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The Role of Policy and Institutions on Health Spending

Author

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  • Christine de la Maisonneuve
  • Rodrigo Moreno‐Serra
  • Fabrice Murtin
  • Joaquim Oliveira Martins
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.

Suggested Citation

  • Christine de la Maisonneuve & Rodrigo Moreno‐Serra & Fabrice Murtin & Joaquim Oliveira Martins, 2017. "The Role of Policy and Institutions on Health Spending," Health Economics, John Wiley & Sons, Ltd., vol. 26(7), pages 834-843, July.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:7:p:834-843
    DOI: 10.1002/hec.3410
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    References listed on IDEAS

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    4. Joan Costa‐Font & Marin Gemmill & Gloria Rubert, 2011. "Biases in the healthcare luxury good hypothesis?: a meta‐regression analysis," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(1), pages 95-107, January.
    5. repec:dau:papers:123456789/3881 is not listed on IDEAS
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    Cited by:

    1. Nadia von Jacobi & Vito Amendolagine, 2021. "What Feeds on What? Networks of Interdependencies between Culture and Institutions," DEM Working Papers 2021/13, Department of Economics and Management.
    2. Nadia Jacobi & Vito Amendolagine, 2023. "What feeds on what? Networks of interdependencies between culture and institutions," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 40(2), pages 371-412, July.
    3. Amendolagine, Vito & von Jacobi, Nadia, 2023. "Symbiotic relationships among formal and informal institutions: Comparing five Brazilian cultural ecosystems," Economic Systems, Elsevier, vol. 47(3).
    4. Carsten Colombier & Thomas Braendle, 2018. "Healthcare expenditure and fiscal sustainability: evidence from Switzerland," Public Sector Economics, Institute of Public Finance, vol. 42(3), pages 279-301.
    5. Nadia von Jacobi & Vito Amendolagine, 2022. "What Feeds on What? Networks of Interdependencies between Culture and Institutions," Working Papers 11, SITES.
    6. Rodrigo Moreno-Serra & Misael Anaya-Montes & Peter C Smith, 2019. "Potential determinants of health system efficiency: Evidence from Latin America and the Caribbean," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-21, May.
    7. Rudi Rocha & Isabela Furtado & Paula Spinola, 2021. "Financing needs, spending projection, and the future of health in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1082-1094, May.
    8. Chak Hung Jack Cheng & Nopphol Witvorapong, 2021. "Health care policy uncertainty, real health expenditures and health care inflation in the USA," Empirical Economics, Springer, vol. 60(4), pages 2083-2103, April.
    9. Anne Mason & Idaira Rodriguez Santana & María José Aragón & Nigel Rice & Martin Chalkley & Raphael Wittenberg & Jose-Luis Fernandez, 2019. "Drivers of health care expenditure: Final report," Working Papers 169cherp, Centre for Health Economics, University of York.
    10. Keegan, Conor & Brick, Aoife & Bergin, Adele & Wren, Maev-Ann & Whyte, Richard & Henry, Edward, 2020. "Projections of expenditure for public hospitals in Ireland, 2018–2035, based on the Hippocrates Model," Research Series, Economic and Social Research Institute (ESRI), number RS117.

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