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Determinants of Life Expectancy in Eastern Mediterranean Region: A Health Production Function

机译:东地中海区域预期寿命的决定因素:卫生生产函数

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摘要

>Background: Determinants of health or health production function in health economics literature constitute noticeable issues in health promotion. This study aimed at estimating a health production function for East Mediterranean Region (EMR) based on the Grossman theoretical model. >Methods: This ecological study was performed using the econometric methods. The panel data model was used in order to determine the relationship between life expectancy and socioeconomic factors. The data for 21 EMR countries between 1995 and 2007 were used. Fixed-effect-model was employed to estimate the parameters based on Hausman test. >Results: In estimating the health production function, factors such as income per capita (β=0.05, P<0.001), education index (β=0.07, P<0.001), food availability (β=0.01, P<0.001), level of urbanisation (β=0.10, P<0.001), and employment ratio (β=0.11, P<0.001) were specified as determinants of health status, proxied by life expectancy at birth. A notable result was the elasticity of life expectancy with respect to the employment rate and its significance level was different between males (β=0.13, P<0.001) and females (β=0.08, P>0.001). >Conclusion: In order to improve the health status in EMR countries, health policymakers should focus on the factors which lie outside the healthcare system. These factors are mainly associated with economic growth and development level. Thus, the economic stabilisation policies with the aim of increasing the productivity, economic growth, and reducing unemployment play significant roles in the health status of the people of the region.
机译:>背景:健康经济学文献中健康或健康生产功能的决定因素是促进健康的显着问题。这项研究旨在基于Grossman理论模型估计东地中海地区(EMR)的卫生生产功能。 >方法:此生态研究是使用计量经济学方法进行的。使用面板数据模型来确定预期寿命与社会经济因素之间的关系。使用了1995年至2007年之间21个EMR国家的数据。采用固定效应模型根据Hausman检验估计参数。 >结果:在估算卫生生产功能时,需要考虑人均收入(β= 0.05,P <0.001),教育指数(β= 0.07,P <0.001),食物供应量(β= 0.01)等因素。 ,P <0.001),城市化水平(β= 0.10,P <0.001)和就业率(β= 0.11,P <0.001)被指定为健康状况的决定因素,并取决于出生时的预期寿命。显着的结果是预期寿命的弹性与就业率有关,其显着性水平在男性(β= 0.13,P <0.001)和女性(β= 0.08,P> 0.001)之间有所不同。 >结论:为了改善EMR国家/地区的健康状况,卫生政策制定者应关注医疗体系之外的因素。这些因素主要与经济增长和发展水平有关。因此,旨在提高生产率,经济增长和减少失业的经济稳定政策在该地区人民的健康状况中起着重要作用。

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