Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Association Between Local Government Social Expenditures and Mortality Levels in Korea

  • Ko, Hansoo (Preventive Medicine Program, Graduate School of Public Health, Seoul National University) ;
  • Kim, Jinseob (Preventive Medicine Program, Graduate School of Public Health, Seoul National University) ;
  • Kim, Donggil (Preventive Medicine Program, Graduate School of Public Health, Seoul National University) ;
  • Kim, Saerom (Preventive Medicine Program, Graduate School of Public Health, Seoul National University) ;
  • Park, Yukyung (Preventive Medicine Program, Graduate School of Public Health, Seoul National University) ;
  • Kim, Chang-Yup (Preventive Medicine Program, Graduate School of Public Health, Seoul National University)
  • Received : 2012.06.28
  • Accepted : 2012.10.12
  • Published : 2013.01.31
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Abstract

Objectives: We examined the association between social expenditures of the local government and the mortality level in Korea, 2004 to 2010. Methods: We used social expenditure data of 230 local governments during 2004 to 2010 from the Social Expenditure Database prepared by the Korean Institute for Health and Social Affairs. Fixed effect panel data regression analysis was adopted to look for associations between social expenditures and age-standardized mortality and the premature death index. Results: Social expenditures of local governments per capita was not significantly associated with standardized mortality but was associated with the premature death index (decline of 1.0 [for males] and 0.5 [for females] for each expenditure of 100 000 Korean won, i.e., approximately 100 US dollar). As an index of the voluntary effort of local governments, the self-managed project ratio was associated with a decline in the standardized mortality in females (decline of 0.4 for each increase of 1%). The share of health care was not significant. Conclusions: There were associations between social expenditures of the local government and the mortality level in Korea. In particular, social expenditures per capita were significantly associated with a decline in premature death. However, the voluntary efforts of local governments were not significantly related to the decline in premature death.

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References

  1. Yoon TH. Regional differences in health and local government. Welf Trend 2010;139:51-54 (Korean).
  2. Kim DS, Park HJ. Regional differntials in mortality in Korea, 1990-2000. Korea J Popul Stud 2003;26(1):1-30 (Korean).
  3. Lee MS. Health inequalities among Korean adults: socioeconomic status and residential area differences. Korean J Sociol 2005;39(6):183-209 (Korean).
  4. Yoon TH. Regional health inequalities in Korea: the status and policy tasks. J Crit Soc Welf 2010;30:49-77 (Korean).
  5. Ko KH. Current situation of social expenditure and its policy implication. Health Welf Policy Forum 2007;131:21-34 (Korean).
  6. Kim TI. Local autonomy and welfare expenditure of local government. Korean Public Adm Rev 2001;35(1):69-89 (Korean).
  7. Choi J. Determinants of finance of local government and welfare expenditure. Korean Policy Sci Rev 2005;9(4):451-474 (Korean).
  8. Lee JW, Kim KS. Determinants of the social welfare expenditure in local government: 1995-2005. Soc Welf Policy 2007;31: 105-124 (Korean).
  9. Park Y, Kim MH, Kown S, Shin YJ. The association between public social expenditure and suicides: evidence from OECD countries. J Prev Med Public Health 2009;42(2):123-129 (Korean). https://doi.org/10.3961/jpmph.2009.42.2.123
  10. Cheong KS, Choi MH, Cho BM, Yoon TH, Kim CH, Kim YM, et al. Suicide rate differences by sex, age, and urbanicity, and related regional factors in Korea. J Prev Med Public Health 2012; 45(2):70-77. https://doi.org/10.3961/jpmph.2012.45.2.70
  11. Rajkumar AS, Swaroop V. Public spending and outcomes: does governance matter? J Dev Econ 2008;86(1):96-111. https://doi.org/10.1016/j.jdeveco.2007.08.003
  12. Dunn JR, Burgess B, Ross NA. Income distribution, public services expenditures, and all cause mortality in US States. J Epidemiol Community Health 2005;59(9):768-774. https://doi.org/10.1136/jech.2004.030361
  13. Kim AS, Jennings ET. Effects of U.S. States' social welfare systems on population health. Policy Stud J 2009;37(4):745-767. https://doi.org/10.1111/j.1541-0072.2009.00333.x
  14. Farahani M, Subramanian SV, Canning D. Effects of state-level public spending on health on the mortality probability in India. Health Econ 2010;19(11):1361-1376. https://doi.org/10.1002/hec.1557
  15. Minoiu C, Andres AR. The effect of public spending on suicide: evidence from U.S. state data. J Socio Econ 2008;37(1):237-261. https://doi.org/10.1016/j.socec.2006.09.001
  16. Min IS, Choi PS. STATA panel data analysis. Seoul: Jiphil Media; 2012, p. 2-3 (Korean).
  17. Gardner JW, Sanborn JS. Years of potential life lost (YPLL): what does it measure? Epidemiology 1990;1(4):322-329. https://doi.org/10.1097/00001648-199007000-00012
  18. Jang DH. Dependent variable problems in comparative study of welfare expenditure of local government. Seoul: Korea Institute for Health and Social Affairs; 2012, p. 1-27 (Korean).
  19. Filmer D, Pritchett L. The impact of public spending on health: does money matter? Soc Sci Med 1999;49(10):1309-1323. https://doi.org/10.1016/S0277-9536(99)00150-1
  20. Yoo WS. Regional differences in contributions of Medical Aid fund. Welf Trend 2011;157:24-29 (Korean).
  21. Deaton A, Lubotsky D. Mortality, inequality and race in American cities and states. Soc Sci Med 2003;56(6):1139-1153. https://doi.org/10.1016/S0277-9536(02)00115-6

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