Déterminants des dépenses publiques de santé en Afrique subsaharienne
DOI :
https://doi.org/10.18559/rielf.2021.2.6Mots-clés :
dépenses publiques de santé, PIB, état de santé, GMM, LSDVC, Afrique subsaharienneRésumé
L'objectif de ce papier est d'analyser les déterminants des dépenses publiques de santé en Afrique subsaharienne. A cet effet, un modèle de panel dynamique a été utilisé pour un échantillon de 32 pays d'Afrique subsaharienne couvrant la période 2009 à 2018 subdivisé ensuite en quatre sous-groupes pour une analyse approfondie. L'estimation du modèle à effet fixe et l'approche par l'estimateur SGMM ont été utilisés pour obtenir les résultats dans le contexte africain. Cependant, l'estimateur LSDV-corrigé a été utilisé pour les résultats concernant les différentes régions. Les résultats issus des estimations montrent que les dépenses publiques de santé sont principalement influencées positivement par le produit intérieur brut, les politiques qui visent à améliorer l'état de santé de la population telle que mesurée par les taux de mortalité infantile et infanto-juvénile, la proportion de la population de moins de 15 ans et la densité de la population en milieu rural.
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Références
Akbari, A. H., Rankaduwa, W., & Kiani, A. K. (2009). Demand for public health care in Pakistan. The Pakistan Development Review, 48, 141–153.
View in Google Scholar
Alimi, O. Y., Ajide, K. B., & Isola, W. A. (2020). Environmental quality and health expenditure in ECOWAS. Environment, Development, Sustainability, 22, 5105–5127.
View in Google Scholar
Ametoglo, M. E. S., Guo, P., & Wonyra, K. O. (2018). Regional integration and income inequality in ECOWAS Zone. Journal of Economic Integration, 33, 604–627
View in Google Scholar
Ang, J. (2010). The determinants of health care expenditure in Australia. Applied Economics Letters, 17, 639–644.
View in Google Scholar
Beegle, K. & Christiaensen, L. (2019). Accelerating poverty reduction in Africa. Washington, DC: World Bank. https://doi.org/10.1596/978-1-4648-1232-3
View in Google Scholar
Binuomoyo, O. (2016). Determinants of public health investment expenditures in Nigeria: A review. Journal of Social Economics, 3, 82–85.
View in Google Scholar
Boachie, M. K., Mensah, I. O., Sobiesuo, P., Immurana, M., Iddrisu, A.-A., & Kyei-Brob- bey, I. (2014). Determinants of public health expenditure in Ghana: A cointegration analysis. Journal of Behavioural Economics, Finance, Entrepreneurship, Accounting and Transport, 2, 35–40.
View in Google Scholar
Bruno, G. S. F. (2005). Approximating the bias of the LSDV estimator for dynamic unba- lanced panel data models. Economics Letters, 87, 361–366.
View in Google Scholar
Bun, M. J. G., & Kiviet, J. F. (2003). On the diminishing returns of higher-order terms in asymptotic expansions of bias. Economics Letters, 79, 145–152.
View in Google Scholar
Busse, R. (2001). Expenditure on health care in the EU: Making projections for the future based on the past. The European Journal of Health Economics, 2, 158–161.
View in Google Scholar
Di Matteo, L. (2005). The macro determinants of health expenditure in the United States and Canada: Assessing the impact of income, age distribution and time. Health Policy, 71(1), 23–42. https://doi.org/10.1016/j.healthpol.2004.05.007
View in Google Scholar
Di Matteo, L., & Di Matteo, R. (1998). Evidence on the determinants of Canadian provincial government health expenditures: 1965–1991. Journal of Health Economics, 17(2), 211–228. https://doi.org/10.1016/s0167-6296(97)00020-9
View in Google Scholar
Felder, S., Meier, M., & Schmitt, H. (2000). Health care expenditure in the last months of life. Journal of Health Economics, 19(5), 679–695. https://doi.org/10.1016/s0167-6296(00)00039-4
View in Google Scholar
Gbesemete, K. P., & Gerdtham, U.-G. (1992). Determinants of health care expenditure in Africa: A cross-sectional study. World Development, 20, 303–308.
View in Google Scholar
Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political Economy, 80, 223–255.
View in Google Scholar
Hao, Y., Liu, S., Lu, Z.-N., Huang, J., & Zhao, M. (2018). The impact of environmental pollution on public health expenditure: Dynamic panel analysis based on Chinese provincial data. Environmental Science and Pollution Research, 25, 18853–18865.
View in Google Scholar
Hitiris, T., & Posnett, J. (1992). The determinants and effects of health expenditure in developed countries. Journal of Health Economics, 11(2), 173–181. https://doi.org/10.1016/0167-6296(92)90033-w
View in Google Scholar
Keeler, E. B., Newhouse, J. P., & Phelps, C. E. (1977). Deductibles and the demand for medical care services: The theory of a consumer facing a variable price schedule under uncertainty. Econometrica, 45, 641–655.
View in Google Scholar
Kiymaz, H., Akbulut, Y., & Demir, A. (2006). Tests of stationarity and cointegration of health care expenditure and Gross Domestic Product: An application to Turkey. The European Journal of Health Economics, 7, 285–289.
View in Google Scholar
Muurinen, J. (1982). Demand for health. A generalised Grossman model. Journal of Health Economics, 1, 5–28.
View in Google Scholar
Mwabu, G., & Wang’Ombe, J. (1998). Financing rural health services in Kenya. Population Research and Policy Review, 17, 55–70.
View in Google Scholar
Newhouse, J. P. (1977). Medical care expenditure: A cross-national survey. The Journal of Human Resources, 12, 115–125.
View in Google Scholar
Okeke, J. U., & Okeke, E. N. (2016). Least squares dummy variable in determination of dynamic panel model parameters. European Journal of Engineering and Technology Research, 11, 77–81.
View in Google Scholar
Okunade, A. A. (2005). Analysis and implications of the determinants of healthcare expenditure in African countries. Health Care Management Science, 8, 267–276.
View in Google Scholar
OMS. (2018). État de santé dans la région Africaine de l’OMS: Analyse de la situation sanitaire, des services et des systèmes de santé dans le contexte des objectifs de développement durable. Organisation Mondiale de la Santé. Bureau régional de l’Afrique.
View in Google Scholar
OMS. (2019). Nouveau rapport sur les dépenses en santé dans le monde. Organisation Mon- diale de la Santé., World Health Organisation.
View in Google Scholar
Rana, R. H., Alam, K., & Gow, J. (2020). Health expenditure and gross domestic product: Causality analysis by income level. International Journal of Health Economics and Management, 20, 55–77.
View in Google Scholar
Roodman, D. (2009). A note on the theme of too many instruments. Oxford Bulletin of Economics and Statistics, 71, 135–158.
View in Google Scholar
Schieber, G. J., Gottret, P., Fleisher, L. K., & Leive, A. A. (2007). Financing global health: Mission unaccomplished. Health Affairs, 26, 921–934.
View in Google Scholar
Serge, P., & Tieguhong, J. (2017). Health expenditure and economic growth- a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review, 7, 1–13.
View in Google Scholar
Siddiqui, R., Afridi, U., Haq, R., & Tirmazi, S. H. (1995). Determinants of expenditure on health in Pakistan. The Pakistan Development Review, 34, 959–970.
View in Google Scholar
Tizio, S., & Flori, Y.-A. (1997). L’initiative de Bamako: « Santé pour tous » ou « Maladie pour chacun »? Revue Tiers Monde, 38, 837–858.
View in Google Scholar
Toor, I. A., & Butt, M. S. (2005). Determinants of health care expenditure in Pakistan. Pakistan Economic and Social Review, 43, 133-150.
View in Google Scholar
Wagstaff, A. (1986). The demand for health: Theory and applications. Journal of Epidemiology and Community Health, 40, 1–11.
View in Google Scholar
Wang, Z. (2009). The determinants of health expenditures: Evidence from US state-level data. Applied Economics, 41, 429–435.
View in Google Scholar
World Development Indicators (WDI). (2019). World Development Indicators. DataBank. Zweifel, P., Felder, S., & Meiers, M. (1999). Ageing of population and health care expenditure: A red herring?. Health Economics, 8(6), 485–496. https://doi.org/10.1002/(sici)1099-1050(199909)8:6<485::aid-hec461>3.0.co; 2-4
View in Google Scholar
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(c) Copyright Poznań University of Economics and Business 2021
Ce travail est disponible sous la licence Creative Commons Attribution 4.0 International .