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Relationship between mortality and health care expenditure: Sustainable assessment of health care system

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, access...

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Autores principales: Owusu, Phebe Asantewaa, Sarkodie, Samuel Asumadu, Pedersen, Pål Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904168/
https://www.ncbi.nlm.nih.gov/pubmed/33626059
http://dx.doi.org/10.1371/journal.pone.0247413
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author Owusu, Phebe Asantewaa
Sarkodie, Samuel Asumadu
Pedersen, Pål Andreas
author_facet Owusu, Phebe Asantewaa
Sarkodie, Samuel Asumadu
Pedersen, Pål Andreas
author_sort Owusu, Phebe Asantewaa
collection PubMed
description 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.
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spelling pubmed-79041682021-03-02 Relationship between mortality and health care expenditure: Sustainable assessment of health care system Owusu, Phebe Asantewaa Sarkodie, Samuel Asumadu Pedersen, Pål Andreas PLoS One Research Article 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. Public Library of Science 2021-02-24 /pmc/articles/PMC7904168/ /pubmed/33626059 http://dx.doi.org/10.1371/journal.pone.0247413 Text en © 2021 Owusu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Owusu, Phebe Asantewaa
Sarkodie, Samuel Asumadu
Pedersen, Pål Andreas
Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title_full Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title_fullStr Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title_full_unstemmed Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title_short Relationship between mortality and health care expenditure: Sustainable assessment of health care system
title_sort relationship between mortality and health care expenditure: sustainable assessment of health care system
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904168/
https://www.ncbi.nlm.nih.gov/pubmed/33626059
http://dx.doi.org/10.1371/journal.pone.0247413
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