Who Benefits from Government Health Spending and Why? A Global Assessment

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dc.creatorBilger, Marcel
dc.creatorWagstaff, Adam
dc.creatorBuisman, Leander R.
dc.creatorBredenkamp, Caryn
dc.date2014-10-06T20:42:21Z
dc.date2014-10-06T20:42:21Z
dc.date2014-09
dc.date.accessioned2026-07-01T00:54:52Z
dc.descriptionThis paper uses a common household survey instrument and a common set of imputation assumptions to estimate the pro-poorness of government health expenditure across 69 countries at all levels of income. On average, government health expenditure emerges as significantly pro-rich, but there is heterogeneity across countries: in the majority, government health expenditure is neither pro-rich nor pro-poor, while in a small minority it is pro-rich, and in an even smaller minority it is pro-poor. Government health expenditure on contracted private facilities emerges as significantly pro-rich for all types of care, and in almost all Asian countries government health expenditure overall is significantly pro-rich. The pro-poorness of government health expenditure at the country level is significantly and positively correlated with gross domestic product per capita and government health expenditure per capita, significantly and negatively correlated with the share of government facility revenues coming from user fees, and significantly and positively correlated with six measures of the quality of a country's governance; it is not, however, correlated with the size of the private sector nor with the degree to which the private sector delivers care disproportionately to the better-off. Because poorly-governed countries are underrepresented in the sample, government health expenditure is likely to be even more pro-rich in the world as a whole than it is in the countries in this study.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2014/09/20229062/benefits-government-health-spending-global-assessment
dc.identifierhttps://hdl.handle.net/10986/20376
dc.identifierhttps://doi.org/10.1596/1813-9450-7044
dc.identifier.urihttp://hdl.handle.net/123456789/412873
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank Group, Washington, DC
dc.relationPolicy Research Working Paper;No. 7044
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABBREVIATIONS
dc.subjectAVERAGE COSTS
dc.subjectBUSINESS DEVELOPMENT
dc.subjectBUSINESS ENVIRONMENT
dc.subjectCAPITATION
dc.subjectCLASSIFICATION
dc.subjectCLINICS
dc.subjectCONSUMER PRICE INDEX
dc.subjectCRIME
dc.subjectDECISION TREE
dc.subjectDESCRIPTION
dc.subjectDEVELOPMENT POLICY
dc.subjectDISEASE CONTROL
dc.subjectDOCTORS
dc.subjectELASTICITY
dc.subjectEXERCISES
dc.subjectFOREIGN TRADE
dc.subjectFUTURE RESEARCH
dc.subjectFUTURE STUDIES
dc.subjectGDP
dc.subjectGDP PER CAPITA
dc.subjectGOVERNMENT SERVICES
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGROSS DOMESTIC PRODUCT PER CAPITA
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH MINISTRIES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH PLANS
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHOSPITAL ADMISSION
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectIMPUTATION
dc.subjectIMPUTATION METHODS
dc.subjectINCIDENCE ANALYSIS
dc.subjectINCOME
dc.subjectINCOME DISTRIBUTION
dc.subjectINCOME TAXES
dc.subjectINDICES
dc.subjectINPATIENT CARE
dc.subjectIP
dc.subjectLIVING STANDARDS
dc.subjectNATIONAL INCOME
dc.subjectNUTRITION
dc.subjectOPEN ACCESS
dc.subjectOUTPATIENT CARE
dc.subjectPATIENTS
dc.subjectPER CAPITA INCOME
dc.subjectPER CAPITA INCOMES
dc.subjectPRICE CONTROLS
dc.subjectPRIMARY CARE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPUBLIC HEALTH
dc.subjectRESULT
dc.subjectRESULTS
dc.subjectSENSITIVITY ANALYSIS
dc.subjectSUPERVISION
dc.subjectUSE VALUE
dc.subjectUSER
dc.subjectUSERS
dc.subjectUSES
dc.subjectVOTERS
dc.titleWho Benefits from Government Health Spending and Why? A Global Assessment

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