Does Health Care Utilisation Reduce Child Mortality? An ARDL Bounds Test Approach

Murat Konca
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Abstract

The child mortality rate is an important indicator presenting crucial information about the health status of a country. In the current study, we examined whether health care utilisation reduced the under-5 mortality rates, an important health status indicator, in Turkey. We employed an autoregressive distributed lag bounds test. We used doctor consultation and health expenditure as the independent variables. We found out that both doctor consultation and health expenditure had negative impacts on the under-5 mortality rates in the short run; however, the effects of both variables were not statistically significant ( p > .05). Also, we showed that while the effect of doctor consultation on the under-5 mortality rates was negatively and statistically significant ( p < .05) in the long run, the effect of health expenditure was not statistically significant ( p > .05). Turkey should allocate more to health care services specifically targeting infant and child health to reduce its infant and child mortality rates.
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医疗保健的利用率会降低儿童死亡率吗?ARDL 边界检验方法
儿童死亡率是反映一个国家健康状况的重要指标。在本研究中,我们探讨了医疗保健的利用是否降低了土耳其 5 岁以下儿童死亡率这一重要的健康状况指标。我们采用了自回归分布滞后边界检验。我们将医生咨询和医疗支出作为自变量。我们发现,在短期内,医生咨询和医疗支出都对 5 岁以下儿童死亡率产生了负面影响;但是,这两个变量的影响在统计学上并不显著(P > .05)。此外,我们还发现,从长期来看,医生咨询对 5 岁以下儿童死亡率的影响是负面的,且具有统计学意义(P < .05),而医疗支出的影响则不具有统计学意义(P > .05)。土耳其应将更多资金用于专门针对婴幼儿健康的医疗保健服务,以降低婴幼儿死亡率。
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