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Estimating effect of healthcare expenditures and alcohol overconsumption on the health of the Russian population

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  • Kossova, T.

    (HSE University, Moscow, Russia)

  • Kossova, E.

    (HSE University, Moscow, Russia)

  • Sheluntsova, M.

    (HSE University, Moscow, Russia)

Abstract

This article aims to estimate the effect of government healthcare expenditures on the health of the Russian population. This effect is compared to the effect of alcohol overconsumption on the indicator of health. Population health is measured with an indicator of life expectancy at birth for men and women in the urban and rural area. The database is the regional statistics of the Federal State Statistics Service of Russia as well as the information on the expenditures of the budgets of the territorial funds on compulsory medical insurance for the period from 2005 to 2020. We estimate panel data models with fixed effects and check the robustness of results with semi parametric regression. For the first time, Russian long-term macrodata were used to quantify that the negative effect of alcohol overconsumption on life expectancy is twice as large as the effect of government spending on healthcare. The model used in the analysis enables us to present estimates of health losses that occurred in 2020. This is an average of one and a half year of life for residents of urban areas and a little less than a year for residents of rural areas.

Suggested Citation

  • Kossova, T. & Kossova, E. & Sheluntsova, M., 2023. "Estimating effect of healthcare expenditures and alcohol overconsumption on the health of the Russian population," Journal of the New Economic Association, New Economic Association, vol. 60(3), pages 66-78.
    • Handle: RePEc:nea:journl:y:2023:i:60:p:66-78
    DOI: 10.31737/22212264_2023_3_66-78
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    References listed on IDEAS

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    1. Badi H. Baltagi & Dong Li, 2002. "Series Estimation of Partially Linear Panel Data Models with Fixed Effects," Annals of Economics and Finance, Society for AEF, vol. 3(1), pages 103-116, May.
    2. Carla Blazquez-Fernández & David Cantarero-Prieto & Marta Pascual-Saez, 2017. "Health expenditure and socio-economic determinants of life expectancy in the OECD Asia/Pacific area countries," Applied Economics Letters, Taylor & Francis Journals, vol. 24(3), pages 167-169, February.
    3. Kossova, Tatiana V. (Коссова, Татьяна В.) & Kossova, Elena V. (Коссова, Елена) & Sheluntsova, Maria A. (Шелунцова, Мария), 2017. "Estimating the Impact of Alcohol Consumption on Mortality and Life Expectancy in Russian Regions [Влияние Потребления Алкоголя На Смертность И Ожидаемую Продолжительность Жизни В Регионах России]," Ekonomicheskaya Politika / Economic Policy, Russian Presidential Academy of National Economy and Public Administration, vol. 1, pages 58-83, February.
    4. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    5. Evgeny Yakovlev, 2018. "Demand for Alcohol Consumption in Russia and Its Implication for Mortality," American Economic Journal: Applied Economics, American Economic Association, vol. 10(1), pages 106-149, January.
    6. Gallet, Craig A. & Doucouliagos, Hristos, 2017. "The impact of healthcare spending on health outcomes: A meta-regression analysis," Social Science & Medicine, Elsevier, vol. 179(C), pages 9-17.
    7. Yu, Dandan & Lu, Bei & Piggott, John, 2022. "Alcohol consumption as a predictor of mortality and life expectancy: Evidence from older Chinese males," The Journal of the Economics of Ageing, Elsevier, vol. 22(C).
    8. Chen, Simiao & Kuhn, Michael & Prettner, Klaus & Bloom, David E. & Wang, Chen, 2021. "Macro-level efficiency of health expenditure: Estimates for 15 major economies," Social Science & Medicine, Elsevier, vol. 287(C).
    9. Edward Nketiah-Amponsah, 2019. "The Impact of Health Expenditures on Health Outcomes in Sub-Saharan Africa," Journal of Developing Societies, , vol. 35(1), pages 134-152, March.
    10. Aleksey Shchur & Vladimir M. Shkolnikov & Sergey Timonin & Evgeny Andreev & David A. Leon, 2021. "Where Do People Live Longer in Russia in the 21st Century? Life Expectancy across Urban and Rural areas," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1049-1074, December.
    11. Asiskovitch, Sharon, 2010. "Gender and health outcomes: The impact of healthcare systems and their financing on life expectancies of women and men," Social Science & Medicine, Elsevier, vol. 70(6), pages 886-895, March.
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    More about this item

    Keywords

    population health; life expectancy at birth; healthcare expenditures; socio-economic factors; Russia;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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