Pattern of Public Healthcare Expenditure and Preparedness for COVID-19 in India: An Interstate Analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-12-11 DOI:10.1177/09720634231215390

T. Das, Pradyut Guha

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引用次数: 0

Abstract

The present study made an attempt to examine the changing pattern of public healthcare expenditure across Indian states for the period 1979–1980 to 2019–2020 and tried to relate this with the spread and mortality of COVID-19 infected cases. An attempt was also made to analyse the responsiveness of per capita public healthcare expenditure (PCPHE) with the change in per capita GSDP (PCGSDP) to a much-disaggregated level. The supply side composite index (SSCI), panel regression and panel generalised method of moments (GMM) was used for analytical purpose. The study found that the greater variation in PCPHE across Indian states start exhibiting since the early years of initiation of NRHM policy and continued till recent years. Unlike the PCPHE, the public healthcare expenditure to GSDP ratio declined for all states in the subsequent time periods. The value of SSCI for both revenue and capital expenditure was low in states having larger populations and geographical areas. The study argued that the average PCPHE across Indian states exhibited irregular pattern of association with the COVID-19 confirmed cases, positivity and death rate. The panel GMM estimate of PCPHE exhibited an inelastic relationship with PCGSDP implying public healthcare is a ‘necessity’ across the Indian states.

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印度公共医疗保健支出模式和应对 COVID-19 的准备情况：国家间分析

本研究试图研究 1979-1980 年至 2019-2020 年期间印度各邦公共医疗支出的变化模式，并试图将其与 COVID-19 感染病例的传播和死亡率联系起来。研究还试图分析人均公共医疗支出（PCPHE）对人均国内生产总值（PCGSDP）变化的响应程度。分析中使用了供应方综合指数（SSCI）、面板回归和面板广义矩法（GMM）。研究发现，印度各邦的 PCPHE 自 NRHM 政策启动之初就开始出现较大差异，并一直持续到最近几年。与 PCPHE 不同的是，在随后的时间段里，各邦的公共医疗支出与国内生产总值之比均有所下降。在人口和地理面积较大的邦，收入和资本支出的 SSCI 值都较低。研究认为，印度各邦的 PCPHE 平均值与 COVID-19 确诊病例、阳性率和死亡率之间呈现出不规则的关联模式。PCPHE 的面板 GMM 估计值与 PCGSDP 呈非弹性关系，这意味着在印度各邦，公共医疗保健是 "必需品"。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.