scholarly journals Financing health care expenditure in the OECD countries: Evidence from a heterogeneous, cross-sectional dependent panel

2014 ◽  
Vol 61 (2) ◽  
pp. 207-225 ◽  
Author(s):  
Mello-Sampayo de ◽  
Sousa-Vale de

This paper analyses the relationship between health expenditure and the way it is financed in a panel of 30 OECD countries observed annually from 1990 to 2009. The nonstationarity and cointegration properties between health care spending and its sources of funding, income, and non-income variables are studied. This is performed in a panel data context controlling for both cross section dependence and unobserved heterogeneity. The findings suggest that when health care expenditure is mainly financed by government it becomes independent of an individual?s income, controlling for dependency rates for old and young age structure and technological progress.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mehmet Hilmi Özkaya ◽  
Naib Alakbarov ◽  
Murat Gündüz

Purpose When the factors affecting health expenditures are examined in the literature, it is seen that one of the most important factors is income. In this context, the purpose of this study is to investigate the relationship between out-of-pocket health expenditures and disposable personal income and revealing the income elasticity of health expenditures. Design/methodology/approach Therefore, short/long-term coefficients were obtained by analyzing Westerlund (2007) co-integration analysis and pooled mean group (PMG) regression methods for 22 European Union (EU) member states during the period 2003–2017. In addition, a comparison of the long-term coefficients for each country was obtained with augmented mean group (AMG) estimator. Findings The results of the AMG and PMG tests show that the long-term coefficients between disposable personal income and health expenditures are 0.83 and 0.97, respectively. These results imply that there is a significant relationship between the variables, and that health care should be categorized in the group of normal goods. However, the fact that the long-term coefficient is very close to 1, despite being classified in the category of necessity goods, requires more care to be taken in evaluating whether health services are luxury goods or necessity goods. Originality/value The use of second generation econometric tests on both cross-sectional dependence and heterogeneity demonstrates the value of the study. On the other hand, obtaining similar results by investigating the relationship between variables using different appropriate econometric models reveals the importance of the methodology used in this study. It reveals important details in terms of the literature regarding the long-term and short-term results obtained in this study.


1992 ◽  
Vol 11 (1) ◽  
pp. 63-84 ◽  
Author(s):  
Ulf-G. Gerdtham ◽  
Jes Søgaard ◽  
Fredrik Andersson ◽  
Bengt Jönsson

2020 ◽  
Vol 6 (2) ◽  
pp. 708-715
Author(s):  
Mokh. Firman Ismana

Kepuasan pasien merupakan merupakan tingkat kepuasan dari persepsi pasien terhadap layanan kesehatan dan merupakan salah satu indikator kinerja. Apabila pasien menunjukan hal – hal yang bagus mengenai layanan kesehatan dan pasien mengindikasikan dengan perilaku yang positif maka akan dapat mengambil kesimpulan bahwa pasien merasa puas terhadap layanan tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara lima dimensi mutu pelayanan rawat jalan dengan kepuasan pasien di RSUD Arjawinangun Kabupaten Cirebon Tahun 2015. Jenis penelitian deskriptik analitik dengan desain Cross Sectional. Populasi dalam penelitian ini adalah jumlah seluruh pasien yang berobat ke rawat jalan RSUD Arjawinangun pada bulan Januari tahun 2015 sebanyak 9.707 pasien. Jumlah sampel sebanyak 385 pasien yang diambil secara Accidental Sampling. Data dianalisa secara statistic menggunakan uji Chi Square pada tingkat kemaknaan 5% (0,05). Variabel yang diteliti yaitu variabel dependen: kepuasan pasien, variabel independen: Bukti Fisik (Tangibles), Kehandalan (Reliability), Ketanggapan (Responsiveness), Jaminan (Assurance), Dan Empati (Empathy). Hasil penelitian ini menunjukan ada hubungan yang bermakna antara Bukti Fisik (Tangibles) dengan kepuasan pasein (p = 0,034), ada hubungan yang bermakna antara Kehandalan (Reliability) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Ketanggapan (Responsiveness) dengan kepuasan pasein ( p= 0,000), ada hubungan yang bermakna antara Jaminan (Assurance) dengan kepuasan pasein (p= 0,000), ada hubungan yang bermakna antara Empati (Empathy) dengan kepuasan pasein (p= 0,000).Kata Kunci: Kepuasan Pasien, Lima dimensi mutu ABSTRACTPatient’s satisfaction is the satisfaction level of the patient’s perception of the health services and is one of the performance indicators. If the patients shows the good things about the health care service and the patients indicated by the positive behavior will be able to infer that patients are satisfied with the health care service. This research aimed to determine the relationship between the five dimensions of quality of outpatient care with patient’s satisfaction in RSUD Arjawinangun Kabupaten Cirebon 2015. The type of this research is descriptive analytic with Cross Sectional Design. Population in this research is the total number of outpatients treated at RSUD Arjawinangun Kabupaten Cirebon through Januari 2015 as many as 9707 patients. The total sample of 385 patients were taken by accidental sampling. Data were analyzed statiscally using Chi-squared test at 5% (0.05) significance level. The dependent variable analyzed in this research is patient’s satisfaction and the Independent variable in this research are Tangibles, Realiability, Responsiveness, Assurance, and Empathy. Judge from the analysis above, we conclude that the result of this research showed the relationship between Tangibles with patient’s satisfaction (p = 0.034). There is relationship between Reliability with patient’s satisfaction (p = 0.00). There is relationship between Responsiveness with patient’s satisfaction (p = 0.00). The relationship between Assurance with patient’s satisfaction is also influence with p = 0.00, and the last of variable, there is relationship between empathy with patient’s satisfaction (p=0.00). The result of this research can be followed up by efforts to improve the Tangibles, Reliability, Responsiveness, Assurance, and Empathy by providing technical training to every officer to increase the ability to carry out the services.Key Word : Patient’s Satisfaction, Five dimensions of  quality


2015 ◽  
Vol 49 (3) ◽  
Author(s):  
Mateja Lorber ◽  
Sonja Treven ◽  
Damijan Mumel

Introduction: Work is an important constituent of an individual’s life since the experience of work influences well-being and health. The well-being of employees is an important issue in the work environment. The aim was to examine the relationship between satisfaction in the workplace and the well-being of employees in nursing. Methods: Quantitative research based on a cross-sectional study was used, with 640 employees in nursing from eight Slovenian hospitals participating in the study. A structured survey questionnaire was administered. The relationship between psychological well-being and workplace satisfaction was analysed with correlation and linear regression analysis. Results: The workplace satisfaction (x = 3.69, s = 1.13) and well-being ( x=161.27, s = 55.19) of employees in nursing are at a middle level. With the correlation analysis we established that well-being statistically significantly correlates with workplace satisfaction (r = 0.611, p < 0.001). Workplace satisfaction explains 42 % of the total variability of well-being of employees in nursing. Discussion and conclusion: It is necessary for every health care organization to take care of its employees' workplace satisfaction and well-being. Health care organizations can be successful and achieve their organisational objectives if their employees are satisfied with their work and have a high level of well-being.


Author(s):  
David R. Axon ◽  
Jonathan Chien ◽  
Hanh Dinh

This cross-sectional study included a nationally representative sample of U.S. adults aged ≥50 years with self-reported pain in the past 4 weeks from the 2018 Medical Expenditure Panel Survey. Adjusted linear regression analyses accounted for the complex survey design and assessed differences in several types of annual health care expenditures between individuals who reported frequent exercise (≥30 min of moderate–vigorous intensity physical activity ≥5 times per week) and those who did not. Approximately 23,940,144 of 56,979,267 older U.S. adults with pain reported frequent exercise. In adjusted analyses, individuals who reported frequent exercise had 15% lower annual prescription medication expenditures compared with those who did not report frequent exercise (p = .007). There were no statistical differences between frequent exercise status for other health care expenditure types (p > .05). In conclusion, adjusted annual prescription medication expenditures were 15% lower among older U.S. adults with pain who reported frequent exercise versus those who did not.


2003 ◽  
Vol 22 (Suppl1) ◽  
pp. W3-537-W3-551 ◽  
Author(s):  
Laurence Baker ◽  
Howard Birnbaum ◽  
Jeffrey Geppert ◽  
David Mishol ◽  
Erick Moyneur

2016 ◽  
Vol 88 (1) ◽  
pp. 43-58 ◽  
Author(s):  
Erin E. Mattson ◽  
Christopher D. Marshall

Histological data from terrestrial, semiaquatic, and fully aquatic mammal vibrissa (whisker) studies indicate that follicle microstructure and innervation vary across the mystacial vibrissal array (i.e. medial microvibrissae to lateral macrovibrissae). However, comparative data are lacking, and current histological studies on pinniped vibrissae only focus on the largest ventrolateral vibrissae. Consequently, we investigated the microstructure, medial-to-lateral innervation, and morphometric trends in harp seal (Pagophilus groenlandicus) vibrissal follicle-sinus complexes (F-SCs). The F-SCs were sectioned either longitudinally or in cross-section and stained with a modified Masson's trichrome stain (microstructure) or Bodian's silver stain (innervation). All F-SCs exhibited a tripartite blood organization system. The dermal capsule thickness, the distribution of major branches of the deep vibrissal nerve, and the hair shaft design were more symmetrical in medial F-SCs, but these features became more asymmetrical as the F-SCs became more lateral. Overall, the mean axon count was 1,221 ± 422.3 axons/F-SC and mean axon counts by column ranged from 550 ± 97.4 axons/F-SC (medially, column 11) to 1,632 ± 173.2 axons/F-SC (laterally, column 2). These values indicate a total of 117,216 axons innervating the entire mystacial vibrissal array. The mean axon count of lateral F-SCs was 1,533 ± 192.9 axons/ F-SC, which is similar to values reported in the literature for other pinniped F-SCs. Our data suggest that conventional studies that only examine the largest ventrolateral vibrissae may overestimate the total innervation by ∼20%. However, our study also accounts for variation in quantification methods and shows that conventional analyses likely only overestimate innervation by ∼10%. The relationship between axon count and cross-sectional F-SC surface area was nonlinear, and axon densities were consistent across the snout. Our data indicate that harp seals exhibit microstructural and innervational differences between their microvibrissae (columns 8-11) and macrovibrissae (columns 1-7). We hypothesize that this feature is conserved among pinnipeds and may result in functional compartmentalization within their mystacial vibrissal arrays.


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