Volume 5, Issue 2 (Spring 2017)                   Iran J Health Sci 2017, 5(2): 32-41 | Back to browse issues page


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Qolipour M, Faraji Khiavi F, Saadati M. An association between change in health expenditures and health indicators; A cross country comparison. Iran J Health Sci. 2017; 5 (2) :32-41
URL: http://jhs.mazums.ac.ir/article-1-488-en.html
MSc, Department of Health Services Management School of Health, ‎Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Abstract:   (1968 Views)

Background and purpose: Improved life standards, over the past few decades, had led to an increase in health expenditures. The aim of this article was  to compare the trend of health expenditure per capita and its association with health indicators in selected countries.

Materials and Methods: The health indices of World Health Organization and World Bank health statistics for 10 years (2003 to 2013) were employed. Countries includes Denmark, the Netherlands, Saudi Arabia, Turkey, Iran, Nigeria and Liberia. Six indices were compared with the global average in 5 income groups.

Results: Denmark with health expenditure per capita more than the Netherlands had higher life expectancy at birth and more deaths as a result of alcohol abuse and tobacco smoking. Nigeria’s health spending per capita was 2.5 times more than that of Liberia, because it had worse results in all health indicators with high mortality rate due to lower vaccination coverage for malaria, AIDS, and tuberculosis, and at the same time, high costs for the labor force and corruption in health system. Iran with health expenditure per capita less than Turkey had lower total mortality rate of infants and children under 5 years and lower total fertility. Well-organized PHC system and highly qualified professionals in the field of healthcare are among the strengths of the healthcare system in Iran.

Conclusion: Increasing trend of health expenditures in selected countries did not have a significant impact on the health indicators trend. Countries must identify and invest on their health priorities to improve population health status.

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Type of Study: Original Article | Subject: Environmental Health

References
1. Jenani A. Assessing the performance of government spending and budget policies in the health sector. Economic Journal. 2004;5(51):5-25.[In Persian]
2. Zare H, Yazdani N, Azadi M, Ahmadpour M, KashefGhorbanpour R, Akbarian A, et al. Designing a model for private health insurance in Iran. Teb Va Tazkieh. 2006;20(1-2):35-53. [In Persian]
3. Çevik S, Taşar MO. Public spending on health care and health outcomes: cross-country comparison. Journal of Business Economics and Finance. 2013;2(4):82-100.
4. Fattahi M, Barkhordari S. The efficiency of public and private health expenditure using data envelopment analysis method. Health Care Management. 2014;5(3):42-51. [In Persian]
5. Çınar F, Eren E, Mendeş H. Decentralization in health services and its impacts: SWOT Analysis of Current Applications in Turkey. Procedia-Social and Behavioral Sciences. 2013;99(2):711-8. [DOI:10.1016/j.sbspro.2013.10.542]
6. PourEslami M, Ayar S, Sarmast H. WHO, health promotion glossary. 1 ed. Tehran, Iran: Communication and Health Education Office of Health Department 2000.
7. Hatami H, et al. The text book of public health. 3, editor. Tehran: Arjmand; 2004.
8. Vahidi RG, Saadati M. Determining the distribution of effective factors on out of pocket payment (formal and informal) in hospitalized cardiac patients of Shahid Madani hospital and its side effects on the patient or companions-Iran-Tabriz 2010. Hospital Journal. 2013;11(4). [In Persian]
9. Mehrara M, Fazaeli A. Health finance equity in Iran: an analysis of household survey data (1382-1386). Journal of health administration. 2010;13(40):51-62. [In Persian]
10. Sadeqi S, MotafakkerAzad M, Jalilpour S. Assessing factors affecting the health costs of the private sector and compare the severity of their effects on different income levels in Asian countries. Journal of Social Welfare. 2011;14(53):55-75. [In Persian]
11. Basakha M, Kermani M, Yavari K. The effectiveness of government expenditures on human development indicators. Case study: Organization of Islamic countries. Journal of Health Administration (JHA). 2011;14(45):11-26. [In Persian]
12. Mehrara M, Fazaeli A. The relationship between health costs and economic growth in the Middle East and North Africa (MENA). Journal of health administration. 2009; 12(35):49-59. [In Persian]
13. Nixon J, Ulmann P. The relationship between health care expenditure and health outcomes. The European Journal of Health Economics. 2006;7(1):7-18. [DOI:10.1007/s10198-005-0336-8] [PMID]
14. Basakha M, Kermani M, Yavari K. Effects of Government Health Expenditure on Health Outcomes. Hakim Research Journal. 2010;13(2):121-8. [In Persian]
15. Bokhari FA, Gai Y, Gottret P. Government health expenditures and health outcomes. Health Economics. 2007;16(3):257-73. [DOI:10.1002/hec.1157] [PMID]
16. World Health Organization. Global Health Observatory Data Repository [Online]. [cited 2015/05/15]. Available online: http:// www. who.int/countries/en/.
17. The World Bank. data indicator [Online]. [cited 2015/05/15]; Available online: http://data.worldbank.org/indicator.
18. Pedersen KM, Bech M, Vrangbæk K. The Danish Health Care System: An Analysis of Strengths, Weaknesses, Opportunities and Threats (SWOT analysis). University of Southern Denmark: COHERE-Centre of Health Economics Research, 2011.
19. Glowaki T, Richmond AK. How government policies influence declining fertility rates in developed countries. Middle States Geographer. 27;40(20):32-8.
20. Reshadat S, Zanganeh A, Saeidi S, Gilan NR, Bavandpour E, Ghasemi SR. Factors associated with Total Fertility Rate (TFR) In Kermanshah-2011. Journal of Kermanshah University of Medical Sciences. 2015;18(11):666-73. [In Persian]
21. Hacker JD. Rethinking the "early" decline of marital fertility in the United States. Demography. 2003;40(4):605-20. https://doi.org/10.2307/1515199 [DOI:10.1353/dem.2003.0035] [PMID]
22. Yaqub J, Ojapinwa T, Yussuff R. Public health expenditure and health outcome In Nigeria: The impact of governance. European Scientific Journal. 2012;8(13):189-201.
23. Labiran A, Mafe M, Onajole B, Lambo E. Human resources for health country profile–Nigeria. World Health Organization: Work for Cealliance, 2008. (Available online: http://www.who.int/workforcealliance/knowledge/resources/hrh_profile_nigeria/en)
24. Data ALC-i-P. WHO country coorperation strategy 2008–2013 Nigeria. World Health Organization: AFRO, 2014.
25. Mobaraki A, Soderfeldt B. Gender inequity in Saudi Arabia and its role in public health. Eastern Mediterranean Health Journal. 2010;16(1):113-8. PMID: 20214168. [PMID]
26. Al-Mazrou YY, Alhamdan NA, Alkotobi AI, Nour OM, Farag MA. Factors affecting child mortality in Saudi Arabia. Saudi medical journal. 2008;29(1):102-6. PMID: 18176683. [PMID]
27. Almalki M, FitzGerald G, Clark M. Health care system in Saudi Arabia: an overview. Eastern Mediterranean Health Journal. 2011;17(10):784-93. [DOI:10.26719/2011.17.10.784] [PMID]
28. Johansen A, Guisset A. Successful health systems reforms: the case of Turkey. World Health Organization Europe, Copenhagen WHO Regional Office for Europe, 2012.
29. Canpolat SB, Karakaya MD. Subnational population projections for turkey, 2013-2023. Eurostat/Unece Work Session on Demographic Projections.:388.
30. Central Bank of Islamic Republic of Iran. The main economic indicators [Online]. 2012 [cited 2012 May 5]; Available from: URL: www.cbi.ir/.
31. Lankarani KB, Alavian SM, Peymani P. Health in the Islamic Republic of Iran, challenges and progresses. Medical journal of the Islamic Republic of Iran. 2013;27(1):42. [PMID] [PMCID]
32. Davari M. The economic challenges of the Iran health system. Health Information Management. 2011;8(7):915-7. [In Persian]
33. Treatment Deputy, Ministery of Health, Treatment and Medical Education. Health Sector ‎Evolution Guidline. Available online: http://medsab.ac.ir/uploads/hse_chapter_930207_1400.pdf‌.‌.
34. Nekoei Moghadam M, Sadeghi V, Parva S. Weaknesses and challenges of primary healthcare system in Iran: a review. The International Journal of Health Planning and Management. 2012;27(2):121-31. [DOI:10.1002/hpm.1105] [PMID]
35. Yousefzadeh S, Dafchahi MA, Maleksari HM, Moghadam AD, Hemati H, Shabani S. Epidemiology of Injuries and their Causes among Traumatic Patients Admitted into Poursina Hospital, Rasht. Journal of Kermanshah University of Medical Sciences 2007;11(3):43-52. [In Persian]

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