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Gender and health outcomes: The impact of healthcare systems and their financing on life expectancies of women and men

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  • Asiskovitch, Sharon

Abstract

The paper considers the impact of healthcare systems and how they are financed on the life expectancies (LEs) of women and men in 19 OECD countries during the period 1990-2005 using OECD Health Data 2009. There is a gap in life expectancy (LE) between men and women, with women living longer than men, and most studies point to socio-economic variables and lifestyle and health-related behaviors. The role of healthcare systems and access to medical services is still disputed. This article proposes a number of adjustments to previous studies. First, it uses several variables broken down according to gender. Second, it considers healthcare systems by measuring their national expenditure as well as their public and private sources of funding. Third, it includes factors indirectly affecting health as expenditures on other realms of social policy. Fourth, it examines the factors impacting LEs of women and men at birth and at 65. Using a hierarchical model of panel-data regressions, the study finds: (1) there is a marginal impact on LEs at birth for both genders and greater impact on LEs at 65 for both genders; (2) a public mode of funding has greater effect than private; (3) the findings that men benefit more from access to medical services might be the result of the variables controlled in the analysis.

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  • Asiskovitch, Sharon, 2010. "Gender and health outcomes: The impact of healthcare systems and their financing on life expectancies of women and men," Social Science & Medicine, Elsevier, vol. 70(6), pages 886-895, March.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:6:p:886-895
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    1. James Thornton, 2002. "Estimating a health production function for the US: some new evidence," Applied Economics, Taylor & Francis Journals, vol. 34(1), pages 59-62.
    2. Sharmistha Self & Richard Grabowski, 2003. "How effective is public health expenditure in improving overall health? A cross-country analysis," Applied Economics, Taylor & Francis Journals, vol. 35(7), pages 835-845.
    3. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    4. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    5. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    6. Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
    7. Mark Berger & Jodi Messer, 2002. "Public financing of health expenditures, insurance, and health outcomes," Applied Economics, Taylor & Francis Journals, vol. 34(17), pages 2105-2113.
    8. John Nixon & Philippe Ulmann, 2006. "The relationship between health care expenditure and health outcomes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(1), pages 7-18, March.
    9. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    10. Isabelle Joumard & Christophe André & Chantal Nicq & Olivier Chatal, 2008. "Health Status Determinants: Lifestyle, Environment, Health Care Resources and Efficiency," OECD Economics Department Working Papers 627, OECD Publishing.
    11. Kawachi, Ichiro & Kennedy, Bruce P. & Gupta, Vanita & Prothrow-Stith, Deborah, 1999. "Women's status and the health of women and men: a view from the States," Social Science & Medicine, Elsevier, vol. 48(1), pages 21-32, January.
    12. Mohan, Ramesh & Mirmirani, Sam, 2007. "An Assessment of OECD Health Care System Using Panel Data Analysis," MPRA Paper 6122, University Library of Munich, Germany.
    13. James W. Shaw & William C. Horrace & Ronald J. Vogel, 2005. "The Determinants of Life Expectancy: An Analysis of the OECD Health Data," Southern Economic Journal, John Wiley & Sons, vol. 71(4), pages 768-783, April.
    14. Michael Grossman, 1999. "The Human Capital Model of the Demand for Health," NBER Working Papers 7078, National Bureau of Economic Research, Inc.
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