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Population mobility

Spatial spillover effect of government health expenditure in China

Bibliographic Data

ID19529645
AuthorsSimin Wan (0000-0002-8997-8659, Jiangxi University of Finance and Economics), Mengying Wang (0000-0002-4766-3608, Jiangxi University of Finance and Economics, corresponding author)
Year2024
Volume17
Issue1
Pages2319952-2319952
Publication date2024-12-31
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2024.2319952
PMID38465634
OpenAlexW4392652800
LanguageEN
Citations received4
References cited28

BACKGROUND: Since the 20th century, pursuing Universal Health Coverage (UHC) has emerged as an important developmental objective in numerous countries and across the global health community. With the intricate ramifications of population mobility (PM), the government faces a mounting imperative to judiciously deploy health expenditure to realise UHC effectively. OBJECTIVE: This study aimed to construct a comprehensive UHC index for China, assess the spatial effects of Government Health Expenditure (GHE) on UHC, and explore the moderating effects of PM on this association. METHOD: A Dynamic Spatial Durbin Model (DSDM) was employed to investigate the influence of the GHE on UHC. Therefore, we tested the moderating effect of PM. RESULTS: In the short-term, the GHE negatively impacted local UHC. However, it enhanced the UHC in neighbouring regions. Over the long term, GHE improved local UHC but decreased UHC in neighbouring regions. In the short-term, when the PM exceeded 1.42, the GHE increased the local UHC. Over the long term, when the PM exceeded 1.107, the GHE impeded local UHC. If the PM exceeded 0.91 in the long term, the GHE promoted UHC in neighbouring regions. The results of this study offer a partial explanation of GHE decisions and behaviours. CONCLUSIONS: To enhance UHC, a viable strategy involves augmenting vertical transfer payments from the central government to local governments. Local governments should institute healthcare systems tailored to the urban scale and developmental stages, with due consideration for PM. Optimising the information disclosure mechanism is also a worthwhile endeavour

Business · China · Demographic economics · Development economics · Economic growth · Economics · Environmental health · Geography · Government Expenditure · Macroeconomics · Population · Population health · Public finance · Spillover effect · Global Health Care Issues · Healthcare Systems and Reforms · Local Government Finance and Decentralization · Medicine

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Citations per year4
Citation span2025 - 2026 (2)
Highly citedNo

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