ArticleGlobal health research and policy2019
Impact of macro-fiscal determinants on health financing: empirical evidence from low-and middle-income countries.
Article in Global health research and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Article
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- Macroeconomic fluctuations and the prioritization of healthcare funding by local governments: longitudinal evidence from 5461 Brazilian municipalities.Health policy and planning · 2026Article
- Influence of public external debt on government health expenditure: A mixed-methods case study of Senegal.PLOS global public health · 2026Article
- Determinants of medical borrowing and associated inequalities in the Kingdom of Saudi Arabia: evidence from the Global Findex survey.Health economics review · 2025Article
- Factors influencing inequality in government health expenditures within African regional economic communities.BMC health services research · 2024Article
- Eco-friendly revenues for healthcare: assessing the relationship between green taxation, public health expenditures, and life expectancy in China.Frontiers in public health · 2024Article
- Determinants of public health expenditure in the EU.PloS one · 2024Article
- Do public healthcare programs make societies more equal? Cross-country evidence on subjective wellbeing.Health economics review · 2023Article
- A global perspective on the governance-health nexus.BMC health services research · 2023Article
- Providing a model for financing the treatment costs during biological crises using the fiscal space development approach.Health economics review · 2023Article
- Challenges of Budgeting and Public Financial Management in Iran's Health System: A Qualitative Study.Medical journal of the Islamic Republic of Iran · 2023Article
- How heavy is the medical expense burden among the older adults and what are the contributing factors? A literature review and problem-based analysis.Frontiers in public health · 2023Review
- The impact of public health expenditure and gross domestic product per capita on the risk of catastrophic health expenditures for OECD countries.Frontiers in public health · 2023Article
- Out-of-pocket expenditure and catastrophic costs due to COVID-19 in Indonesia: A rapid online survey.Frontiers in public health · 2023Article
- Barriers to the provision of non-communicable disease care in Zimbabwe: a qualitative study of primary health care nurses.BMC nursing · 2022Article
- Governmental Investments in Hospital Infrastructure Among Regions and Its Efficiency in China: An Assessment of Building Construction.Frontiers in public health · 2021Article
- Effects of Government Healthcare Expenditure on Economic Growth Based on Spatial Durbin Model: Evidence from China.Iranian journal of public health · 2020Article
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2 authors.
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Abstract
backgroundHealth financing is a major challenge in low-and middle-income counties (LMICs) for achieving Universal Health Coverage (UHC). Past studies have argued that the budgetary allocation on health financing depends on macro-fiscal policies of an economy such as sustained economic growth and higher revenue mobilization. While the global financial crisis of late 2008 observed a shortage of financial resources in richer countries and adversely affected the health sector. Therefore, this study has examined the impact of macro-fiscal policies on health financing by adopting socioeconomic factors in 85 LMICs for the period 2000 to 2013.
methodsThe study has employed the panel System Generalized Method of Moment model that captures the endogeneity problem in the regression estimation by adopting appropriate instrumental variables.
resultsThe elasticity of public health expenditure (PHE) with respect to macro-fiscal factors varies across LMICs. Tax revenue shows a positive and statistically significant relationship with PHE in full sample, pre-global financial crisis, middle-income, and coefficient value varies from 0.040 to 0.141%. Fiscal deficit and debt services payment shows a negative effect on PHE in full sample, as well as sub-samples and coefficient value, varies from 0.001 to 0.032%. Aging and per capita income show an expected positive relationship with PHE in LIMI countries.
conclusionsFavorable macro-fiscal policies would necessarily raise finance for the health sector development but the prioritization of health budget allocation during the crisis period depends on the nature of tax revenue mobilization and demand for health services. Therefore, the generation of health-specific revenues and effective usage of health budget would probably accelerate the progress towards the achievement of UHC.
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