Assessing the Allocation of Health Expenditures and Its Impact on Health System Performance Indicators
Subject Areas : Scientific
Mahdi Moradi Shaybani
1
,
Bahram Sahabi
2
,
Sajjad Faraji Dizaji
3
,
Ezatollah Abbasian
4
1 - Ph.D. Candidate in Economics, Department of Development and Economic Planning, Faculty of Management and Economics, Tarbiat Modares University, Tehran, Iran
2 - phd Associate Professor, Faculty of Management and Economics, Tarbiat Modares University, Tehran
3 - Associate Professor, Faculty of Management and Economics, Tarbiat Modares University, Tehran
4 - Professor, Department of Financial Engineering, College of Management, University of Tehran, Tehran
Keywords: Budget allocation, Health system, Health expenditures, Iran,
Abstract :
The health budget encompasses a wide range of expenditures collected from various financial sources and expend on the health system. Broadly categorized, the most important of these expenditures include prevention, treatment, education and research, and capital formation of health service–providing institutions. In addition to the importance of revenue collection methods, the allocation of the health budget is also highly imortant and directly affects the overall performance of the health system. The aim of this study is to explore ways of achieving a more efficient allocation of these resources in order to improve the level of health and the productivity of the health system. In this study, after extending the Baltagi health status framework and developing a new model, quarterly time-series data of the Iranian economy from 2001 to 2021 were applied. To assess health status, three main indicators were employed: life expectancy, crude mortality rate, and infant mortality rate. The results show that while health budget expenditures are highly imbalanced—about 85% being allocated to treatment—these expenditures, and particularly treatment expenditures, have a positive and improving effect on all three key health indicators. However, the relatively higher estimated coefficients for preventive expenditures highlight the superior priority of this category compared to treatment. Therefore, prevention expenditures are preferable to treatment expenditures, and increasing their share can contribute to improving health status and performance indicators. Moreover, among education and research expenditures and capital formation of health service–providing institutions, the latter demonstrates higher priority, as it positively affects both life expectancy and crude mortality rate.
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