Relationship between mortality and health care expenditure: Sustainable assessment of health care system
- PMID: 33626059
- PMCID: PMC7904168
- DOI: 10.1371/journal.pone.0247413
Relationship between mortality and health care expenditure: Sustainable assessment of health care system
Abstract
Infant and maternal mortality are important indicators for assessing the quality of healthcare systems. The World Health Organization underscores the importance of proper health care system in reducing preventable mortality through early intervention. Early intervention includes availability, accessibility and affordability of health care systems for children and mothers. While there are several studies that assess the immediate and underlying drivers of child mortality, literature on the role of policy measures are limited and inconsistent. Thus, robust empirical analysis of the determinants of maternal and infant mortality remains inconclusive in the era of achieving the Sustainable Development Goals (SDG). Here, we examined the influence of health expenditure on infant and maternal deaths for the period 2000-2015 across 177 countries. Using panel Quantile Regression with bootstrapping, this study accounted for the 2007-2008 financial crisis in an empirical relationship between health outcome and health expenditure. We found a negative effect of health expenditure on mortality across all percentiles. Infant mortality rate declines between 0.19% - 1.45% while maternal mortality rate declines ranging from 0.09% - 1.91%. To attain the goal of ensuring healthy lives and wellbeing of all people (SDG 3), this study infers that health expenditure potentially reduces maternal and infant mortality across lower and middle income countries. We highlight the need for an enhanced health care expenditure, especially in developing countries to curb the levels of infant and maternal deaths.
Conflict of interest statement
The authors have declared that no competing interests exist.
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References
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- United Nations Development Programme, U. Sustainable Development Goals. 2015. 18 March, 2019]; Available from: http://www.undp.org/content/undp/en/home/sustainable-development-goals.html.
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- World Health Organization, World Health Statistics 2018: Monitoring health for the SDGs, sustainable development goals. 2018, Geneva: World Health Organization; 4–5.
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- OECD. Health spending (indicator). 2019. [cited 2019 7 August]; Available from: https://data.oecd.org/healthres/health-spending.htm.
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- Issa H. and Ouattara B., The effect of private and public health expenditure on infant mortality rates: does the level of development matters. Economics Department, University Of Wales Swansea, United Kingdom, 2005.
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