McNabb & Stuart Murray & Bernadette AM O’Hare & Andre Python & Syed Haider Ali Zaidi & Naor Bar-Zeev, 2021. "Government Revenue and Child and Maternal Mortality," Open Economies Review, Springer, vol. 32(1), pages 213-229, February.
    20. Fiseha Gebregziabher & Miguel Niño-Zarazúa, 2014. "Social Spending and Aggregate Welfare in Developing and Transition Economies," WIDER Working Paper Series wp-2014-082, World Institute for Development Economic Research (UNU-WIDER).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:11:y:2019:i:11:p:3229-:d:238901. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.