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Effects of the COVID-19 Pandemic on the Budgetary Mechanism Established to Cover Public Health Expenditure. A Case Study of Romania

Author

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  • Mihaela Onofrei

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 22 Carol I, 700505 Iasi, Romania)

  • Elena Cigu

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 22 Carol I, 700505 Iasi, Romania)

  • Anca-Florentina Gavriluta (Vatamanu)

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 22 Carol I, 700505 Iasi, Romania)

  • Ionel Bostan

    (Faculty of Law and Administrative Sciences, Ștefan cel Mare University, Universitatii 13, 720229 Suceava, Romania)

  • Florin Oprea

    (Faculty of Economics and Business Administration, Alexandru Ioan Cuza University, 22 Carol I, 700505 Iasi, Romania)

Abstract

The COVID-19 pandemic stressed the importance of understanding the sources of vulnerabilities that can lead to a financial crisis and highlighted the predominant impact on health systems. Firstly, the paper aims to conduct a retrospective analysis of the Romanian health care system, over the period of time 1985–2019, based on our own computed sustainability index for public health. Secondly, using the Gregory-Hansen cointegration method, we provide new evidence on the causal relationship between health expenditure and GDP for Romania over the period of time 1985–2017. Based on the retrospective analysis of the long-run co-movement between health spending and GDP, the study allows one to prospectively examine not only the effects of the COVID-19 pandemic on health care spending, but also to reveal the government’s fiscal position and vulnerabilities. Our results highlight the intergenerational costs related to the policy incoherence roadmap and regulatory fragmentation, stressing the importance of economic system resilience through fiscal diligence and the consolidation of the institutional context.

Suggested Citation

  • Mihaela Onofrei & Elena Cigu & Anca-Florentina Gavriluta (Vatamanu) & Ionel Bostan & Florin Oprea, 2021. "Effects of the COVID-19 Pandemic on the Budgetary Mechanism Established to Cover Public Health Expenditure. A Case Study of Romania," IJERPH, MDPI, vol. 18(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1134-:d:488317
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    1. MacKinnon, James G & Haug, Alfred A & Michelis, Leo, 1999. "Numerical Distribution Functions of Likelihood Ratio Tests for Cointegration," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 14(5), pages 563-577, Sept.-Oct.
    2. Nielsen, Heino Bohn & Rahbek, Anders, 2007. "The Likelihood Ratio Test For Cointegration Ranks In The I(2) Model," Econometric Theory, Cambridge University Press, vol. 23(4), pages 615-637, August.
    3. Elliott, Graham & Rothenberg, Thomas J & Stock, James H, 1996. "Efficient Tests for an Autoregressive Unit Root," Econometrica, Econometric Society, vol. 64(4), pages 813-836, July.
    4. Li, Jing, 2014. "The influence of state policy and proximity to medical services on health outcomes," Journal of Urban Economics, Elsevier, vol. 80(C), pages 97-109.
    5. van Eck, N.J.P. & Waltman, L., 2009. "How to Normalize Co-Occurrence Data? An Analysis of Some Well-Known Similarity Measures," ERIM Report Series Research in Management ERS-2009-001-LIS, Erasmus Research Institute of Management (ERIM), ERIM is the joint research institute of the Rotterdam School of Management, Erasmus University and the Erasmus School of Economics (ESE) at Erasmus University Rotterdam.
    6. Galea, Sandro & Freudenberg, Nicholas & Vlahov, David, 2005. "Cities and population health," Social Science & Medicine, Elsevier, vol. 60(5), pages 1017-1033, March.
    7. Emre Atilgan & Dilek Kilic & Hasan Murat Ertugrul, 2017. "The dynamic relationship between health expenditure and economic growth: is the health-led growth hypothesis valid for Turkey?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 567-574, June.
    8. Zijun Wang & Andrew J. Rettenmaier, 2007. "A note on cointegration of health expenditures and income," Health Economics, John Wiley & Sons, Ltd., vol. 16(6), pages 559-578, June.
    9. Heino Bohn Nielsen, 2004. "Cointegration analysis in the presence of outliers," Econometrics Journal, Royal Economic Society, vol. 7(1), pages 249-271, June.
    10. Nees Jan van Eck & Ludo Waltman, 2009. "How to normalize cooccurrence data? An analysis of some well‐known similarity measures," Journal of the American Society for Information Science and Technology, Association for Information Science & Technology, vol. 60(8), pages 1635-1651, August.
    11. Samakovlis, Eva & Huhtala, Anni & Bellander, Tom & Svartengren, Magnus, 2005. "Valuing health effects of air pollution--Focus on concentration-response functions," Journal of Urban Economics, Elsevier, vol. 58(2), pages 230-249, September.
    12. Liliana Dumitrache & Mariana Nae & Gabriel Simion & Ana-Maria Taloș, 2020. "Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
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    Cited by:

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    2. Karolina Sobczyk & Mateusz Grajek & Mateusz Rozmiarek & Krzysztof Sas-Nowosielski, 2022. "Local Governments Spending on Promoting Physical Activity during 2015–2020: Financial Data and the Opinion of Residents in Poland," IJERPH, MDPI, vol. 19(19), pages 1-11, October.
    3. Iasmina Petrovici & Mihaela Ionica & Octavian C. Neagoe, 2021. "Economic Crisis: A Factor for the Delayed Diagnosis of Breast Cancer," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    4. Mihai Popescu & Oana Mara Ştefan & Mihai Ştefan & Liana Văleanu & Dana Tomescu, 2022. "ICU-Associated Costs during the Fourth Wave of the COVID-19 Pandemic in a Tertiary Hospital in a Low-Vaccinated Eastern European Country," IJERPH, MDPI, vol. 19(3), pages 1-11, February.
    5. Liliana Dumitrache & Elena Stănculescu & Mariana Nae & Daniela Dumbrăveanu & Gabriel Simion & Ana Maria Taloș & Alina Mareci, 2021. "Post-Lockdown Effects on Students’ Mental Health in Romania: Perceived Stress, Missing Daily Social Interactions, and Boredom Proneness," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    6. Javier Cifuentes-Faura, 2022. "Is Environmental Pollution Associated with an Increased Number of COVID-19 Cases in Europe?," IJERPH, MDPI, vol. 19(2), pages 1-7, January.
    7. Despina Saghin & Maria-Magdalena Lupchian & Daniel Lucheș, 2022. "Social Cohesion and Community Resilience during the COVID-19 Pandemic in Northern Romania," IJERPH, MDPI, vol. 19(8), pages 1-15, April.

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