How Does Government Efficiency Affect Health Outcomes? The Empirical Evidence from 156 Countries

Int J Environ Res Public Health. 2022 Aug 1;19(15):9436. doi: 10.3390/ijerph19159436.

Abstract

This paper uses the unbalanced panel data of 156 countries during the period of 2002 to 2018 to explore the possible impact of government efficiency on health outcomes. Firstly, we used the fixed-effect model to examine the relationship between government efficiency and health outcomes and found that the increase in government efficiency can significantly improve health outcomes. Then, a series of robustness checks were carried out, which confirmed the reliability of the above result. Thirdly, this paper conducted a heterogeneity analysis from the perspective of life cycle. Fourthly, this paper investigated the mechanisms of the impact of government efficiency on health outcomes from the perspectives of economic growth, health innovation, education and corruption control. Finally, this paper studied the moderating effects of the ruling party's ideology and democracy on the relationship between government efficiency and health outcomes. The findings of this study provide some references for governments to improve health outcomes.

Keywords: government efficiency; health outcomes; heterogeneity analysis; mechanism analysis; moderating effect.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • China
  • Economic Development*
  • Efficiency
  • Government*
  • Outcome Assessment, Health Care
  • Reproducibility of Results

Grants and funding

This research was funded by Universiti Putra Malaysia, grant number GP/2018/9632300.