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Analyzing the impact of fiscal conditions on private health expenditures in OECD countries: a quantile ARDL investigation

Author

Listed:
  • Nuno Silva

    (University of Coimbra)

  • Aida Isabel Tavares

    (University of Coimbra
    University of Lisbon)

  • Matheus Koengkan

    (University of Coimbra)

  • José Alberto Fuinhas

    (University of Coimbra)

Abstract

Organization for Economic Co-operation and Development (OECD) countries have embraced the aim of universal health coverage, as established in Sustainable Development Goal (SDG) 3.8. This goal guarantees access to quality healthcare services without financial hardship or poverty. Additionally, it requires correct and adequate financing sources. A country with weak protection for its population tends to spend less on healthcare and experiences a high share of out-of-pocket payments (OOPs), increasing the likelihood of people falling into poverty. This study aims to understand the relationship and causal effects between macroeconomic and public fiscal conditions and private health expenditure in OECD countries between 1995 and 2019. We retrieved OECD data for 26 OECD countries for the period 1995–2019. Panel AutoRegressive Distributed Lag (PARDL) and panel quantile AutoRegressive Distributed Lag (PQARDL) models were estimated to examine the relationship between private health expenditures and macroeconomic and public fiscal variables. Our results reveal a positive influence of government debt and economic freedom on private health expenditures. They also show a negative influence of the government budget balance, government health expenditures, and economic growth on private health expenditures. These results collectively suggest that public fiscal conditions will likely impact private health expenditures. The findings of this study raise concerns about the equity and financial protection objectives of universal health coverage in OECD countries.

Suggested Citation

  • Nuno Silva & Aida Isabel Tavares & Matheus Koengkan & José Alberto Fuinhas, 2024. "Analyzing the impact of fiscal conditions on private health expenditures in OECD countries: a quantile ARDL investigation," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 439-463, September.
    • Handle: RePEc:kap:ijhcfe:v:24:y:2024:i:3:d:10.1007_s10754-024-09377-0
    DOI: 10.1007/s10754-024-09377-0
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    More about this item

    Keywords

    Private health expenditures; Public fiscal conditions; Universal health coverage; OECD countries;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H62 - Public Economics - - National Budget, Deficit, and Debt - - - Deficit; Surplus
    • H63 - Public Economics - - National Budget, Deficit, and Debt - - - Debt; Debt Management; Sovereign Debt
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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