出生时预期寿命的决定因素:对经合组织国家的纵向研究。

IF 1.5 4区 经济学 Q3 BUSINESS, FINANCE
Paolo Roffia, Alessandro Bucciol, Sara Hashlamoun
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引用次数: 11

摘要

本文分析了1999年至2018年期间36个经合组织国家出生时预期寿命的几个决定因素的影响。我们利用年份和国家假人进行跨国固定效应多元回归分析,并使用动态模型、后向逐步选择和Arellano-Bond估计器来处理潜在的内生性问题。结果表明,人均卫生保健支出、自付费用发生率、医生密度、医院床位密度、社会支出、国内生产总值水平、劳动参与率、慢性呼吸道疾病患病率、温度和人口总数对出生时预期寿命的影响。与之前的研究一致,该分析证实了卫生保健支出和卫生保健系统(我们分析中的医生和医院床位)在影响一个国家人口预期寿命方面的相关性。它还概述了与这一结果共同考虑的人口行为和社会支出有关的其他因素的重要性。政策制定者在分配公共资金时应仔细考虑这些相互影响,特别是在COVID-19大流行时期之后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Determinants of life expectancy at birth: a longitudinal study on OECD countries.

Determinants of life expectancy at birth: a longitudinal study on OECD countries.

Determinants of life expectancy at birth: a longitudinal study on OECD countries.

This paper analyses the influence of several determinants on life expectancy at birth in 36 OECD countries over the 1999-2018 period. We utilized a cross-country fixed-effects multiple regression analysis with year and country dummies and used dynamic models, backward stepwise selection, and Arellano-Bond estimators to treat potential endogeneity issues. The results show the influence of per capita health-care expenditure, incidence of out-of-pocket expenditure, physician density, hospital bed density, social spending, GDP level, participation ratio to labour, prevalence of chronic respiratory diseases, temperature, and total size of the population on life expectancy at birth. In line with previous studies, this analysis confirms the relevance of both health care expenditure and health care system (physicians and hospital beds in our analysis) in influencing a country's population life expectancy. It also outlines the importance of other factors related to population behaviour and social spending jointly considered on this outcome. Policy makers should carefully consider these mutual influences when allocating public funds, particularly after the COVID-19 pandemic period.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
18
期刊介绍: The focus of the International Journal of Health Economics and Management is on health care systems and on the behavior of consumers, patients, and providers of such services. The links among management, public policy, payment, and performance are core topics of the relaunched journal. The demand for health care and its cost remain central concerns. Even as medical innovation allows providers to improve the lives of their patients, questions remain about how to efficiently deliver health care services, how to pay for it, and who should pay for it. These are central questions facing innovators, providers, and payers in the public and private sectors. One key to answering these questions is to understand how people choose among alternative arrangements, either in markets or through the political process. The choices made by healthcare managers concerning the organization and production of that care are also crucial. There is an important connection between the management of a health care system and its economic performance. The primary audience for this journal will be health economists and researchers in health management, along with the larger group of health services researchers. In addition, research and policy analysis reported in the journal should be of interest to health care providers, managers and policymakers, who need to know about the pressures facing insurers and governments, with consequences for regulation and mandates. The editors of the journal encourage submissions that analyze the behavior and interaction of the actors in health care, viz. consumers, providers, insurers, and governments. Preference will be given to contributions that combine theoretical with empirical work, evaluate conflicting findings, present new information, or compare experiences between countries and jurisdictions. In addition to conventional research articles, the journal will include specific subsections for shorter concise research findings and cont ributions to management and policy that provide important descriptive data or arguments about what policies follow from research findings. The composition of the editorial board is designed to cover the range of interest among economics and management researchers.Officially cited as: Int J Health Econ ManagFrom 2001 to 2014 the journal was published as International Journal of Health Care Finance and Economics. (Articles published in Vol. 1-14 officially cited as: Int J Health Care Finance Econ)
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