How political ideology of government affects health system efficiency. Evidence from parliamentary democracies

Q3 Social Sciences

International Journal of Public Policy Pub Date : 2020-01-01 DOI:10.1504/IJPP.2020.10036309

Nino Kokashvili, Youjung Shin

引用次数: 1

Abstract

What role does the government ideological composition play in health policy formation and outcomes? According to the conventional view, left-oriented governments are more likely to increase health spending. However, the impact of government ideology on health policy payoff is still a question for discussion. This paper examines how the ideological differences of ruling parties influence the efficiency of health systems. We use four stage data envelopment analysis (DEA), a non-parametric approach, to measure the health efficiency of 31 OECD countries for the period of 2001-2016. Based on the results from a panel tobit regression model, we show that while left-wing governments tend to increase public health spending, the efficiency of health systems is higher under ideologically balanced and/or right-wing governments.

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政府的政治意识形态如何影响卫生系统效率。来自议会民主制的证据

政府的意识形态构成在卫生政策的形成和结果中起什么作用?根据传统观点，左派政府更有可能增加医疗支出。然而，政府意识形态对卫生政策收益的影响仍是一个有待探讨的问题。本文考察了执政党的意识形态差异对卫生系统效率的影响。我们使用四阶段数据包络分析(DEA)，一种非参数方法，来衡量31个经合组织国家2001-2016年期间的卫生效率。基于面板tobit回归模型的结果，我们表明，虽然左翼政府倾向于增加公共卫生支出，但在意识形态平衡和/或右翼政府下，卫生系统的效率更高。

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

International Journal of Public Policy Social Sciences-Political Science and International Relations

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： The IJPP proposes and fosters discussion on public policy issues facing nation states and national and supranational organisations, including governments, and how these diverse groups approach and solve common public policy problems. The emphasis will be on governance, accountability, the creation of wealth and wellbeing, and the implications policy choices have on nation states and their citizens. This perspective acknowledges that public policy choice and execution is complex and has ramifications on the welfare of citizens; and that, despite national differences, the actions of nation states are constrained by policies determined by supranational bodies, some of which are not directly accountable to any international body.