By the same authors

Assessing the impact of health care expenditures on mortality using cross-country data

Research output: Working paperDiscussion paper

Standard

Assessing the impact of health care expenditures on mortality using cross-country data. / Nakamura, Ryota; Lomas, James Richard Scott; Claxton, Karl Philip; Bokhari , Farasat; Moreno Serra, Rodrigo Antonio; Suhrcke, Marc Eckart.

York, UK : Centre for Health Economics, University of York, 2016. p. 1-57 (CHE Research Paper; No. 128).

Research output: Working paperDiscussion paper

Harvard

Nakamura, R, Lomas, JRS, Claxton, KP, Bokhari , F, Moreno Serra, RA & Suhrcke, ME 2016 'Assessing the impact of health care expenditures on mortality using cross-country data' CHE Research Paper, no. 128, Centre for Health Economics, University of York, York, UK, pp. 1-57. <http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP128_health_care_expenditures_mortality_cross-country_data.pdf>

APA

Nakamura, R., Lomas, J. R. S., Claxton, K. P., Bokhari , F., Moreno Serra, R. A., & Suhrcke, M. E. (2016). Assessing the impact of health care expenditures on mortality using cross-country data. (pp. 1-57). (CHE Research Paper; No. 128). Centre for Health Economics, University of York. http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP128_health_care_expenditures_mortality_cross-country_data.pdf

Vancouver

Nakamura R, Lomas JRS, Claxton KP, Bokhari F, Moreno Serra RA, Suhrcke ME. Assessing the impact of health care expenditures on mortality using cross-country data. York, UK: Centre for Health Economics, University of York. 2016 Apr, p. 1-57. (CHE Research Paper; 128).

Author

Nakamura, Ryota ; Lomas, James Richard Scott ; Claxton, Karl Philip ; Bokhari , Farasat ; Moreno Serra, Rodrigo Antonio ; Suhrcke, Marc Eckart. / Assessing the impact of health care expenditures on mortality using cross-country data. York, UK : Centre for Health Economics, University of York, 2016. pp. 1-57 (CHE Research Paper; 128).

Bibtex - Download

@techreport{f14bbcd42f524585ae90aeda23383c79,
title = "Assessing the impact of health care expenditures on mortality using cross-country data",
abstract = "A significant body of literature has examined the impact of public health expenditure on mortality, using a global cross-section or panel of country-level data. However, while a number of studies do confirm such a relationship, the magnitude of the impact varies considerably between studies, and several studies show statistically insignificant effects. In this paper we re-examine the literature that identifies this effect using cross-country data. Our analysis builds on the two instrumental variables (IV) approaches embodied by key publications in the field – Bokhari et al. (2007) and Moreno-Serra and Smith (2015). Using exactly the same data and econometric specifications as the published studies, we start by successfully replicating their findings. However, further analyses using updated data and {\textquoteleft}streamlined{\textquoteright} econometric specifications, plus statistical data imputation and extensive robustness checks, reveal highly sensitive results. In particular, the relevance of the IVs is seriously compromised in the updated data, leading to imprecise estimations of the relationship. While our results should not be taken to imply that there is no true mortality-reducing impact of public health care expenditures on mortality, the findings do call for further methodological work, for instance in terms of identifying more suitable IVs or by applying other estimation strategies, in an effort to derive more robust estimates of the marginal productivity of public health care funding.",
author = "Ryota Nakamura and Lomas, {James Richard Scott} and Claxton, {Karl Philip} and Farasat Bokhari and {Moreno Serra}, {Rodrigo Antonio} and Suhrcke, {Marc Eckart}",
year = "2016",
month = apr,
language = "English",
series = "CHE Research Paper",
publisher = "Centre for Health Economics, University of York",
number = "128",
pages = "1--57",
type = "WorkingPaper",
institution = "Centre for Health Economics, University of York",

}

RIS (suitable for import to EndNote) - Download

TY - UNPB

T1 - Assessing the impact of health care expenditures on mortality using cross-country data

AU - Nakamura, Ryota

AU - Lomas, James Richard Scott

AU - Claxton, Karl Philip

AU - Bokhari , Farasat

AU - Moreno Serra, Rodrigo Antonio

AU - Suhrcke, Marc Eckart

PY - 2016/4

Y1 - 2016/4

N2 - A significant body of literature has examined the impact of public health expenditure on mortality, using a global cross-section or panel of country-level data. However, while a number of studies do confirm such a relationship, the magnitude of the impact varies considerably between studies, and several studies show statistically insignificant effects. In this paper we re-examine the literature that identifies this effect using cross-country data. Our analysis builds on the two instrumental variables (IV) approaches embodied by key publications in the field – Bokhari et al. (2007) and Moreno-Serra and Smith (2015). Using exactly the same data and econometric specifications as the published studies, we start by successfully replicating their findings. However, further analyses using updated data and ‘streamlined’ econometric specifications, plus statistical data imputation and extensive robustness checks, reveal highly sensitive results. In particular, the relevance of the IVs is seriously compromised in the updated data, leading to imprecise estimations of the relationship. While our results should not be taken to imply that there is no true mortality-reducing impact of public health care expenditures on mortality, the findings do call for further methodological work, for instance in terms of identifying more suitable IVs or by applying other estimation strategies, in an effort to derive more robust estimates of the marginal productivity of public health care funding.

AB - A significant body of literature has examined the impact of public health expenditure on mortality, using a global cross-section or panel of country-level data. However, while a number of studies do confirm such a relationship, the magnitude of the impact varies considerably between studies, and several studies show statistically insignificant effects. In this paper we re-examine the literature that identifies this effect using cross-country data. Our analysis builds on the two instrumental variables (IV) approaches embodied by key publications in the field – Bokhari et al. (2007) and Moreno-Serra and Smith (2015). Using exactly the same data and econometric specifications as the published studies, we start by successfully replicating their findings. However, further analyses using updated data and ‘streamlined’ econometric specifications, plus statistical data imputation and extensive robustness checks, reveal highly sensitive results. In particular, the relevance of the IVs is seriously compromised in the updated data, leading to imprecise estimations of the relationship. While our results should not be taken to imply that there is no true mortality-reducing impact of public health care expenditures on mortality, the findings do call for further methodological work, for instance in terms of identifying more suitable IVs or by applying other estimation strategies, in an effort to derive more robust estimates of the marginal productivity of public health care funding.

M3 - Discussion paper

T3 - CHE Research Paper

SP - 1

EP - 57

BT - Assessing the impact of health care expenditures on mortality using cross-country data

PB - Centre for Health Economics, University of York

CY - York, UK

ER -