The Role of Policy and Institutions on Health Spending

Health Econ. 2017 Jul;26(7):834-843. doi: 10.1002/hec.3410. Epub 2016 Sep 29.

Abstract

This paper investigates the impact of policies and institutions on health expenditures for a large panel of Organisation for Economic Co-operation and Development countries for the period of 2000-2010. A set of 20 policy and institutional indicators developed by the Organisation for Economic Co-operation and Development are integrated into a theoretically motivated econometric framework, alongside control variables related to demographic (dependency ratio) and non-demographic (income, prices and technology) drivers of health expenditures per capita. Although a large share of cross-country differences in public health expenditures can be explained by demographic and economic factors (around 71%), cross-country variations in policies and institutions also have a significant influence, explaining most of the remaining difference in public health spending (23%). Copyright © 2016 John Wiley & Sons, Ltd.

Keywords: demographic drivers; health expenditures; health institutions; health policy; healthcare; non-demographic drivers.

MeSH terms

  • Biotechnology / economics
  • Choice Behavior
  • Commerce / economics
  • Global Health
  • Government Regulation
  • Guanosine Diphosphate
  • Health Expenditures / legislation & jurisprudence
  • Health Expenditures / trends*
  • Health Workforce
  • Humans
  • Models, Econometric*
  • Organisation for Economic Co-Operation and Development
  • Policy*
  • Reimbursement, Incentive
  • Socioeconomic Factors

Substances

  • Guanosine Diphosphate