scholarly journals Impacto del gasto público en la calidad del sistema de salud de México

2020 ◽  
pp. 1-10
Author(s):  
María Guadalupe ZÁRATE-MARTÍNEZ ◽  
Paulina AGUILERA-ARREDONDO ◽  
Artemio JIMÉNEZ-RICO
Keyword(s):  
Health System ◽  
Public Expenditure ◽  
Quality Care ◽  
Public Spending ◽  
Health Sector ◽  
Health Needs ◽  
Human Right ◽  
The Public ◽  
Optimal Health

Health is considered a Human Right that every person should receive for free and in quality, it is important in the fact that it is a basic service for the development of a country. In Mexico, public spending on health is equivalent to 2.5% of GDP, however, the OECD indicates that it is necessary to allocate at least 6% to have an optimal Health System. In the same tenor, Mexico has 2.9 nurses per thousand inhabitants, while Norway has 17.8 nurses per thousand. The objective of this research is to analyze public spending for the health sector to determine its impact on the main indicators that measure the quality of service provided by the Mexican Health System. Some results indicate that Mexico faces complex and challenging health needs and that there are huge discrepancies compared to other countries. This research contributes to providing a broader perspective on the public expenditure allocated to the Health System of Mexico in order to design public policies that allow offering high-quality care focused on people.

scholarly journals Análisis del crecimiento económico y desarrollo humano de las entidades federativas de México en el periodo 2005 – 2010

UVserva ◽  
2018 ◽  
Author(s):  
León Felipe Beltrán Guerra ◽  
Jorge Luis Arellanez Hernández ◽  
Enrique Romero Pedraza
Keyword(s):  
Public Expenditure ◽  
Public Spending ◽  
Well Being ◽  
Infrastructure Development ◽  
Social Infrastructure ◽  
The Public ◽  
Life Conditions ◽  
Calidad De Vida ◽  
The Relationship ◽  
Bienestar Psicologico

El gasto público en México se orienta a crear condiciones de desarrollo humano, salud y bienestar social por parte del Estado a través de su estructura federal. Se busca identificar cuál es el comportamiento de los indicadores de crecimiento y desarrollo de las entidades federativas en México en el periodo comprendido de 2005 a 2010. Con el análisis estadístico, se concluye que la relación entre el gasto público, destinado a rubros de salud, educación, desarrollo de infraestructura social, tiene una baja correlación con los índices de desarrollo en el país. Las variaciones no son significativas pero si las diferencias entre entidades federativas. El análisis de los indicadores mencionados, pretende mostrar que el gasto público no impacta claramente en las condiciones de salud, desarrollo y bienestar social de los mexicanos, elevando su calidad de vida.Palabras clave: Gasto público; Indice de Desarrollo Humano; bienestar psicológico; calidad de vida; condiciones de vida AbstractPublic spending in Mexico aims to create conditions of human development, heal­th and social well-being by the State through its federal structure. Our target is to identify what is the behavior of the indicators of grow­th and development in Mexico in the period of 2005-2010. After the statistical analysis, it is concluded that the relationship between pu­blic spending aimed at areas of health, educa­tion, social infrastructure development, has a low correlation with development index in the country. The variations in this index are not significant in the years analysed, but the diffe­rences between states does. The proposal aims at the public spending for being reflected sig­nificantly in the conditions of health, develop­ment and welbeing of Mexican people.Keywords: Public expenditure; Human develo­pment Index; Psychological well-being; Quali­ty of life; Life conditions 

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

scholarly journals Legislative production and public spending in France

Public Choice ◽  
2020 ◽  
Author(s):  
François Facchini ◽  
Elena Seghezza
Keyword(s):  
Significant Relationship ◽  
Public Expenditure ◽  
Public Spending ◽  
The Public ◽  
Official Gazette ◽  
History Of ◽  
The Cost ◽  
Legislative Production ◽  
Laws And Regulations

AbstractThe aim of this article is to help explain the history of the public spending-to-GDP ratio in France by examining the production of laws and regulations. It empirically finds a positive and significant relationship between the number of pages in the Official Gazette of the French Republic and the development of the public expenditure-to-GDP ratio. We rely on the number of pages in the Official Gazette as a proxy for the cost of implementing laws and regulations. If unchecked, a proliferation of laws and regulations expands public spending. Over the period 1905–2015, a 10% increase in pages caused a 1.14% increase in the public expenditure-to-GDP ratio.

Foreign Investment, Institutional Quality, Public Expenditure, and Activity of Venture Capital Funds in Emerging Market Countries

2014 ◽  
Vol 14 (2) ◽  
pp. 127-162 ◽  
Author(s):  
Hernán Herrera-Echeverri ◽  
Jerry Haar ◽  
Juan Benavides Estevez-Bretón
Keyword(s):  
Venture Capital ◽  
Public Expenditure ◽  
Emerging Market ◽  
Public Spending ◽  
Institutional Quality ◽  
State Intervention ◽  
High Tech ◽  
Emerging Market Countries ◽  
Level Of Significance

This paper empirically analyzes the effects of foreign direct investment (FDI), institutional quality, and the size of a government on venture capital (VC) activity. We conclude that institutional quality, FDI, and public spending have definitive importance as elements for the development of a public policy that increases the quantity and quality of VC fund (VCF) investment. Higher institutional quality, greater FDI, and lower public spending allow the volume of VCF investment to grow. FDI shows a higher level of significance in promoting investment in high-tech companies, and institutional quality increases the productivity of FDI investment in the generation of VCF. Government spending dramatically and (counter-intuitively) adversely affects the activities of VCF. Notably, the higher the institutional quality of a country, the less state intervention is required to promote investment of VCF. The results are consistent with the hypothesis of the FDI spillover and crowding out by public spending.

scholarly journals Start at the Center: Age-Friendly Public Health Systems and Healthy Brain Initiative Frameworks

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 720-720
Author(s):  
Megan Wolfe ◽  
Molly French ◽  
John Shean
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Sector ◽  
Well Being ◽  
Health Departments ◽  
Local Public Health ◽  
The Public ◽  
Community Connections ◽  
State And Local

Abstract SIGNIFICANCE. Older adults can contribute wisdom, skills, and time to communities. The public health sector has unique capabilities for creating conditions that promote health, foster community connections, and quality of life. METHODS. Two frameworks provide public health (PH) with core strategies to improve outcomes for all older adults. The Framework for Creating an Age-Friendly Public Health System (AFPHS) supports the PH role, as demonstrated by 37 of Florida’s 67 county health departments that are piloting the AFPHS Framework. The Healthy Brain Initiative’s (HBI) State and Local Public Health Partnerships to Address Dementia is a framework for action used by PH to promote cognitive health, improve care for cognitive impairment, and increase caregiving supports. Both frameworks call for utilizing regional data and cross-sector partnerships. IMPLICATIONS. PH can contribute to community-wide initiatives to promote well-being and community connections for older adults. Cross-sector partnerships can start by using available tools and planning guides.

scholarly journals The Relationship between Public Expenditure and Bureaucratic Quality: The Case of Eurasian Economies

2013 ◽  
Author(s):  
Gökhan Dökmen ◽  
Özcan Sezer
Keyword(s):  
Public Expenditure ◽  
Panel Data Analysis ◽  
Dynamic Panel Data ◽  
Public Expenditures ◽  
Controversial Issues ◽  
Publicly Provided Goods ◽  
The Public ◽  
Goods And Services ◽  
Political Variables

One of the controversial issues among researchers in the field of public finance is estimating the determinants of public expenditures. It’s argued that public expenditure is determined by economic as well as demographic, social and political variables. One of the important element of political variables is bureaucracy. If bureaucracy, as one of the main actors of political decision making process, works in quality, effectiveness and efficiency would occur in publicly provided goods and services. In parallel with the good quality of bureaucracy, the size of state would become smaller. The purpose of this study is to test empirically between efficient bureaucracy and public expenditure, using dynamic panel data analysis of 6 Eurasian Economic Community countries from 1998 to 2011. This study finds evidence that existence of bureaucratic quality reduces the public expenditures.

scholarly journals Health Needs Assessment: Impact on Planning and Purchasing in the Public Health Sector in New Zealand

2021 ◽  
Author(s):  
◽  
Gregor David Coster
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Needs Assessment ◽  
Health Sector ◽  
Document Analysis ◽  
Health Needs ◽  
Health Needs Assessment ◽  
The Public ◽  
Strategic Plans ◽  
The Impact

<p>Health needs assessment (HNA) is one of the features of the New Zealand health system established by the New Zealand Public Health and Disability Act 2000. District Health Boards (DHBs) are to conduct HNAs, and planning of health services is intended to take into account the health needs of the population. Key questions for research relate to the impact of HNA on DHB planning and purchasing in a political/bureaucratic model of governance. This research was undertaken within a public policy framework that focused on evaluating the reforms against policy goals and expectations, and particularly against the influences that might be predicted from the HNA and prioritisation policy. Consideration was given to the range and effectiveness of past HNAs as well as the expectations and experiences of the DHB model in regard to HNA. Document analysis and 34 interviews were conducted regarding 50 HNAs conducted in the public health sector from 1991-2000 to assess their impact on service delivery, decision-making, and policy. Document analysis was undertaken on DHB HNAs, prioritisation frameworks, board priorities, District Strategic Plans, and District Annual Plans for each of 20 DHBs. Planning and Funding managers were interviewed using semi-structured interview techniques to ascertain their experiences and views regarding the use of HNAs in planning. Grounded theory approaches were mainly used for the interview analysis. Case studies of five DHBs provided an in-depth understanding of the connections between health needs assessment, prioritisation, District Strategic Plans and District Annual Plans. Collection of contextual data provided an understanding of the influence of other policy decisions made locally or nationally. Using triangulation, conclusions were drawn regarding the effectiveness and impact of HNA and prioritisation on planning and health service purchasing by DHBs. The implications for public policy were then considered. Recent needs assessments conducted by DHBs mostly met the minimum requirements of the Ministry of Health, but the quality was variable. DHB Planning and Funding Managers were unanimously positive regarding the usefulness of HNAs, and felt that there were good connections between them and the planning process (Connection Score). However, the impact of HNAs on planning and purchasing measured using document analysis (Impact Factor) was lower than expected. A number of barriers to effective use were identified. More focused HNA by DHBs is recommended with the use of mixed scanning approaches and service development groups directed towards specific service planning areas. Recommendations are made regarding future policy for HNA and prioritisation.</p>

scholarly journals Implementing Federalism in the Health System of Nepal: Opportunities and Challenges

2018 ◽  
Vol 8 (4) ◽  
pp. 195-198 ◽  
Author(s):  
Rajshree Thapa ◽  
Kiran Bam ◽  
Pravin Tiwari ◽  
Tirtha Kumar Sinha ◽  
Sagar Dahal
Keyword(s):  
Health System ◽  
Local Governments ◽  
Health Sector ◽  
National Health System ◽  
Health Needs ◽  
Federal System ◽  
National Healthcare ◽  
Speed Up ◽  
Local Healthcare ◽  
Improve Health

Nepal moved from unitary system with a three-level federal system of government. As federalism accelerates, the national health system can also speed up its own decentralization process, reduce disparities in access, and improve health outcomes. The turn towards federalism creates several potential opportunities for the national healthcare system. This is because decision making has been devolved to the federal, provincial and local governments, and so they can make decisions that are more representative of their localised health needs. The major challenge during the transition phase is to ensure that there are uninterrupted supplies of medical commodities and services. This requires scaling up the ability of local bodies to manage drug procurement and general logistics and adequate human resource in local healthcare centres. This article documents the efforts made so far in context of health sector federalization and synthesizes the progress and challenges to date and potential ways forward. This paper is written at a time while it is critical to review the federalism initiatives and develop way forward. As Nepal progress towards the federalized health system, we propose that the challenges inherent with the transition are critically analysed and mitigated while unfolding the potential of federal health system.

Mexico health reform success turns on implementation

2019 ◽  
Keyword(s):  
Federal Government ◽  
Health Reform ◽  
Health Sector ◽  
State Level ◽  
Medical Attention ◽  
Health Plans ◽  
Content Type ◽  
Implementation Challenges ◽  
The Public

Subject Health plans. Significance President Andres Manuel Lopez Obrador (AMLO) on December 14 announced changes to the public health sector to expand coverage, improve quality of care and guarantee access to free medicines. His plans will see the federal government assume responsibilities previously the remit of state-level authorities. Impacts The overhaul will take place as key institutions in the sector are decentralised, compounding implementation challenges. Without greater investment in prevention in addition to medical attention, improvements in the population’s health will be limited. Centralisation of decision-making and resource allocation will improve monitoring and accountability but not necessarily stop corruption.

scholarly journals Staying afloat: community perspectives on health system resilience in the management of pregnancy and childbirth care during floods in Cambodia

2020 ◽  
Vol 5 (4) ◽  
pp. e002272 ◽  
Author(s):  
Dell D Saulnier ◽  
Hom Hean ◽  
Dawin Thol ◽  
Por Ir ◽  
Claudia Hanson ◽  
...  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health System ◽  
Health Systems ◽  
Public Health System ◽  
Health Needs ◽  
Structured Interviews ◽  
The Public ◽  
Pregnancy And Childbirth ◽  
Childbirth Care

IntroductionResilient health systems have the capacity to continue providing health services to meet the community’s diverse health needs following floods. This capacity is related to how the community manages its own health needs and the community and health system’s joined capacities for resilience. Yet little is known about how community participation influences health systems resilience. The purpose of this study was to understand how community management of pregnancy and childbirth care during floods is contributing to the system’s capacity to absorb, adapt or transform as viewed through a framework on health systems resilience.MethodsEight focus group discussions and 17 semi-structured interviews were conducted with community members and leaders who experienced pregnancy or childbirth during recent flooding in rural Cambodia. The data were analysed by thematic analysis and discussed in relation to the resilience framework.ResultsThe theme ‘Responsible for the status quo’ reflected the community’s responsibility to find ways to manage pregnancy and childbirth care, when neither the expectations of the health system nor the available benefits changed during floods. The theme was informed by notions on: i) developmental changes, the unpredictable nature of floods and limited support for managing care, ii) how information promoted by the public health system led to a limited decision-making space for pregnancy and childbirth care, iii) a desire for security during floods that outweighed mistrust in the public health system and iv) the limits to the coping strategies that the community prepared in case of flooding.ConclusionsThe community mainly employed absorptive strategies to manage their care during floods, relieving the burden on the health system, yet restricted support and decision-making may risk their capacity. Further involvement in decision-making for care could help improve the health system’s resilience by creating room for the community to adapt and transform when experiencing floods.

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