Role of Digital-Government, Regional Integration, and Government Expenditures on Public Health Services in Selected Asian Economies

Abstract

The study investigates the role of digital-government (DG), government utilization, and regional integration on public health services (PHS) by considering E-government and globalization. This study takes public services fragility as a proxy for public health services. In contrast, E-government development as a DG globalization index (GI) has been taken as a proxy of regional integration, and government expenditures (GE) as a fiscal state capacity. The study employed a two-step system generalized method of moments estimation for the sample of 45-panel Asian economies from 2006-to-2022. The results reveal that DG substantially impacted and improved the PHS in Asian economies in the past decade. Moreover, regional integration added fuel to this progression and substantially influenced the PHS. However, GE adversely affects the PHS due to lousy governance and leakage of target spending. Furthermore, the novel DG integration with GE and GI promoted PHS and reduced health fragility through better resource utilization and technology deployment. It also reveals that DG helps in reducing the loopholes of GE and makes the resource implementation transparent and effective, which impacts the PHS. It concludes that these interactions with public policies play a prominent role in comprehensive coverage and healthcare accessibility in Asia through technology deployment with prudent administration strategies. It’s a novel study that integrates digitalization with regional integration and government expenditures from an Asian perspective by considering PHS, which made this study helpful for policy drafting during the COVID-19 pandemic and proposed a better framework to deal with future calamities.