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Effectiveness of public health spending on infant mortality in Florida, 2001–2014

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  • Bernet, Patrick M.
  • Gumus, Gulcin
  • Vishwasrao, Sharmila

Abstract

Studies investigating the effectiveness of public health spending typically face two major challenges. One is the lack of data on individual program spending, which restricts researchers to rely on aggregate expenditures. The other is the failure to address issues of endogeneity and serial correlation between health outcomes and spending. In this study, we demonstrate that the use of specific spending items as opposed to overall spending, combined with Generalized Method of Moments estimation techniques can do a far better job in revealing the effectiveness of public health services on health outcomes. As an example, we consider the effects of infant-related public health programs on infant mortality rates. Focus on programs expressly related to maternal and infant health was made possible by a unique longitudinal dataset from the Florida Department of Health containing information for all 67 Florida counties spanning 2001 through 2014. Our empirical methodology, by addressing potential endogeneity issues along with serial correlation, allows us to estimate the causal impact of specific public health investments in maternal and infant-related programs on infant mortality. We find that a 10 percent increase in targeted public health spending per infant leads to a 2.07 percent decrease in infant mortality rates. We also find that targeted spending may be more effective in reducing infant mortality among blacks than among whites. The use of targeted spending data along with the Generalized Method of Moments technique can provide stronger evidence to guide future resource allocation and policy decisions in public health.

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  • Bernet, Patrick M. & Gumus, Gulcin & Vishwasrao, Sharmila, 2018. "Effectiveness of public health spending on infant mortality in Florida, 2001–2014," Social Science & Medicine, Elsevier, vol. 211(C), pages 31-38.
    • Handle: RePEc:eee:socmed:v:211:y:2018:i:c:p:31-38
    DOI: 10.1016/j.socscimed.2018.05.044
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    1. Harrell W. Chesson & Paul Harrison & Carol R. Scotton & Beena Varghese, 2005. "Does Funding for HIV and Sexually Transmitted Disease Prevention Matter?," Evaluation Review, , vol. 29(1), pages 3-23, February.
    2. Minoiu, Camelia & Andres, Antonio Rodriguez, 2008. "The effect of public spending on suicide: Evidence from U.S. state data," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 37(1), pages 237-261, February.
    3. Erwin, P.C. & Greene, S.B. & Mays, G.P. & Ricketts, T.C. & Davis, M.V., 2011. "The association of changes in local health department resources with changes in state-level health outcomes," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 609-615.
    4. Cutler David M. & Meara Ellen, 2000. "The Technology of Birth: Is It Worth It?," Forum for Health Economics & Policy, De Gruyter, vol. 3(1), pages 1-37, January.
    5. Tauras, J.A. & Chaloupka, F.J. & Farrelly, M.C. & Giovino, G.A. & Wakefield, M. & Johnston, L.D. & O'Malley, P.M. & Kloska, D.D. & Pechacek, T.F., 2005. "State tobacco control spending and youth smoking," American Journal of Public Health, American Public Health Association, vol. 95(2), pages 338-344.
    6. Holtz-Eakin, Douglas & Newey, Whitney & Rosen, Harvey S, 1988. "Estimating Vector Autoregressions with Panel Data," Econometrica, Econometric Society, vol. 56(6), pages 1371-1395, November.
    7. Nickell, Stephen J, 1981. "Biases in Dynamic Models with Fixed Effects," Econometrica, Econometric Society, vol. 49(6), pages 1417-1426, November.
    8. Grembowski, David & Bekemeier, Betty & Conrad, Douglas & Kreuter, William, 2010. "Are local health department expenditures related to racial disparities in mortality?," Social Science & Medicine, Elsevier, vol. 71(12), pages 2057-2065, December.
    9. David M. Cutler & Ellen Meara, 2000. "The Technology of Birth: Is It Worth It?," NBER Chapters, in: Frontiers in Health Policy Research, Volume 3, pages 33-68, National Bureau of Economic Research, Inc.
    10. Mishra, Prachi & Newhouse, David, 2009. "Does health aid matter?," Journal of Health Economics, Elsevier, vol. 28(4), pages 855-872, July.
    11. Schenck, A.P. & Meyer, A.M. & Kuo, T.-M. & Cilenti, D., 2015. "Building the evidence for decision-making: The relationship between local public health capacity and community mortality," American Journal of Public Health, American Public Health Association, vol. 105, pages 211-216.
    12. Carolyn Moehling & Melissa Thomasson, 2014. "Saving Babies: The Impact of Public Education Programs on Infant Mortality," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 367-386, April.
    13. Bekemeier, B. & Yip, M.P.-Y. & Dunbar, M.D. & Whitman, G. & Kwan-Gett, T., 2015. "Local health department food safety and sanitation expenditures and reductions in enteric disease, 2000-2010," American Journal of Public Health, American Public Health Association, vol. 105, pages 345-352.
    14. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    15. Brown, Timothy T. & Martinez-Gutierrez, Maria S. & Navab, Bahar, 2014. "The impact of changes in county public health expenditures on general health in the population," Health Economics, Policy and Law, Cambridge University Press, vol. 9(3), pages 251-269, July.
    16. David Roodman, 2009. "How to do xtabond2: An introduction to difference and system GMM in Stata," Stata Journal, StataCorp LLC, vol. 9(1), pages 86-136, March.
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