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Eltérnek-e a nemzetközileg szokásostól a posztszocialista országok egészségügyi kiadásai?
[Is the health spending of post-communist countries internationally unusual?]

Author

Listed:
  • Kornai, János
  • McHale, John

Abstract

Milyen tényezők határozzák meg egy ország egészségügyi kiadásait? Milyen ténye zők hatnak e kiadásoknak az állami szektor által finanszírozott részarányára? E té nyezők hatását figyelembe véve, eltérnek-e a posztszocialista országok egészség ügyi kiadásai a szokásostól? Az OECD-országok esetében az egy főre jutó egész ségügyi kiadások és az egy főre jutó jövedelem szoros összefüggést, 1,5 körüli ru galmassági értéket mutat. A fejlődő országokban e rugalmassági mutató értéke egy körül van. A kiadások az időskorúak népességen belüli arányával is egy irányba mozognak, az összefüggés azonban gyengébb annál, mint amit az időskorúak és a népesség többi részének egészségügyi kiadását statikusan összehasonlítva várnánk. Közép- és Kelet-Európa posztszocialista országaiban az egészségügyi kiadások ará nya a GDP-ben alacsonyabb az OECD-átlagnál, viszont a jövedelemszint és a demog ráfiai változók hatását figyelembe véve az egyes regressziókban a kapott eredmények azt mutatják, hogy a legtöbb általunk vizsgált ország a szokásosnál többet fordít egész ségügyre. A vizsgált OECD-országok esetében az egészségügyi kiadások állami rész arányában megmutatkozó variancia közel felét négy fejlettségi mutató magyarázza meg. A többi magyarázatához politikai változók nyújtanak segítséget. Ha a posztszocialista országok gyakorlata a piacgazdaságokra jellemző minta felé mozdul el, a kiadások állami részaránya csökkenni fog, de mindenképpen 50 százalék felett marad.

Suggested Citation

  • Kornai, János & McHale, John, 2001. "Eltérnek-e a nemzetközileg szokásostól a posztszocialista országok egészségügyi kiadásai? [Is the health spending of post-communist countries internationally unusual?]," Közgazdasági Szemle (Economic Review - monthly of the Hungarian Academy of Sciences), Közgazdasági Szemle Alapítvány (Economic Review Foundation), vol. 0(7), pages 555-580.
    • Handle: RePEc:ksa:szemle:403
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    References listed on IDEAS

    as
    1. Andrei Shleifer, 1998. "State versus Private Ownership," Journal of Economic Perspectives, American Economic Association, vol. 12(4), pages 133-150, Fall.
    2. Gerdtham, Ulf-G. & Jonsson, Bengt, 2000. "International comparisons of health expenditure: Theory, data and econometric analysis," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 1, pages 11-53, Elsevier.
    3. 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.
    4. Robert Summers & Alan Heston, 1991. "The Penn World Table (Mark 5): An Expanded Set of International Comparisons, 1950–1988," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 106(2), pages 327-368.
    5. Mukesh Chawla & Peter Berman & Dorota Kawiorska, 1998. "Financing health services in Poland: new evidence on private expenditures," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 337-346, June.
    6. Ephraim Kleiman, 1974. "The Determinants of National Outlay on Health," International Economic Association Series, in: Mark Perlman (ed.), The Economics of Health and Medical Care, chapter 5, pages 66-88, Palgrave Macmillan.
    7. Newhouse, Joseph P., 1987. "Cross national differences in health spending what do they mean?," Journal of Health Economics, Elsevier, vol. 6(2), pages 159-162, June.
    8. Gerdtham, Ulf-G. & Sogaard, Jes & Andersson, Fredrik & Jonsson, Bengt, 1992. "An econometric analysis of health care expenditure: A cross-section study of the OECD countries," Journal of Health Economics, Elsevier, vol. 11(1), pages 63-84, May.
    9. Joseph P. Newhouse, 1977. "Medical-Care Expenditure: A Cross-National Survey," Journal of Human Resources, University of Wisconsin Press, vol. 12(1), pages 115-125.
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    More about this item

    JEL classification:

    • P24 - Political Economy and Comparative Economic Systems - - Socialist and Transition Economies - - - National Income, Product, and Expenditure; Money; Inflation
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • P51 - Political Economy and Comparative Economic Systems - - Comparative Economic Systems - - - Comparative Analysis of Economic Systems

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