IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i20p10725-d655130.html
   My bibliography  Save this article

Government Health Expenditure and Public Health Outcomes: A Comparative Study among EU Developing Countries

Author

Listed:
  • Mihaela Onofrei

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 700505 Iasi, Romania)

  • Anca-Florentina Vatamanu

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 700505 Iasi, Romania)

  • Georgeta Vintilă

    (Department of Finance, The Bucharest University of Economic Studies, 010374 Bucharest, Romania)

  • Elena Cigu

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 700505 Iasi, Romania)

Abstract

The aim of this paper was to empirically analyze the relationship between public health expenditure and health outcomes among EU developing countries. Using regression analysis and factor analysis, we documented that public health expenditure and health outcomes are in a long-run equilibrium relationship and the status of health expenditure can improve life expectancy and reduce infant mortality. Secondarily, we studied how the status of good governance, health care system performance, and socioeconomic vulnerabilities affect the public health’s outcomes in the selected countries. We found that the effectiveness of health and the way to reduce infant mortality or to improve life quality is directed conditioned by good governance status. Moreover, the consolidation of health care system performance directly improves the quality of life among EU developing countries, which indicates that public policymakers should intervene and provide political and financial support through policy mixes.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10725-:d:655130
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/20/10725/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/20/10725/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Helliwell, John F. & Huang, Haifang, 2008. "How's Your Government? International Evidence Linking Good Government and Well-Being," British Journal of Political Science, Cambridge University Press, vol. 38(4), pages 595-619, October.
    2. Micheal Kofi Boachie & K. Ramu, 2018. "Distribution of the benefits from public health expenditures in Ghana," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(1), pages 415-430, January.
    3. David M. Cutler & Adriana Lleras-Muney, 2006. "Education and Health: Evaluating Theories and Evidence," NBER Working Papers 12352, National Bureau of Economic Research, Inc.
    4. Bloom, David E. & Canning, David & Sevilla, Jaypee, 2004. "The Effect of Health on Economic Growth: A Production Function Approach," World Development, Elsevier, vol. 32(1), pages 1-13, January.
    5. Devdatta Ray & Mikael Linden, 2020. "Health expenditure, longevity, and child mortality: dynamic panel data approach with global data," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 99-119, March.
    6. Bjørnskov, Christian & Dreher, Axel & Fischer, Justina A.V., 2010. "Formal institutions and subjective well-being: Revisiting the cross-country evidence," European Journal of Political Economy, Elsevier, vol. 26(4), pages 419-430, December.
    7. Schiman, Jeffrey C. & Kaestner, Robert & Lo Sasso, Anthony T., 2019. "Infant mortality and adult wellbeing: Evidence from wartime Britain," Labour Economics, Elsevier, vol. 60(C), pages 12-29.
    8. Johannesson, Magnus & Johansson, Per-Olov, 1997. "Quality of life and the WTP for an increased life expectancy at an advanced age," Journal of Public Economics, Elsevier, vol. 65(2), pages 219-228, August.
    9. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    10. Emiliya A. Lazarova, 2006. "Governance In Relation To Infant Mortality Rate: Evidence From Around The World," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 77(3), pages 385-394, September.
    11. Chuk Kyo Kim, 2019. "Role of Government," World Scientific Book Chapters, in: Economic Development of Korea, chapter 2, pages 25-40, World Scientific Publishing Co. Pte. Ltd..
    12. 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.
    13. 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.
    14. Helliwell, John F., 2003. "How's life? Combining individual and national variables to explain subjective well-being," Economic Modelling, Elsevier, vol. 20(2), pages 331-360, March.
    15. Helliwell, John F. & Huang, Haifang & Grover, Shawn & Wang, Shun, 2018. "Empirical linkages between good governance and national well-being," Journal of Comparative Economics, Elsevier, vol. 46(4), pages 1332-1346.
    16. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    17. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    18. Kim, Tae Jun & Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2017. "Income, financial barriers to health care and public health expenditure: A multilevel analysis of 28 countries," Social Science & Medicine, Elsevier, vol. 176(C), pages 158-165.
    19. Dasgupta, Partha & Weale, Martin, 1992. "On measuring the quality of life," World Development, Elsevier, vol. 20(1), pages 119-131, January.
    20. ED Diener & Carol Diener, 1995. "The wealth of nations revisited: Income and quality of life," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 36(3), pages 275-286, November.
    21. 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.
    22. Kroneman, Madelon & Siegers, Jacques J., 2004. "The effect of hospital bed reduction on the use of beds: A comparative study of 10 European countries," Social Science & Medicine, Elsevier, vol. 59(8), pages 1731-1740, October.
    23. Kaplan, Erin K. & Collins, Courtney A. & Tylavsky, Frances A., 2017. "Cyclical unemployment and infant health," Economics & Human Biology, Elsevier, vol. 27(PA), pages 281-288.
    24. Jude Eggoh & Hilaire Houeninvo & Gilles-Armand Sossou, 2015. "Education, Health And Economic Growth In African Countries," Journal of Economic Development, Chung-Ang Unviersity, Department of Economics, vol. 40(1), pages 93-111, March.
    25. Makin, Anthony J. & Layton, Allan, 2021. "The global fiscal response to COVID-19: Risks and repercussions," Economic Analysis and Policy, Elsevier, vol. 69(C), pages 340-349.
    26. Giammanco, Maria Daniela & Gitto, Lara, 2019. "Health expenditure and FDI in Europe," Economic Analysis and Policy, Elsevier, vol. 62(C), pages 255-267.
    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. Beatrice Patricia Oberkner & Marius Cristian Milos, 2022. "Analysis of the Linkage Between Health Public Expenditures and Health Outcomes at the European Union Level," Ovidius University Annals, Economic Sciences Series, Ovidius University of Constantza, Faculty of Economic Sciences, vol. 0(1), pages 943-947, September.
    2. Hui Tang & Yun Chen & Rongjun Ao & Xue Shen & Guoning Shi, 2022. "Spatial–Temporal Characteristics and Driving Factors of the Coupling Coordination between Population Health and Economic Development in China," Sustainability, MDPI, vol. 14(17), pages 1-17, August.
    3. VĂTAVU Sorana & ȚĂRAN Alexandra-Mădălina & MOLDOVAN Nicoleta-Claudia & LOBONȚ Oana-Ramona, 2022. "Does Technical And Democratic Governance Have The Potential To Enhance Health Spending Allocations?," Studies in Business and Economics, Lucian Blaga University of Sibiu, Faculty of Economic Sciences, vol. 17(3), pages 251-268, December.
    4. Rehana Firdous & Sarvjeet Kaur Chatrath & Atif Khan Jadoon & Munawar Iqbal & Syeda Azra Batool & Zameer Ul Hasan, 2023. "Exploring Dynamic Nexus between Economic Growth, Environmental Degradation, and Public Health in Pakistan: A Moderated Mediation Approach," International Journal of Energy Economics and Policy, Econjournals, vol. 13(1), pages 241-249, January.
    5. Nisar Ahmad & Moodhi Raid & Jumah Alzyadat & Hisham Alhawal, 2023. "Impact of urbanization and income inequality on life expectancy of male and female in South Asian countries: a moderating role of health expenditures," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.

    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. Dieudonne Mignamissi & Yselle Flora Malah Kuete, 2020. "What Makes Africans Happy?," Economics Bulletin, AccessEcon, vol. 40(4), pages 2741-2754.
    2. 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.
    3. Gabriel Leite Mota, 2022. "Unsatisfying ordinalism: The breach through which happiness (re)entered economics," Regional Science Policy & Practice, Wiley Blackwell, vol. 14(3), pages 513-528, June.
    4. Kossi Atsutsè Dziédzom Tsomdzo & Yacobou Sanoussi & Kodjo Evlo, 2022. "Investissement en santé et état de santé dans les pays de l'UEMOA: entre contribution publique et privée?," African Development Review, African Development Bank, vol. 34(2), pages 244-254, June.
    5. Ana Lucia Abeliansky & Holger Strulik, 2023. "Health and aging before and after retirement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2825-2855, October.
    6. Jesús Peiró-Palomino & Andrés J. Picazo-Tadeo, 2018. "Assessing well-being in European regions. Does government quality matter?," Working Papers 2018/06, Economics Department, Universitat Jaume I, Castellón (Spain).
    7. Eiji Yamamura, 2012. "The Effects of Information Asymmetry and Government Size on Happiness: A Case Study from Japan," The IUP Journal of Governance and Public Policy, IUP Publications, vol. 0(1), pages 7-20, March.
    8. Sónia Morgado, 2014. "Does health promote economic growth? Portuguese case study: from dictatorship to full democracy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(6), pages 591-598, July.
    9. Chen, Keith & Lange, Fabian, 2008. "Education, Information, and Improved Health: Evidence from Breast Cancer Screening," IZA Discussion Papers 3548, Institute of Labor Economics (IZA).
    10. Mocan, Naci & Raschke, Christian & Unel, Bulent, 2015. "The impact of mothers’ earnings on health inputs and infant health," Economics & Human Biology, Elsevier, vol. 19(C), pages 204-223.
    11. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    12. Lucía Macchia & Anke C. Plagnol, 2019. "Life Satisfaction and Confidence in National Institutions: Evidence from South America," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 14(3), pages 721-736, July.
    13. Niclas Berggren & Christian Bjørnskov, 2023. "Does legal freedom satisfy?," European Journal of Law and Economics, Springer, vol. 55(1), pages 1-28, February.
    14. Henri Njangang, 2019. "Governance and Happiness in African countries," Economics Bulletin, AccessEcon, vol. 39(2), pages 1546-1555.
    15. Trinh Q. Long, 2021. "Individual Subjective Well-Being during the COVID-19 Pandemic," Sustainability, MDPI, vol. 13(14), pages 1-18, July.
    16. Bjørnskov, Christian & Dreher, Axel & Fischer, Justina A.V., 2010. "Formal institutions and subjective well-being: Revisiting the cross-country evidence," European Journal of Political Economy, Elsevier, vol. 26(4), pages 419-430, December.
    17. Gawain Heckley & Martin Nordin & Ulf‐G. Gerdtham, 2022. "The health returns of attending university for the marginally eligible student," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 877-903, May.
    18. 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.
    19. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    20. Yasar, Rusen, 2018. "Subjective well-being and income: A compromise between Easterlin paradox and its critiques," Economics - The Open-Access, Open-Assessment E-Journal (2007-2020), Kiel Institute for the World Economy (IfW Kiel), vol. 12, pages 1-23.

    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:jijerp:v:18:y:2021:i:20:p:10725-:d:655130. 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.