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The European Journal of Health Economics
Erschienen in: The European Journal of Health Economics 3/2017

12.03.2016 | Original Paper

Making a distinction between the effect of initial stock and investment in health determinants

verfasst von: Esther Lafuente Robledo, Ana Rodriguez-Alvarez, Andrey Shmarev Shmarev

Erschienen in: The European Journal of Health Economics | Ausgabe 3/2017

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Abstract

The objective of this paper was to propose a health production model that distinguishes between the initial stock of health determinants and the subsequent investment in them, with a view to providing information to policy-makers regarding the effects of determinant-aimed policies. In this sense, the main contributions of the paper stem from the development of a theoretical and empirical model that distinguishes between the effect of the initial stock and that of investment in health determinants. To do this, we estimated the health production function using a stochastic frontier model. We present an empirical example using data for the years 2002 and 2008. The results support our decision to analyse the effects of the initial values attributable to health determinants separately from those arising following investment in the period. Concretely, we find significant differences for the determinants EMPLOY, SOCIALCLASS and NON-DRINKER. The results seem to indicate that, for variables labelled with the behavioural aspects of health such as NON-DRINKER, the effect over time of a change in investment in health is significantly greater than that resulting from a variation in initial values. In contrast, for socioeconomic variables such as SOCIAL CLASS or EMPLOY, for which effects on health tend to be more long-term in nature, the opposite occurs, with the effect of the investment during the time period proving significantly lower than the effect of the initial provision.
Fußnoten
1
Area-wide material deprivation can be defined as the relative lack of goods, resources or services that are widely available to the society they belong to [10].
 
2
In microeconomic production theory behaviour, this difference is known as technical inefficiency.
 
3
As pointed out by Lee [42], using a sample at municipal level (where similar populations are being compared) can help avoid unobservable heterogeneity problems presented in studies that employ country data with too many differences between them.
 
4
With two sub-classes in class IV.
 
5
The consumption of alcohol is homogenised in SDUs (standard drink units), which are equivalent to 10–12 g pure alcohol. According to AHS, high risk drinkers are those who consume amounts greater thatn nine SDUs for males, and seven SDUs for females.
 
6
The data for the variation rate of the Quality of Water variable could not be included because of a lack of observations for the two time periods.
 
7
A variation inflation rate test (VIF) was carried out on a previous OLS estimation of the Eq. (8). The average index is 3.06, which shows that multicollinearity does not present an important issue in the model.
 
8
Other variables, such as air quality, have been checked but none were significant.
 
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Metadaten
Titel
Making a distinction between the effect of initial stock and investment in health determinants
verfasst von
Esther Lafuente Robledo
Ana Rodriguez-Alvarez
Andrey Shmarev Shmarev
Publikationsdatum
12.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
The European Journal of Health Economics / Ausgabe 3/2017
Print ISSN: 1618-7598
Elektronische ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-016-0778-1

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