PMID: 2503089Jun 3, 1989Paper

The Matthew effect in health development

BMJ : British Medical Journal
K S Joseph

Abstract

A study was conducted examining the paradox that populations with a poor standard of health seem to achieve only meagre improvements over time, whereas those with a good standard of health seem to show continual, substantial improvement. The health states of 122 nations were measured by reference to their infant mortality in 1965 and the changes that occurred over the next 20 years. Countries with low infant mortality in 1965 (for example, Japan and East Germany) achieved substantial, further declines over the 20 years, whereas in countries such as Rwanda and Ethiopia infant mortality hardly declined at all or even increased (Ethiopia 165/1000 to 168/1000). In 48 countries for which data were available there was a close link between the change in health state of a people and the ratio of government expenditure on health and defence. As the ratio increased in favour of defence, so the improvement in health state of a people declined; the reverse was also true. At the primary care level disparity in uptake of care both among and within communities was associated with literacy and socioeconomic state, services inadvertently being aimed at those sections most likely to benefit. The forces that act to produce this setting of unequal...Continue Reading

Citations

Apr 25, 2007·Scandinavian Journal of Public Health·Thomas Mildestvedt, Eivind Meland
Jun 20, 2012·Health Policy and Planning·Chetna Malhotra, Young Kyung Do
Aug 5, 1989·BMJ : British Medical Journal·G W Evans
May 6, 1995·BMJ : British Medical Journal·S Rolfe, N J Harper
Apr 20, 1996·BMJ : British Medical Journal·G C Watt
Oct 1, 1992·Journal of Epidemiology and Community Health·G C Watt, R Ecob
Jan 9, 2009·BMC Public Health·K S JosephCatherine McCourt
Aug 26, 2011·International Journal for Equity in Health·Martin Gächter, Engelbert Theurl
Dec 5, 2006·Economics and Human Biology·David BishaiAndrew Poon
Feb 28, 2015·Indian Journal of Psychological Medicine·P P RejaniK S Shaji
Feb 24, 2011·Scandinavian Journal of Public Health·Eivind MelandThomas Mildestvedt
Aug 5, 1989·BMJ : British Medical Journal·F E Griffiths
Apr 3, 2001·The British Journal of Psychiatry : the Journal of Mental Science·K S Jacob
Jul 6, 2000·Pediatrics·S DzakpasuA C Allen

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