What should a country spend on health care?

Health Affairs

Volumn 26, Issue 4, 2007, Pages 962-970

  Savedoff, William D ^a  

^a Social Insight   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUDGET; CHILD; CHILDHOOD MORTALITY; COST BENEFIT ANALYSIS; CULTURAL FACTOR; DEVELOPED COUNTRY; DEVELOPING COUNTRY; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HUMAN; INCOME; PUBLIC HEALTH; REVIEW; STANDARD; STATISTICS; WORLD HEALTH ORGANIZATION;

BUDGETS; CHILD; CHILD MORTALITY; COST-BENEFIT ANALYSIS; CROSS-CULTURAL COMPARISON; DELIVERY OF HEALTH CARE; DEVELOPED COUNTRIES; DEVELOPING COUNTRIES; FINANCING, ORGANIZED; HEALTH EXPENDITURES; HEALTH POLICY; HUMANS; INCOME; PUBLIC HEALTH; WORLD HEALTH ORGANIZATION;

EID: 34548299353     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.4.962     Document Type: Review

References (27)

1. O. Shisana, "Social Health Insurance and Tax-Based Funding of Health," South African Medical Journal 91, no. 12 (2001): 1048-1053.
2. Multinational Monitor, "India Confronts AIDS," December 2004, http://multinationalmonitor.org/mm2004/122004/front.html (accessed 20 November 2006);
3. United Nations Commission on Sustainable Development, Johannesburg Summit 2002: Country Profile - Philippines, http://www.un.org/esa/agenda21/ natlinfo/wssd/philippines.pdf (accessed 20March 2007);
4. and American Association for the Advancement of Science, The Right to Health: A Resource Manual for NGOs, August 2004, http://shr.aaas.org/ manuals/health (accessed 20March 2007).
5. B. Abel-Smith, "Paying for Health Services: A Study of the Costs and Sources of Finance in Six Countries," Public Health Papers no. 17 (Geneva: World Health Organization, 1963);
6. B. Abel-Smith, "An International Study of Health Expenditure and Its Relevance for Health Planning," Public Health Papers no. 32 (Geneva: WHO, 1967);
7. WHO, "Financing of Health Services: Report of a Study Group," Technical Report Series no. 625 (Geneva: WHO, 1978);
8. WHO, "Economic Support for National Health for All Strategies" (Geneva: WHO, 1988);
9. WHO, "Evaluation of Recent Changes in the Financing of Health Services: A Report of a WHO Study Group," WHO Technical Report Series no. 829 (Geneva: WHO, 1993);
10. and WHO, World Health Report 2000, Health Services: Improving Performance (Geneva: WHO, 2000).
11. W.D. Savedoff, "How Much Should Countries Spend on Health?" Discussion Paper no. 2-2003, EIP/FER/DP.03.2 (Geneva: WHO, 2003).
12. All figures on health conditions and spending are calculated from WHO, World Health Report 2006 (Geneva: WHO, 2006), unless noted otherwise.
13. World Bank, Investing in Health: World Development Report (Washington: World Bank, 1993);
14. and J.P. Poullier et al., "Patterns of Global Health Expenditures: Results for 191 Countries," EIP Discussion Paper no. 51 (Geneva: WHO, November 2002).
15. Inter-American Development Bank, Economic and Social Progress in Latin America: Making Social Services Work (Baltimore: Johns Hopkins University Press, 1996), 248.
16. J.P. Dunne, P. Pashardes, and R.P. Smith, "Needs, Costs, and Bureaucracy: The Allocation of Public Consumption in the U.K.," Economic Journal 94, no. 373 (1984): 1-15.
17. A.M. Mobarak, A.S. Rajkumar, and M. Cropper, "The Political Economy of Health Services Provision and Access in Brazil," Research Program on Political and Economic Change, Working Paper no. PEC2004-002 (Boulder, Colo.: Institute of Behavioral Studies, University of Colorado, 13 April 2004).
18. Health production function models have been estimated for a variety of purposes, including measuring the relative efficiency of different health systems, as in D.B. Evans et al., "Comparative Efficiency of National Health Systems: Cross National Econometric Analysis," British Medical Journal 323, no. 7308 (2001): 307-310.
19. S. Anand and M. Ravaillon, "Human Development in Poor Countries: On the Role of Private Incomes and Public Services," Journal of Economic Perspectives 7, no. 1 (1993): 133-150;
20. G. Carrin and C. Politi, "Exploring the Health Impact of Economic Growth, Poverty Reduction, and Public Health Expenditure," Tijdschrift voor Economie en Management 40, nos. 3-4 (1995): 227-246;
21. L. Pritchett and L.H. Summers, "Wealthier Is Healthier," Journal of Human Resources 31, no. 4 (1996): 841-868;
22. P.Y. Cremieux, P. Ouellette, and C. Pilon, "Health Care Spending as Determinants of Health Outcomes," Health Economics 8, no. 7 (1999): 627-639;
23. and Z. Or, "Determinants of Health Outcomes in Industrialised Countries: A Pooled, Cross-Country, Time-Series Analysis," OECD Economic Studies, no. 30 (2000): 53-77.
24. This statement is based on the elasticity of healthy life expectancy to log per capita health spending, estimated in Evans et al., "Comparative Efficiency of National Health Systems," which is only 0.0089.
25. S. Gupta, M. Verhoeven, and E. Tiongson, "Does Higher Government Spending Buy Better Results in Education and Health Care?" IMF Working Paper no. WP/99/21 (Washington: International Monetary Fund, February 1999).
26. World Bank, Investing in Health; and Commission on Macroeconomics and Health, Macroeconomics and Health: Investing in Health for Economic Development (Geneva: WHO, 2001).
27. World Bank, "Ethiopia: A Country Status Report on Health and Poverty," Report no. 28963-ET (Washington: World Bank, July 2005), 190.