IS THE GLOBAL HEALTH SECURITY INDEX PREDICTIVE OF HEALTH SPENDINGS?

Öz

The current study has been designed to examine the relationship between health expenditure and the levels of global health security observed in OECD member countries and key partners. The variables analyzed in this study include the GHS index data, the share health expenditure of gross domestic product and the proportion of public health expenditure in total health expenditure. A total of 43 countries were then ordered from highest to lowest according to each variable. To assess the predictability of health expenditure in relation to the GHS Index, a Spearman rank correlation analysis was conducted. The results show a statistically significant and positive correlation (Spearman coefficient = 0.693, p = 0.00) between the GHS Index and the share of health expenditure in GDP, indicating that higher health spending as a percentage of GDP is associated with improved global health security. However, no statistically significant correlation was found between the GHS Index and the proportion of public health expenditure in total health expenditure (Spearman coefficient = 0.226, p = 0.146). The study suggests that an increase in the allocation of resources to health and potential global crises in public finances could lead to an improvement in global health security levels.

Anahtar Kelimeler

• Global Health Security Index (GHSI)
• Organization for Economic Cooperation and Development (OECD)
• Health Spendings.

KÜRESEL SAĞLIK GÜVENLİĞİ İNDEKSİ SAĞLIK HARCAMALARINI BELİRLER Mİ?

Öz

Bu çalışma, OECD üye ülkeleri ve temel ortaklarında gözlemlenen küresel sağlık güvenliği düzeyleri ile sağlık harcamaları arasındaki ilişkiyi incelemek üzere tasarlanmıştır. Bu çalışmada kullanılan değişkenler GHS indeksi verileri, gayri safi yurtiçi hasıladaki sağlık harcamalarının payı ve toplam sağlık harcamalarındaki kamu sağlık harcamalarının oranıdır. 43 ülke her değişkene göre en yüksekten en düşüğe doğru sıralanmıştır. Sağlık harcamaları ve GHS indeksinin öngörülebilirliğini değerlendirmek için bir Spearman sıralaması korelasyonu yürütülmüş ve sağlık harcamaları ve GHS indeksiyle ilgili değişkenler karşılaştırılmıştır. GHS indeksi ile gayri safi yurtiçi hasıladaki sağlık harcamalarının payı arasındaki Spearman korelasyon katsayısı 0,693 olup p değeri 0,00'dır. Küresel sağlık güvenliği ile gayri safi yurtiçi hasıladaki sağlık harcamalarının payı arasında anlamlı ve pozitif bir ilişki bulunduğu görülmüştür (p < .05). GHS indeksi ile kamu harcamalarındaki toplam sağlık harcamalarının payı arasındaki Spearman korelasyon katsayısı 0,226 olup p değeri 0,146'dır. Spearman korelasyon katsayısına göre, küresel sağlık güvenliği ile kamu harcamalarındaki sağlık harcamalarının payı arasında anlamlı bir ilişki bulunmadığı görülmüştür. Sonuç olarak, sağlığa ayrılan kaynak tahsisinin artırılması ve kamu maliyesinde yaşanabilecek küresel krizlerin, küresel sağlık güvenliği seviyelerinde iyileşmeyle çözülebileceği düşünülmektedir.

Anahtar Kelimeler

• Küresel Sağlık Güvenliği İndeksi (GHSI)
• OECD (Ekonomik Kalkınma ve İşbirliği Örgütü)
• Sağlık Harcamaları.

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