Fiscal rules, powerful levers for controlling the health budget? Evidence from 32 OECD countries

BMC Public Health
H Christiaan SchakelPatrick Jeurissen

Abstract

Publicly funded healthcare forms an intricate part of government spending in most Organisation for Economic Co-operation and Development (OECD) countries, because of its reliance on entitlements and dedicated revenue streams. The impact of budgetary rules and procedures on publicly funded health care might thus be different from other spending categories. In this study we focus on the potential of fiscal rules to contain these costs and their design features. We assess the relationship between fiscal rules and the level of public health care expenditure of 32 (OECD) countries between 1985 and 2014. Our dataset consists of health care expenditure data of the OECD and data on fiscal rules of the International Monetary Fund (IMF) for that same period. Through a multivariate regression analysis, we estimate the association between fiscal rules and its subcategories and inflation adjusted public health care expenditure. We control for population, Gross Domestic Product (GDP), debt and whether countries received an IMF bailout for the specific period. In all our regressions we include country and year fixed effects. The presence of a fiscal rule on average is associated with a 3 % reduction of public health care expenditure. Supranat...Continue Reading

References

Nov 6, 2010·Journal of Health Economics·Liam DelaneyJames P Smith
Aug 5, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Fabio PammolliLaura Magazzini
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Sep 30, 2016·The International Journal of Health Planning and Management·H Christiaan SchakelSherry Glied

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Citations

Nov 30, 2019·Ciência & saúde coletiva·Thais Regis Aranha RossiPetrônio José de Lima Martelli

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