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Sahoo PM, Rout HS, Jakovljevic M. Future health expenditure in the BRICS countries: a forecasting analysis for 2035. Global Health 2023; 19:49. [PMID: 37434257 DOI: 10.1186/s12992-023-00947-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 06/28/2023] [Indexed: 07/13/2023] [Imported: 08/29/2023] Open
Abstract
BACKGROUND Accelerated globalization especially in the late 1980s has provided opportunities for economic progress in the world of emerging economies. The BRICS nations' economies are distinguishable from other emerging economies due to their rate of expansion and sheer size. As a result of their economic prosperity, health spending in the BRICS countries has been increasing. However, health security is still a distant dream in these countries due to low public health spending, lack of pre-paid health coverage, and heavy out-of-pocket spending. There is a need for changing the health expenditure composition to address the challenge of regressive health spending and ensure equitable access to comprehensive healthcare services. OBJECTIVE Present study examined the health expenditure trend among the BRICS from 2000 to 2019 and made predictions with an emphasis on public, pre-paid, and out-of-pocket expenditures for 2035. METHODS Health expenditure data for 2000-2019 were taken from the OECD iLibrary database. The exponential smoothing model in R software (ets ()) was used for forecasting. RESULTS Except for India and Brazil, all of the BRICS countries show a long-term increase in per capita PPP health expenditure. Only India's health expenditure is expected to decrease as a share of GDP after the completion of the SDG years. China accounts for the steepest rise in per capita expenditure until 2035, while Russia is expected to achieve the highest absolute values. CONCLUSION The BRICS countries have the potential to be important leaders in a variety of social policies such as health. Each BRICS country has set a national pledge to the right to health and is working on health system reforms to achieve universal health coverage (UHC). The estimations of future health expenditures by these emerging market powers should help policymakers decide how to allocate resources to achieve this goal.
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Affiliation(s)
| | - Himanshu Sekhar Rout
- Department of Analytical and Applied Economics & Co-Coordinator, RUSA Centre of Excellence in Public Policy and Governance, Utkal University, Vani Vihar, Odisha, 751 004, Bhubaneswar, India
| | - Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia.
- Institute of Comparative Economic Studies, Hosei University Faculty of Economics, Tokyo, Japan.
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia.
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Kosaka M, Ozaki A, Kaneda Y, Saito H, Yamashita E, Murayama A, Mamada H, Tanimoto T, Jakovljevic M. Generic drug crisis in Japan and changes leading to the collapse of universal health insurance established in 1961: the case of Kobayashi Kako Co. Ltd. Cost Eff Resour Alloc 2023; 21:35. [PMID: 37259132 DOI: 10.1186/s12962-023-00441-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] [Imported: 08/29/2023] Open
Affiliation(s)
| | - Akihiko Ozaki
- Medical Governance Research Institute, Minato-ku, Tokyo, Japan
- Department of Breast and Thryoid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
| | - Yudai Kaneda
- School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Hiroaki Saito
- Medical Governance Research Institute, Minato-ku, Tokyo, Japan
| | - Erika Yamashita
- Medical Governance Research Institute, Minato-ku, Tokyo, Japan
| | - Anju Murayama
- School of Medicine, Tohoku University, Sendai, Miyagi, Japan
| | - Hanano Mamada
- Medical Governance Research Institute, Minato-ku, Tokyo, Japan
| | | | - Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia.
- Institute of Comparative Economic Studies, Hosei University, Chiyoda-ku, Tokyo, Japan.
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia.
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3
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Jakovljevic M, Yamada T, Grujic D. Editorial: Role of health economic data in policy making and reimbursement of new medical technologies, Volume II. Front Public Health 2023; 11:1179300. [PMID: 37050949 PMCID: PMC10083492 DOI: 10.3389/fpubh.2023.1179300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 03/15/2023] [Indexed: 03/29/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
| | - Tetsuji Yamada
- Rutgers, The State University of New Jersey, Camden, NJ, United States
| | - Danko Grujic
- Clinic for Cardiac Surgery, University Clinical Center of Serbia, Belgrade, Serbia
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4
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Jakovljevic M, Kumagai N, Ogura S. Editorial: Global population aging - Health care, social and economic consequences, volume II. Front Public Health 2023; 11:1184950. [PMID: 37139362 PMCID: PMC10150406 DOI: 10.3389/fpubh.2023.1184950] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 03/24/2023] [Indexed: 05/05/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, Saint Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
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5
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Jakovljevic M, Chang H, Kumagai N. Editorial: Global excellence in health economics: Asia and Australasia. Front Public Health 2023; 11:1172632. [PMID: 37033066 PMCID: PMC10080159 DOI: 10.3389/fpubh.2023.1172632] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 03/07/2023] [Indexed: 04/11/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
| | - Hanyu Chang
- First Hospital of Lanzhou University, Lanzhou, China
| | - Narimasa Kumagai
- Department of Economics, Seinan Gakuin University, Fukuoka, Japan
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6
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Jakovljevic M, Verhaeghe N, Souliotis K, Krstic K. Editorial: Challenges of pharmacoeconomics in global health arena-Contemporary momentum in the early 2020s. Front Public Health 2023; 11:1189671. [PMID: 37124830 PMCID: PMC10133688 DOI: 10.3389/fpubh.2023.1189671] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 03/28/2023] [Indexed: 05/02/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, Saint Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
| | - Nick Verhaeghe
- Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Interuniversity Centre for Health Economics Research, Ghent University, Ghent, Belgium
- Interuniversity Centre for Health Economics Research, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Kyriakos Souliotis
- Faculty of Social and Political Sciences, University of Peloponnese, Corinth, Greece
| | - Kristijan Krstic
- Department of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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7
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Jakovljevic M, Mouselli S, Al Ahdab S, Hammoudi Halat D. Editorial: Does healthcare financing explain different healthcare system performances and responses to COVID-19? Front Public Health 2022; 10:1062425. [PMID: 36407993 PMCID: PMC9670150 DOI: 10.3389/fpubh.2022.1062425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 10/17/2022] [Indexed: 11/06/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia,Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia,*Correspondence: Mihajlo Jakovljevic
| | - Sulaiman Mouselli
- Faculty of Business Administration, Arab International University Daraa, Daraa, Syria
| | - Sanaa Al Ahdab
- Faculty of Pharmacy, AlBaath University Homs, Homs, Syria
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8
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Jakovljevic M, Groot W, Souliotis K. Editorial: Health care financing and affordability in the emerging global markets, Volume II. Front Public Health 2022; 10:1054409. [PMID: 36388299 PMCID: PMC9647898 DOI: 10.3389/fpubh.2022.1054409] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 09/28/2022] [Indexed: 02/01/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St Petersburg, Russia,Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia,*Correspondence: Mihajlo Jakovljevic
| | - Wim Groot
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands,Top Institute Evidence-Based Education Research, Maastricht University, Maastricht, Netherlands
| | - Kyriakos Souliotis
- Faculty of Social and Political Sciences, University of Peloponnese, Tripoli, Greece,Health Policy Institute, Athens, Greece
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9
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Jakovljevic M, Lu K. Editorial: Big data shaping clinical trial landscape-Greater role for pharmacoeconomics in Asia. Front Public Health 2022; 10:1037082. [PMID: 36388382 PMCID: PMC9644335 DOI: 10.3389/fpubh.2022.1037082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 09/27/2022] [Indexed: 01/29/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia,Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia,*Correspondence: Mihajlo Jakovljevic ;
| | - Kevin Lu
- University of South Carolina College of Pharmacy, Columbia, SC, United States
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10
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Jakovljevic M, Pallegedara A, Vinayagathasan T, Kumara AS. Editorial: Inequality in healthcare utilization and household spending in developing countries. Front Public Health 2022; 10:970819. [PMID: 36016898 PMCID: PMC9397501 DOI: 10.3389/fpubh.2022.970819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 07/21/2022] [Indexed: 01/25/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St Petersburg, Russia,Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia,*Correspondence: Mihajlo Jakovljevic
| | - Asankha Pallegedara
- Department of Industrial Management, Faculty of Applied Sciences, Wayamba University of Sri Lanka, Kuliyapitiya, Sri Lanka
| | | | - Ajantha Sisira Kumara
- Department of Public Administration, Faculty of Management Studies and Commerce, University of Sri Jayewardenepura, Nugegoda, Sri Lanka
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11
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Jakovljevic M, Ogura S. Editorial: Insights in health economics: 2021. Front Public Health 2022; 10:966741. [PMID: 35958836 PMCID: PMC9361731 DOI: 10.3389/fpubh.2022.966741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 06/17/2022] [Indexed: 11/18/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
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12
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Wu W, Zhang P, Zhu D, Jiang X, Jakovljevic M. Environmental Pollution Liability Insurance of Health Risk and Corporate Environmental Performance: Evidence From China. Front Public Health 2022; 10:897386. [PMID: 35832274 PMCID: PMC9271666 DOI: 10.3389/fpubh.2022.897386] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 05/31/2022] [Indexed: 11/15/2022] [Imported: 08/29/2023] Open
Abstract
Environmental pollution liability insurance (EPLI) is a type of insurance purchased by an enterprise to compensate the loss of the victims in the event of an environmental pollution incident. Although EPLI can realize the post-treatment of environmental pollution to a certain extent, there is still less understanding of whether EPLI can improve the environmental performance of enterprises. This study takes A-share listed companies in heavily polluting industries as the research object, determines the treatment group samples according to the Insurance coverage list published by the Ministry of Environmental Protection in 2014 and 2015, and then constructs the empirical test model. In order to ensure that there is no sample selection bias, the PSM method is used to preprocess the samples in this study to ensure the robustness of the conclusions. The empirical tests show that EPLI can significantly improve corporate environmental performance. Further analysis showed that higher public visibility is conducive to the positive environmental effects of EPLI. Compared with state-owned enterprises, non-state-owned enterprises have more significant implementation effects after introducing EPLI. On further examination, the result indicates that environmental pollution liability insurance can improve environmental performance by alleviating corporate financing constraints. The findings of this paper enrich the theory of the economic impact of environmental pollution liability insurance, which has some meaningful theoretical guidance for enterprises and policy makers.
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Affiliation(s)
- Wenqing Wu
- College of Management and Economics, Tianjin University, Tianjin, China
| | - Pianpian Zhang
- College of Management and Economics, Tianjin University, Tianjin, China
| | - Dongyang Zhu
- College of Management and Economics, Tianjin University, Tianjin, China
| | - Xin Jiang
- School of International Education, Tianjin University, Tianjin, China
- *Correspondence: Xin Jiang
| | - Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University Chiyoda, Chiyoda, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- Mihajlo Jakovljevic
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13
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Jakovljevic M, Lamnisos D, Timofeyev Y, Khan HN, Ranabhat CL, Godman B. Editorial: Emerging Markets’ Health and Pharmaceutical Sectors at the Dawn of a Potential Global Financial Crisis of early 2020s. Front Pharmacol 2022; 13:907612. [PMID: 35548362 PMCID: PMC9081560 DOI: 10.3389/fphar.2022.907612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 04/06/2022] [Indexed: 12/25/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Petersburg Polytechnic University, St.Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic,
| | - Demetris Lamnisos
- Department of Health Sciences, European University Cyprus, Nicosia, Cyprus
| | | | | | - Chhabi Lal Ranabhat
- Department of Health Promotion and Administration, Eastern Kentucky University, Richmond, United States
| | - Brian Godman
- Department of Pharmacoepidemiology, Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, United Kingdom
- Centre of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
- School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria, South Africa
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Jakovljevic M, Lamnisos D, Westerman R, Chattu VK, Cerda A. Correction to: Future health spending forecast in leading emerging BRICS markets in 2030: health policy implications. Health Res Policy Syst 2022; 20:30. [PMID: 35300693 PMCID: PMC8932142 DOI: 10.1186/s12961-022-00836-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St Petersburg, Russia. .,Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan. .,Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.
| | - Demetrios Lamnisos
- Department of Health Sciences, European University Cyprus, Nicosia, Cyprus
| | - Ronny Westerman
- Federal Institute for Population Research, Wiesbaden, Germany
| | - Vijay Kumar Chattu
- Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, M5G 2C4, Canada.,Center for Transdisciplinary Research, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.,Department of Community Medicine, Faculty of Medicine, Datta Meghe Institute of Medical Sciences, Wardha, India
| | - Arcadio Cerda
- Faculty of Economics and Business, University of Talca, Talca, Chile
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15
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Jakovljevic M, Lamnisos D, Westerman R, Chattu VK, Cerda A. Future health spending forecast in leading emerging BRICS markets in 2030: health policy implications. Health Res Policy Syst 2022; 20:23. [PMID: 35183217 PMCID: PMC8857747 DOI: 10.1186/s12961-022-00822-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 01/27/2022] [Indexed: 01/07/2023] [Imported: 08/29/2023] Open
Abstract
Background The leading emerging markets of Brazil, Russia, India, China and South Africa (BRICS) are increasingly shaping the landscape of the global health sector demand and supply for medical goods and services. BRICS’ share of global health spending and future projections will play a prominent role during the 2020s. The purpose of the current research was to examine the decades-long underlying historical trends in BRICS countries’ health spending and explore these data as the grounds for reliable forecasting of their health expenditures up to 2030. Methods BRICS’ health spending data spanning 1995–2017 were extracted from the Institute for Health Metrics and Evaluation (IHME) Financing Global Health 2019 database. Total health expenditure, government, prepaid private and out-of-pocket spending per capita and gross domestic product (GDP) share of total health spending were forecasted for 2018–2030. Autoregressive integrated moving average (ARIMA) models were used to obtain future projections based on time series analysis. Results Per capita health spending in 2030 is projected to be as follows: Brazil, $1767 (95% prediction interval [PI] 1615, 1977); Russia, $1933 (95% PI 1549, 2317); India, $468 (95% PI 400.4, 535); China, $1707 (95% PI 1079, 2334); South Africa, $1379 (95% PI 755, 2004). Health spending as a percentage of GDP in 2030 is projected as follows: Brazil, 8.4% (95% PI 7.5, 9.4); Russia, 5.2% (95% PI 4.5, 5.9); India, 3.5% (95% PI 2.9%, 4.1%); China, 5.9% (95% PI 4.9, 7.0); South Africa, 10.4% (95% PI 5.5, 15.3). Conclusions All BRICS countries show a long-term trend towards increasing their per capita spending in terms of purchasing power parity (PPP). India and Russia are highly likely to maintain stable total health spending as a percentage of GDP until 2030. China, as a major driver of global economic growth, will be able to significantly expand its investment in the health sector across an array of indicators. Brazil is the only large nation whose health expenditure as a percentage of GDP is about to contract substantially during the third decade of the twenty-first century. The steepest curve of increased per capita spending until 2030 seems to be attributable to India, while Russia should achieve the highest values in absolute terms. Health policy implications of long-term trends in health spending indicate the need for health technology assessment dissemination among the BRICS ministries of health and national health insurance funds. Matters of cost-effective allocation of limited resources will remain a core challenge in 2030 as well.
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Jakovljevic M, Çalışkan Z, Fernandes PO, Mouselli S, Otim ME. Editorial: Health Financing and Spending in Low- and Middle-Income Countries. Front Public Health 2021; 9:800333. [PMID: 34993173 PMCID: PMC8724126 DOI: 10.3389/fpubh.2021.800333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 11/16/2021] [Indexed: 11/13/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
| | - Zafer Çalışkan
- Department of Economics, Hacettepe University, Ankara, Turkey
| | - Paula Odete Fernandes
- Escola Superior de Tecnologia e Gestão, Instituto Politécnico de Bragança, Bragança, Portugal
| | - Sulaiman Mouselli
- Faculty of Business Administration, Arab International University, Daraa, Syria
| | - Michael Ekubu Otim
- Department of Health Services Administration, University of Sharjah, Sharjah, United Arab Emirates
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17
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Jakovljevic M, Ranabhat CL, Mohamed Ibrahim MI, Teixeira JP. Editorial: Universal Health Coverage: The Long Road Ahead for Low- and Middle-Income Regions. Front Public Health 2021; 9:746651. [PMID: 34858928 PMCID: PMC8631996 DOI: 10.3389/fpubh.2021.746651] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Accepted: 10/01/2021] [Indexed: 11/17/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan.,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
| | - Chhabi Lal Ranabhat
- Global Center for Research and Development, Kathmandu, Nepal.,Department of Health Promotion & Administration, Eastern Kentucky University, Richmond, KY, United States
| | | | - João Paulo Teixeira
- Research Center in Digitalization and Intelligent Robotics (CeDRI), Instituto Politecnico de Bragança, Bragança, Portugal
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Carvalho K, Vicente JP, Jakovljevic M, Teixeira JPR. Analysis and Forecasting Incidence, Intensive Care Unit Admissions, and Projected Mortality Attributable to COVID-19 in Portugal, the UK, Germany, Italy, and France: Predictions for 4 Weeks Ahead. Bioengineering (Basel) 2021; 8:bioengineering8060084. [PMID: 34208000 PMCID: PMC8230711 DOI: 10.3390/bioengineering8060084] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/04/2021] [Accepted: 06/07/2021] [Indexed: 11/16/2022] [Imported: 08/29/2023] Open
Abstract
The use of artificial neural networks (ANNs) is a great contribution to medical studies since the application of forecasting concepts allows for the analysis of future diseases propagation. In this context, this paper presents a study of the new coronavirus SARS-COV-2 with a focus on verifying the virus propagation associated with mitigation procedures and massive vaccination campaigns. There were two proposed methodologies in making predictions 28 days ahead for the number of new cases, deaths, and ICU patients of five European countries: Portugal, France, Italy, the United Kingdom, and Germany. A case study of the results of massive immunization in Israel was also considered. The data input of cases, deaths, and daily ICU patients was normalized to reduce discrepant numbers due to the countries' size and the cumulative vaccination values by the percentage of population immunized (with at least one dose of the vaccine). As a comparative criterion, the calculation of the mean absolute error (MAE) of all predictions presents the best methodology, targeting other possibilities of use for the method proposed. The best architecture achieved a general MAE for the 1-to-28-day ahead forecast, which is lower than 30 cases, 0.6 deaths, and 2.5 ICU patients per million people.
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Affiliation(s)
- Kathleen Carvalho
- Research Centre in Digitalization and Intelligent Robotics (CeDRI)—Instituto Politecnico de Braganca, 5300-253 Bragança, Portugal; (K.C.); (J.P.V.)
- Campus Cornélio Procópio, Federal Technological University of Paraná, Paraná 86300-000, Brazil
| | - João Paulo Vicente
- Research Centre in Digitalization and Intelligent Robotics (CeDRI)—Instituto Politecnico de Braganca, 5300-253 Bragança, Portugal; (K.C.); (J.P.V.)
- Campus Cornélio Procópio, Federal Technological University of Paraná, Paraná 86300-000, Brazil
| | - Mihajlo Jakovljevic
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia;
- Institute of Comparative Economic Studies, Hosei University, Tokyo 102-8160, Japan
| | - João Paulo Ramos Teixeira
- Research Centre in Digitalization and Intelligent Robotics (CeDRI)—Instituto Politecnico de Braganca, 5300-253 Bragança, Portugal; (K.C.); (J.P.V.)
- Applied Management Research Unit (UNIAG), Instituto Politecnico de Braganca, 5300-253 Bragança, Portugal
- Correspondence:
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Jakovljevic M, Péntek M, Wijeratne T, Kockaya G, Pau LF. Editorial: Accelerated Globalization and Its Impact to the World's Health Care Achievement. Front Public Health 2021; 9:690239. [PMID: 34164376 PMCID: PMC8215701 DOI: 10.3389/fpubh.2021.690239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Accepted: 05/03/2021] [Indexed: 11/25/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan.,Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
| | - Márta Péntek
- HECON - Health Economics Research Center, Óbuda University, Budapest, Hungary
| | - Tissa Wijeratne
- Department of Neurology and Stroke Services, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Sciences, Western Health, University of Melbourne, Parkville, VIC, Australia
| | - Guvenc Kockaya
- ECONiX Research, Analysis and Consultancy Plc., Istanbul, Turkey
| | - Louis-François Pau
- Copenhagen Business School, Frederiksberg, Denmark.,Rotterdam School of Management (RSM), Netherlands Erasmus University, Rotterdam, Netherlands.,Upgötva AB, Stockholm, Sweden
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20
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Krstic K, Westerman R, Chattu VK, V. Ekkert N, Jakovljevic M. Corona-Triggered Global Macroeconomic Crisis of the Early 2020s. Int J Environ Res Public Health 2020; 17:E9404. [PMID: 33333942 PMCID: PMC7765434 DOI: 10.3390/ijerph17249404] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 12/10/2020] [Indexed: 12/24/2022] [Imported: 08/29/2023]
Abstract
Long-lasting economic recessions spreading from initial cradle markets worldwide should be a periodic event inherent to capitalism as a prevailing socio-economic model [...].
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Affiliation(s)
- Kristijan Krstic
- COVID-Hospital, University Clinical Centre Kragujevac, 34000 Kragujevac, Serbia;
| | - Ronny Westerman
- Federal Institute for Population Research, 65207 Wiesbaden, Germany;
| | - Vijay Kumar Chattu
- Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON M5G 2C4, Canada;
| | - Natalia V. Ekkert
- Department of Public Health and Healthcare, First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia;
| | - Mihajlo Jakovljevic
- Department of Public Health and Healthcare, First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia;
- Institute of Comparative Economics, Hosei University, Tokyo 102-8160, Japan
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia
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21
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Jakovljevic M, Sugahara T, Timofeyev Y, Rancic N. Predictors of (in)efficiencies of Healthcare Expenditure Among the Leading Asian Economies - Comparison of OECD and Non-OECD Nations. Risk Manag Healthc Policy 2020; 13:2261-2280. [PMID: 33117004 PMCID: PMC7585857 DOI: 10.2147/rmhp.s266386] [Citation(s) in RCA: 78] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 10/05/2020] [Indexed: 11/29/2022] [Imported: 08/29/2023] Open
Abstract
Purpose The goal of this study was to assess the effectiveness of healthcare spending among the leading Asian economies. Methods We have selected a total of nine Asian nations, based on the strength of their economic output and long-term real GDP growth rates. The OECD members included Japan and the Republic of Korea, while the seven non-OECD nations were China, India, Indonesia, Malaysia, Pakistan, the Philippines, and Thailand. Healthcare systems efficiency was analyzed over the period 1996–2017. To assess the effectiveness of healthcare expenditure of each group of countries, the two-way fixed effects model (country- and year effects) was used. Results Quality of governance and current health expenditure determine healthcare system performance. Population density and urbanization are positively associated with a healthy life expectancy in the non-OECD Asian countries. In this group, unsafe water drinking has a statistically negative effect on healthy life expectancy. Interestingly, only per capita consumption of carbohydrates is significantly linked with healthy life expectancy. In these non-OECD Asian countries, unsafe water drinking and per capita carbon dioxide emissions increase infant mortality. There is a strong negative association between GDP per capita and infant mortality in both sub-samples, although its impact is far larger in the OECD group. In Japan and South Korea, unemployment is negatively associated with infant mortality. Conclusion Japan outperforms other countries from the sample in major healthcare performance indicators, while South Korea is ranked second. The only exception is per capita carbon dioxide emissions, which have maximal values in the Republic of Korea and Japan. Non-OECD nations’ outcomes were led by China, as the largest economy. This group was characterized with substantial improvement in efficiency of health spending since the middle of the 1990s. Yet, progress was noted with remarkable heterogeneity within the group.
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Affiliation(s)
- Mihajlo Jakovljevic
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Institute of Comparative Economics, Hosei University, Tokyo, Japan.,N.A.Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Takuma Sugahara
- Institute of Comparative Economics, Hosei University, Tokyo, Japan
| | - Yuriy Timofeyev
- National Research University Higher School of Economics, Moscow, Russia
| | - Nemanja Rancic
- Centre for Clinical Pharmacology, Military Medical Academy, Belgrade, Serbia.,Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
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Jakovljevic M, Timofeyev Y, Ranabhat CL, Fernandes PO, Teixeira JP, Rancic N, Reshetnikov V. Real GDP growth rates and healthcare spending - comparison between the G7 and the EM7 countries. Global Health 2020; 16:64. [PMID: 32677998 PMCID: PMC7367257 DOI: 10.1186/s12992-020-00590-3] [Citation(s) in RCA: 79] [Impact Index Per Article: 19.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 06/29/2020] [Indexed: 11/10/2022] [Imported: 08/29/2023] Open
Abstract
Background Accelerated globalisation has substantially contributed to the rise of emerging markets worldwide. The G7 and Emerging Markets Seven (EM7) behaved in significantly different macroeconomic ways before, during, and after the 2008 Global Crisis. Average real GDP growth rates remained substantially higher among the EM7, while unemployment rates changed their patterns after the crisis. Since 2017, however, approximately one half of the worldwide economic growth is attributable to the EM7, and only a quarter to the G7. This paper aims to analyse the association between the health spending and real GDP growth in the G7 and the EM7 countries. Results In terms of GDP growth, the EM7 exhibited a higher degree of resilience during the 2008 crisis, compared to the G7. Unemployment in the G7 nations was rising significantly, compared to pre-recession levels, but, in the EM7, it remained traditionally high. In the G7, the austerity (measured as a percentage of GDP) significantly decreased the public health expenditure, even more so than in the EM7. Out-of-pocket health expenditure grew at a far more concerning pace in the EM7 compared to the G7 during the crisis, exposing the vulnerability of households living close to the poverty line. Regression analysis demonstrated that, in the G7, real GDP growth had a positive impact on out-of-pocket expenditure, measured as a percentage of current health expenditure, expressed as a percentage of GDP (CHE). In the EM7, it negatively affected CHE, CHE per capita, and out-of-pocket expenditure per capita. Conclusion The EM7 countries demonstrated stronger endurance, withstanding the consequences of the crisis as compared to the G7 economies. Evidence of this was most visible in real growth and unemployment rates, before, during and after the crisis. It influenced health spending patterns in both groups, although they tended to diverge instead of converge in several important areas.
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Affiliation(s)
- Mihajlo Jakovljevic
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia. .,Institute of Comparative Economic Studies, Hosei University Tokyo, Tokyo, Japan. .,N.A.Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
| | - Yuriy Timofeyev
- National Research University Higher School of Economics, Moscow, Russia
| | - Chhabi Lal Ranabhat
- Policy Research Institute, Kathmandu, Nepal.,Manmohan Memorial Institute of Health Science, Kathmandu, Nepal
| | | | | | - Nemanja Rancic
- Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
| | - Vladimir Reshetnikov
- N.A.Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
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23
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Jakovljevic M, Timofeyev Y, Ekkert NV, Fedorova JV, Skvirskaya G, Bolevich S, Reshetnikov VA. The impact of health expenditures on public health in BRICS nations. J Sport Health Sci 2019; 8:516-519. [PMID: 31720060 PMCID: PMC6835015 DOI: 10.1016/j.jshs.2019.09.002] [Citation(s) in RCA: 59] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 07/02/2019] [Accepted: 09/03/2019] [Indexed: 05/21/2023] [Imported: 08/29/2023]
Abstract
•Experiencing a rapid economic growth, Brazil, Russia, India, China, and South Africa (BRICS nations) are now confronting a growing aging population and an increasing prevalence of noncommunicable diseases.•The health care spending share of the economy in the BRICS nations is growing and constitutes an important part of governmental efforts to address population health and health care systems.•Even with the growth in health expenditures, there remains a significant challenge in balancing the need for promoting public health, controlling noncommunicable diseases, and improving population health in these emerging economies.•BRICS nations have a great potential for embracing a public health agenda aimed at promoting physical activity and healthy lifestyles as part of the BRICS public health policies in order to improve population health and reduce the burden of noncommunicable diseases.
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Affiliation(s)
- Mihajlo Jakovljevic
- Division of Health Economics, Lund University, Lund SE 220 07, Sweden
- Corresponding author.
| | - Yuriy Timofeyev
- National Research University Higher Schools of Economics, Moscow 101000, Russia
| | - Natalia V. Ekkert
- Department for Health Care and Public Health, Sechenov First Moscow State Medical University, Moscow 119991, Russia
| | - Julia V. Fedorova
- Center for Master Programs, Sechenov First Moscow State Medical University, Moscow 119991, Russia
| | - Galina Skvirskaya
- Department for Health Care and Public Health, Sechenov First Moscow State Medical University, Moscow 119991, Russia
| | - Sergey Bolevich
- Department of Human Pathology, Sechenov First Moscow State Medical University, Moscow 119991, Russia
| | - Vladimir A. Reshetnikov
- Department for Health Care and Public Health, Sechenov First Moscow State Medical University, Moscow 119991, Russia
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Jakovljevic M, Jakab M, Gerdtham U, McDaid D, Ogura S, Varavikova E, Merrick J, Adany R, Okunade A, Getzen TE. Comparative financing analysis and political economy of noncommunicable diseases. J Med Econ 2019; 22:722-727. [PMID: 30913928 DOI: 10.1080/13696998.2019.1600523] [Citation(s) in RCA: 112] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] [Imported: 08/29/2023]
Abstract
The pandemic of chronic non-communicable diseases (NCDs) poses substantial challenges to the health financing sustainability in high-income and low/middle income countries (LMICs). The aim of this review is to identify the bottle neck inefficiencies in NCDs attributable spending and propose sustainable health financing solutions. The World Health Organization (WHO) introduced the "best buy" concept to scale up the core intervention package against NCDs targeted for LMICs. Population- and individual-based NCD best buy interventions are projected at US$170 billion over 2011-2025. Appropriately designed health financing arrangements can be powerful enablers to scale up the NCD best buys. Rapidly developing emerging nations dominate the landscape of LMICs. Their capability and willingness to invest resources for eradicating NCDs could strengthen WHO outreach efforts in Asia, Africa, and Latin America, much beyond current capacities. There has been a declining trend in international donor aid intended to cope with NCDs over the past decade. There is also a serious misalignment of these resources with the actual needs of recipient countries. Globally, the momentum towards the financing of intersectoral actions is growing, and this presents a cost-effective solution. A budget discrepancy of 10:1 in WHO and multilateral agencies remains in donor aid in favour of communicable diseases compared to NCDs. LMICs are likely to remain a bottleneck of NCDs imposed financing sustainability challenge in the long-run. Catastrophic household health expenditure from out of pocket spending on NCDs could plunge almost 150 million people into poverty worldwide. This epidemiological burden coupled with population ageing presents an exceptionally serious sustainability challenge, even among the richest countries which are members of the Organization for Economic Co-operation and Development (OECD). Strategic and political leadership of WHO and multilateral agencies would likely play essential roles in the struggle that has just begun.
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Affiliation(s)
- Mihajlo Jakovljevic
- a Department of Global Health Economics and Policy , University of Kragujevac , Kragujevac , Serbia
| | - Melitta Jakab
- b World Health Organization Regional Office for Europe , WHO Barcelona Office for Health Systems Strengthening , Barcelona , Spain
| | - Ulf Gerdtham
- c Division of Health Economics , Lund University , Lund , Sweden
| | - David McDaid
- d London School of Economics and Political Science , London , UK
| | - Seiritsu Ogura
- e Faculty of Economics , Hosei University , Tokyo , Japan
| | - Elena Varavikova
- f Federal Research Institute of Public Health , Moscow , Russian Federation
| | - Joav Merrick
- g Division of Pediatrics , Hadassah Hebrew University Medical Center , Mt Scopus Campus , Israel
| | - Roza Adany
- h Department of Preventive Medicine, Faculty of Public Health , University of Debrecen MTA-DE Public Health Research Group , Debrecen , Hungary
| | - Albert Okunade
- i Fogelman College of Business & Economics , University of Memphis , Memphis , TN , USA
| | - Thomas E Getzen
- j Insurance and Health Management at the Fox School of Business , Temple University , Philadelphia , PA , USA
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Reshetnikov V, Arsentyev E, Boljevic S, Timofeyev Y, Jakovljević M. Analysis of the Financing of Russian Health Care over the Past 100 Years. Int J Environ Res Public Health 2019; 16:ijerph16101848. [PMID: 31137705 PMCID: PMC6571548 DOI: 10.3390/ijerph16101848] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 05/21/2019] [Indexed: 01/23/2023] [Imported: 08/29/2023]
Affiliation(s)
- Vladimir Reshetnikov
- Department of Public Health and Healthcare, First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 119991 Moscow, Russia.
| | - Evgeny Arsentyev
- Department of Public Health and Healthcare, First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 119991 Moscow, Russia.
| | - Sergey Boljevic
- Department of Human Pathology, First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), 119991 Moscow, Russia.
| | - Yuriy Timofeyev
- Faculty of Business and Management, National Research University Higher Schools of Economics, 101000 Moscow, Russia.
| | - Mihajlo Jakovljević
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
- Division of Health Economics, Lund University, SE 220 07 Lund, Sweden.
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Ogura S, Jakovljevic MM. Editorial: Global Population Aging - Health Care, Social and Economic Consequences. Front Public Health 2018; 6:335. [PMID: 30515374 PMCID: PMC6255935 DOI: 10.3389/fpubh.2018.00335] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 11/01/2018] [Indexed: 11/13/2022] [Imported: 08/29/2023] Open
Affiliation(s)
| | - Mihajlo Michael Jakovljevic
- Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Division of Health Economics, Lund University, Lund, Sweden
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Jakovljevic M, Janicijevic KM, Stepovic M. Book Review: The New Public Health 3rd Edition. Front Public Health 2018. [PMCID: PMC6157338 DOI: 10.3389/fpubh.2018.00265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Department of Global Health, Faculty of Medical Sciences, Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- *Correspondence: Mihajlo Jakovljevic
| | - Katarina M. Janicijevic
- Department of Social medicine, Faculty of Medical Sciences, University of Kragujevac, Kragijevac, Serbia
| | - Milos Stepovic
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Jakovljevic MM, Netz Y, Buttigieg SC, Adany R, Laaser U, Varjacic M. Population aging and migration - history and UN forecasts in the EU-28 and its east and south near neighborhood - one century perspective 1950-2050. Global Health 2018; 14:30. [PMID: 29548339 PMCID: PMC5857107 DOI: 10.1186/s12992-018-0348-7] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 03/01/2018] [Indexed: 11/10/2022] [Imported: 08/29/2023] Open
Abstract
BACKGROUND There is a gap in knowledge on long term pace of population aging acceleration and related net-migration rate changes in WHO European Region and its adjacent MENA countries. We decided to compare European Union (EU-28) region with the EU Near Neighborhood Policy Region East and EU Near Neighborhood Policy Region South in terms of these two essential features of third demographic transition. One century long perspective dating back to both historical data and towards reliable future forecasts was observed. METHODS United Nation's Department of Economic and Social Affairs estimates on indicators of population aging and migration were observed. Time horizon adopted was 1950-2050. Targeted 44 countries belong to either one of three regions named by EU diplomacy as: European Union or EU-28, EU Near Neighborhood Policy Region East (ENP East) and EU Near Neighborhood Policy Region South (ENP South). RESULTS European Union region currently experiences most advanced stage of demographic aging. The latter one is the ENP East region dominated by Slavic nations whose fertility decline continues since the USSR Era back in late 1980s. ENP South region dominated by Arab League nations remains rather young compared to their northern counterparts. However, as the Third Demographic Transition is inevitably coming to these societies they remain the spring of youth and positive net emigration rate. Probably the most prominent change will be the extreme fall of total fertility rate (children per woman) in ENP South countries (dominantly Arab League) from 6.72 back in 1950 to medium-scenario forecasted 2.10 in 2050. In the same time net number of migrants in the EU28 (both sexes combined) will grow from - 91,000 in 1950 to + 394,000 in 2050. CONCLUSIONS Long term migration from Eastern Europe westwards and from MENA region northwards is historically present for many decades dating back deep into the Cold War Era. Contemporary large-scale migrations outsourcing from Arab League nations towards rich European Protestant North is probably the peak of an iceberg in long migration routes history. However, in the decades to come acceleration of aging is likely to question sustainability of such movements of people.
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Affiliation(s)
- Mihajlo Michael Jakovljevic
- Global Health, Economics & Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia. .,Center for Health Trends and Forecasts, Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA. .,Academy of Medical Sciences, Belgrade, Serbia.
| | - Yael Netz
- Wingate College, Israel/EGREPA - The European Group for Research into Elderly and Physical Activity, Netaniya, Israel
| | - Sandra C Buttigieg
- Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta
| | - Roza Adany
- Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary
| | - Ulrich Laaser
- Faculty of Health Sciences, University of Bielefeld, Bielefeld, Germany
| | - Mirjana Varjacic
- Department of Fertility Pathology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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29
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Jakovljevic M, Yamada T. Editorial: Role of Health Economic Data in Policy Making and Reimbursement of New Medical Technologies. Front Pharmacol 2017; 8:662. [PMID: 28983250 PMCID: PMC5613116 DOI: 10.3389/fphar.2017.00662] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Accepted: 09/05/2017] [Indexed: 11/28/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Global Health Economics and Policy, Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia.,Center for Health Trends and Forecasts, Institute for Health Metrics and Evaluation, University of WashingtonSeattle, WA, United States
| | - Tetsuji Yamada
- Economics Department, Rutgers University, State University of New JerseyNew Brunswick, NJ, United States
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Jakovljevic M, Varavikova EA, Walter H, Wascher A, Pejcic AV, Lesch OM. Alcohol Beverage Household Expenditure, Taxation and Government Revenues in Broader European WHO Region. Front Pharmacol 2017; 8:303. [PMID: 28603498 PMCID: PMC5445193 DOI: 10.3389/fphar.2017.00303] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Accepted: 05/10/2017] [Indexed: 12/21/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Health Economics and Pharmacoeconomics, Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
| | - Elena A. Varavikova
- Federal Research Institute for Public Health Organization and Information (CNIIOIZ), Ministry of HealthMoscow, Russia
| | - Henriette Walter
- Department of Psychiatry and Psychotherapy, Medical University of ViennaVienna, Austria
| | | | - Ana V. Pejcic
- Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
| | - Otto M. Lesch
- Department of Psychiatry and Psychotherapy, Medical University of ViennaVienna, Austria
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Jakovljevic MM, Arsenijevic J, Pavlova M, Verhaeghe N, Laaser U, Groot W. Within the triangle of healthcare legacies: comparing the performance of South-Eastern European health systems. J Med Econ 2017; 20:483-492. [PMID: 28035843 DOI: 10.1080/13696998.2016.1277228] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] [Imported: 08/29/2023]
Abstract
OBJECTIVE Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE). METHODS Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted. RESULTS United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress. CONCLUSIONS Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other.
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Affiliation(s)
- Mihajlo Michael Jakovljevic
- a Health Economics and Pharmacoeconomics, Faculty of Medical Sciences , University of Kragujevac , Kragujevac , Serbia
| | - Jelena Arsenijevic
- b Department of Health Services Research , CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University , Maastricht , The Netherlands
| | - Milena Pavlova
- b Department of Health Services Research , CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University , Maastricht , The Netherlands
| | - Nick Verhaeghe
- c Department of Public Health , I-CHER Interuniversity Centre for Health Economics Research, Ghent University , Ghent , Belgium
| | - Ulrich Laaser
- d Section of International Public Health (S-IPH), Faculty of Health Sciences , University of Bielefeld , Bielefeld , Germany
| | - Wim Groot
- b Department of Health Services Research , CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University , Maastricht , The Netherlands
- e Top Institute Evidence-Based Education Research (TIER); Maastricht University , Maastricht , The Netherlands
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Jakovljevic M, Varjacic M. Commentary: Do health care workforce, population, and service provision significantly contribute to the total health expenditure? An econometric analysis of Serbia. Front Pharmacol 2017; 8:33. [PMID: 28220072 PMCID: PMC5292403 DOI: 10.3389/fphar.2017.00033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 01/17/2017] [Indexed: 12/19/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Health Economics and Pharmacoeconomics, The Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
| | - Mirjana Varjacic
- Gynaecology Department, The Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
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Jakovljevic M. Commentary: Patient Cost Sharing and Medical Expenditures for the Elderly. Front Pharmacol 2016; 7:73. [PMID: 27065864 PMCID: PMC4813085 DOI: 10.3389/fphar.2016.00073] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 03/10/2016] [Indexed: 12/03/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo Jakovljevic
- Graduate Health Economics and Pharmacoeconomics Curricula, Faculty of Medical Sciences, University of Kragujevac Kragujevac, Serbia
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Jakovljevic M, Getzen TE. Growth of Global Health Spending Share in Low and Middle Income Countries. Front Pharmacol 2016; 7:21. [PMID: 26903867 PMCID: PMC4751681 DOI: 10.3389/fphar.2016.00021] [Citation(s) in RCA: 84] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Accepted: 01/25/2016] [Indexed: 11/26/2022] [Imported: 08/29/2023] Open
Affiliation(s)
| | - Thomas E Getzen
- Risk, Insurance, and Healthcare Management Department, Temple University Philadelphia, PA, USA
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Jakovljevic M, Lazarevic M, Milovanovic O, Kanjevac T. The New and Old Europe: East-West Split in Pharmaceutical Spending. Front Pharmacol 2016; 7:18. [PMID: 26973521 PMCID: PMC4771948 DOI: 10.3389/fphar.2016.00018] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 01/21/2016] [Indexed: 11/19/2022] [Imported: 08/29/2023] Open
Abstract
HIGHLIGHTSSince the geopolitical developments of 1989, former centrally planned economies of Eastern Europe followed distinctively different pathways in national pharmaceutical expenditure evolution as compared to their free market Western European counterparts. Long term spending on pharmaceuticals expressed as percentage of total health expenditure was falling in free market economies as of 1989. Back in early 1990s it was at higher levels in transitional Eastern European countries and actually continued to grow further. Public financing share of total pharmaceutical expenditure was steadily falling in most Central and Eastern European countries over the recent few decades. Opposed scenario were EU-15 countries which successfully increased their public funding of prescription medicines for the sake of their citizens. Pace of annual increase in per capita spending on medicines in PPP terms, was at least 20% faster in Eastern Europe compared to their Western counterparts. During the same years, CEE region was expanding their pharmaceuticals share of health spending in eight fold faster annual rate compared to the EU 15. Private and out-of-pocket expenditure became dominant in former socialist countries. Affordability issues coupled with growing income inequality in transitional economies will present a serious challenge to equitable provision and sustainable financing of pharmaceuticals in the long run.
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Affiliation(s)
- Mihajlo Jakovljevic
- Health Economics and Pharmacoeconomics, The Faculty of Medical Sciences, University of Kragujevac Kragujevac, Serbia
| | - Marija Lazarevic
- Health Economics and Pharmacoeconomics, The Faculty of Medical Sciences, University of Kragujevac Kragujevac, Serbia
| | - Olivera Milovanovic
- Health Economics and Pharmacoeconomics, The Faculty of Medical Sciences, University of Kragujevac Kragujevac, Serbia
| | - Tatjana Kanjevac
- Department for Preventive and Pediatric Dentistry, Faculty of Medicine, University of Kragujevac Kragujevac, Serbia
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Jakovljevic M, Vukovic M, Chen CC, Antunovic M, Dragojevic-Simic V, Velickovic-Radovanovic R, Djendji MS, Jankovic N, Rankovic A, Kovacevic A, Antunovic M, Milovanovic O, Markovic V, Dasari BNS, Yamada T. Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans. Balkan Med J 2016; 33:8-17. [PMID: 26966613 DOI: 10.5152/balkanmedj.2015.15869] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 04/28/2015] [Indexed: 12/13/2022] [Imported: 08/29/2023] Open
Abstract
BACKGROUND Serbia, as the largest market of the Western Balkans, has entered socioeconomic transition with substantial delay compared to most of Eastern Europe. Its health system reform efforts were bold during the past 15 years, but their results were inconsistent in various areas. The two waves of global recession that hit Balkan economies ultimately reflected to the financial situation of healthcare. Serious difficulties in providing accessible medical care to the citizens became a reality. A large part of the unbearable expenses actually belongs to the overt prescription of pharmaceuticals and various laboratory and imaging diagnostic procedures requested by physicians. Therefore, a broad national survey was conducted at all levels of the healthcare system hierarchy to distinguish the ability of cost containment strategies to reshape clinician's mindsets and decision-making in practice. AIMS Assessment of healthcare professionals' judgment on economic consequences of prescribed medical interventions and evaluation of responsiveness of healthcare professionals to policy measures targeted at increasing cost-consciousness. STUDY DESIGN Cross-sectional study. METHODS A nationwide cross-sectional survey was conducted through a hierarchy of medical facilities across diverse geographical regions before and after policy action, from January 2010 to April 2013. In the middle of the observed period, the National Health Insurance Fund (RFZO) adopted severe cost-containment measures. Independently, pharmacoeconomic guidelines targeted at prescribers were disseminated. Administration in large hospitals and community pharmacies was forced to restrict access to high budget-impact medical care. Economic Awareness of Healthcare Professionals Questionnaire-29 (EAHPQ-29), developed in Serbian language, was used in face-to-face interviews. The questionnaire documented clinician's attitudes on: Clinical-Decision-Making-between-Alternative-Interventions (CDMAI), Quality-of-Health-Care (QHC), and Cost-Containment-Policy (CCP). The authors randomly and anonymously recruited 2000 healthcare experts, with a total of 1487 responding; after eliminating incomplete surveys, 649 participants were considered before and 651 after policy intervention. RESULTS Dentists (1.195±0.560) had a higher mean CDMAI score compared to physicians (1.017±0.453). The surgical group compared to the internist group had a higher total EAHPQ-29 score, CCP score and CDMAI score. Policy intervention had a statistically significant negative impact on the QHC score (F=4.958; df=1; p=0.027). There was no substantial impact of policy interventions on professional behavior and judgment with regard to the CDMAI, CCP, and total EAHPQ-29 scores. CONCLUSION Although cost savings were forcibly imposed in practice, the effects on clinical decision-making were modest. Clinicians' perceptions of quality of medical care were explained in a less effective manner due to the severely constrained resources allocated to the providers. This pioneering effort in the Balkans exposes the inefficiency of current policies to expand clinicians' cost consciousness.
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Affiliation(s)
- Mihajlo Jakovljevic
- Health Economics and Pharmacoeconomics, University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
| | - Mira Vukovic
- Department of Quality Assurance, Health Centre, Valjevo, Serbia
| | - Chia-Ching Chen
- Department of Epidemiology & Community Health, New York Medical College, School of Health Sciences & Practice, New York, USA
| | | | | | | | | | - Nikola Jankovic
- Department of Statistics, University of Kragujevac Faculty of Medical Sciences, Kragujevac, Serbia
| | - Ana Rankovic
- Diagnostic Radiology Service, University Clinical Center Kragujevac, Kragujevac, Serbia
| | | | - Marko Antunovic
- Institute of Pharmacy, Military Medical Academy, Belgrade, Serbia
| | - Olivera Milovanovic
- Department of Pharmacy, University of Kragujevac Faculty of Medical Sciences, Kragujevac, Serbia
| | - Veroljub Markovic
- Department of Pharmacy, University of Kragujevac Faculty of Medical Sciences, Kragujevac, Serbia
| | - Babu N S Dasari
- Department of Economics, Rutgers University, the State University of New Jersey, New Jersey, USA
| | - Tetsuji Yamada
- Department of Economics, Rutgers University, the State University of New Jersey, Center for Children and Childhood Studies, New Jersey, USA
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Abstract
OBJECTIVE The past few decades have been marked by a bold increase in national health spending across the globe. Rather successful health reforms in leading emerging markets such as BRICS reveal a reshaping of their medical care-related expenditures. There is a scarcity of evidence explaining differences in long-term medical spending patterns between top ranked G7 traditional welfare economies and the BRICS nations. METHODS A retrospective observational study was conducted on a longitudinal WHO Global Health Expenditure data-set based on the National Health Accounts (NHA) system. Data were presented in a simple descriptive manner, pointing out health expenditure dynamics and differences between the two country groups (BRICS and G7) and individual nations in a 1995-2013 time horizon. RESULTS Average total per capita health spending still remains substantially higher among G7 (4747 Purchase Power Parity (PPP) $PPP in 2013) compared to the BRICS (1004 $PPP in 2013) nations. The percentage point share of G7 in global health expenditure (million current PPP international $US) has been falling constantly since 1995 (from 65% in 1995 to 53.2% in 2013), while in BRICS nations it grew (from 10.7% in 1995 to 20.2% in 2013). Chinese national level medical spending exceeded significantly that of all G7 members except the US in terms of current $PPP in 2013. CONCLUSIONS Within a limited time horizon of only 19 years it appears that the share of global medical spending by the leading emerging markets has been growing steadily. Simultaneously, the world's richest countries' global share has been falling constantly, although it continues to dominate the landscape. If the contemporary global economic mainstream continues, the BRICS per capita will most likely reach or exceed the OECD average in future decades. Rising out-of-pocket expenses threatening affordability of medical care to poor citizens among the BRICS nations and a too low percentage of GDP in India remain the most notable setbacks of these developments.
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Jakovljevic M(M, Lazarevic M, Jurisevic M, Jovanovic MR. When cure becomes an illness-abuse of addictive prescription medicines. Front Pharmacol 2015; 6:193. [PMID: 26441650 PMCID: PMC4584929 DOI: 10.3389/fphar.2015.00193] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 08/25/2015] [Indexed: 11/13/2022] [Imported: 08/29/2023] Open
Affiliation(s)
| | - Marija Lazarevic
- Department of Pharmacy, Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
| | - Milena Jurisevic
- Department of Pharmacy, Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
| | - Mirjana R. Jovanovic
- Department of Psychiatry, Faculty of Medical Sciences, University of KragujevacKragujevac, Serbia
- Psychiatry Clinic, University Clinical Center KragujevacKragujevac, Serbia
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Cupurdija V, Lazic Z, Petrovic M, Mojsilovic S, Cekerevac I, Rancic N, Jakovljevic M. Community-acquired pneumonia: economics of inpatient medical care vis-à-vis clinical severity. J Bras Pneumol 2015; 41:48-57. [PMID: 25750674 PMCID: PMC4350825 DOI: 10.1590/s1806-37132015000100007] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 12/05/2014] [Indexed: 12/26/2022] [Imported: 08/29/2023] Open
Abstract
Objective: To assess the direct and indirect costs of diagnosing and treating community-acquired pneumonia (CAP), correlating those costs with CAP severity at diagnosis and identifying the major cost drivers. Methods: This was a prospective cost analysis study using bottom-up costing. Clinical severity and mortality risk were assessed with the pneumonia severity index (PSI) and the mental Confusion-Urea-Respiratory rate-Blood pressure-age ≥ 65 years (CURB-65) scale, respectively. The sample comprised 95 inpatients hospitalized for newly diagnosed CAP. The analysis was run from a societal perspective with a time horizon of one year. Results: Expressed as mean ± standard deviation, in Euros, the direct and indirect medical costs per CAP patient were 696 ± 531 and 410 ± 283, respectively, the total per-patient cost therefore being 1,106 ± 657. The combined budget impact of our patient cohort, in Euros, was 105,087 (66,109 and 38,979 in direct and indirect costs, respectively). The major cost drivers, in descending order, were the opportunity cost (lost productivity); diagnosis and treatment of comorbidities; and administration of medications, oxygen, and blood derivatives. The CURB-65 and PSI scores both correlated with the indirect costs of CAP treatment. The PSI score correlated positively with the overall frequency of use of health care services. Neither score showed any clear relationship with the direct costs of CAP treatment. Conclusions: Clinical severity at admission appears to be unrelated to the costs of CAP treatment. This is mostly attributable to unwarranted hospital admission (or unnecessarily long hospital stays) in cases of mild pneumonia, as well as to over-prescription of antibiotics. Authorities should strive to improve adherence to guidelines and promote cost-effective prescribing practices among physicians in southeastern Europe.
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Affiliation(s)
- Vojislav Cupurdija
- University of Kragujevac, Center for Clinical Medicine, Pulmonology Department, Kragujevac, Serbia. Pulmonology Department, University of Kragujevac Center for Clinical Medicine, Kragujevac, Serbia
| | - Zorica Lazic
- University of Kragujevac, Center for Clinical Medicine, Pulmonology Department, Kragujevac, Serbia. Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; and Head. Pulmonology Department, University of Kragujevac Center for Clinical Medicine, Kragujevac, Serbia
| | - Marina Petrovic
- University of Kragujevac, Center for Clinical Medicine, Pulmonology Department, Kragujevac, Serbia. Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; and Internist. Pulmonology Department, University of Kragujevac Center for Clinical Medicine, Kragujevac, Serbia
| | - Slavica Mojsilovic
- University of Kragujevac, Center for Clinical Medicine, Pulmonology Department. Pulmonology Department, University of Kragujevac Center for Clinical Medicine, Kragujevac, Serbia
| | - Ivan Cekerevac
- University of Kragujevac, Center for Clinical Medicine, Kragujevac, Serbia. Intensive Care Unit, University of Kragujevac Center for Clinical Medicine, Kragujevac, Serbia
| | - Nemanja Rancic
- University of Defence, Military Medical Academy, Medical Faculty, Belgrade, Serbia. Centre for Clinical Pharmacology, Medical Faculty, Military Medical Academy, University of Defence, Belgrade, Serbia
| | - Mihajlo Jakovljevic
- University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia. Graduate Program in Health Economics and Pharmacoeconomics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Jakovljevic MB, Jovanovic M, Lesch OM. Accessibility and affordability of alcohol dependency medical care in serbia. Front Psychiatry 2015; 5:192. [PMID: 25628574 PMCID: PMC4290475 DOI: 10.3389/fpsyt.2014.00192] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Accepted: 12/16/2014] [Indexed: 01/01/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Mihajlo B. Jakovljevic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Mirjana Jovanovic
- Department of Psychiatry, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Otto Michael Lesch
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
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Jovanovic M, Jakovljevic M. Regulatory Issues Surrounding Audit of Electronic Cigarette Charge Composition. Front Psychiatry 2015; 6:133. [PMID: 26441694 PMCID: PMC4585293 DOI: 10.3389/fpsyt.2015.00133] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 09/09/2015] [Indexed: 11/13/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Mirjana Jovanovic
- Department of Pharmacology and Toxicology, The Faculty of Medical Sciences, University of Kragujevac , Kragujevac , Serbia
| | - Mihajlo Jakovljevic
- Department of Psychiatry, The Faculty of Medical Sciences, University of Kragujevac , Kragujevac , Serbia
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Abstract
OBJECTIVE Current radiation therapy capacities in Serbia and most of Eastern Europe are heavily lagging behind population needs. The primary study aim was assessment of direct costs of cancer medical care for patients suffering from cancer with assigned radiotherapy-based treatment protocols. Identification of key cost drivers and trends during 2010-2013 comparing brachytherapy and teleradiotherapy was a secondary objective of the study. METHODS Retrospective, bottom-up database analysis was conducted on electronic discharge invoices. Payer's perspective has been adopted with a 1-year long time horizon. Total sample size was 2544 patients during a 4-years long observation period (2010-2013). The sample consisted of all patients with confirmed malignancy disorder receiving inpatient radiation therapy in a large university hospital. RESULTS Diagnostics and treatment cost of cancer in the largest Western Balkans market of Serbia were heavily dominated by radiation therapy related direct medical costs. Total costs of care as well as mean cost per patient were steadily decreasing due to budget cuts caused by global recession. The paradox is that at the same time the budget share of radiotherapy increased for almost 15% and in value-based terms for €109 per patient (in total €109,330). Second ranked cost drivers were nursing care and imaging diagnostics. Costs of high-tech visualizing examinations were heavily dominated by nuclear medicine tests. CONCLUSION The budget impact of radiation oncology to the large tertiary care university clinics of the Balkans is likely to remain significant in the future. Brachytherapy exhibited a slow growth pattern, while teleradiotherapy remained stable in terms of value-based turnover of medical services. Upcoming heavy investment into the national network of radiotherapy facilities will emphasize the unsatisfied needs. Huge contemporary budget share of radiotherapy coupled with rising cancer prevalence brings this issue into the hot spot of the ongoing cost containment efforts by local governments.
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Affiliation(s)
- Mihajlo Jakovljevic
- Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac , Serbia
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Jakovljevic M, Jovanovic M, Rancic N, Vyssoki B, Djordjevic N. LAT software induced savings on medical costs of alcohol addicts' care--results from a matched-pairs case-control study. PLoS One 2014; 9:e111931. [PMID: 25379730 PMCID: PMC4224398 DOI: 10.1371/journal.pone.0111931] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 10/02/2014] [Indexed: 01/30/2023] [Imported: 08/29/2023] Open
Abstract
Lesch Alcoholism Typology (LAT) is one of the most widely used clinical typologies of alcohol addiction. Study tested whether introduction of LAT software in clinical practice leaded to improved outcomes and reduced costs. Retrospective matched-pairs case-control cost comparison study was conducted at the Regional Addiction Center of the University Clinic in Serbia involving 250 patients during the four-year period. Mean relapse frequency followed by outpatient detoxification was 0.42 ± 0.90 vs. 0.70 ± 1.66 (LAT/non-LAT; p = 0.267). Adding relapses after inpatient treatment total mean-number of relapses per patient was 0.70 ± 1.74 vs. 0.97 ± 1.89 (LAT/non-LAT; p = 0.201). However, these relapse frequency differentials were not statistically significant. Total hospital costs of Psychiatry clinic based non-LAT addicts' care (€ 54,660) were significantly reduced to € 36,569 after initiation of LAT. Mean total cost per patient was reduced almost by half after initiation of LAT based treatment: € 331 ± 381 vs. € 626 ± 795 (LAT/non-LAT; p = 0.001). Mean cost of single psychiatry clinic admission among non-LAT treatment group was € 320 ± 330 (CI 95% 262-378) and among LAT € 197 ± 165 (CI 95% 168-226) (p = 0.019). Mean LAT software induced net savings on psychiatric care costs were € 144 per patient. Total net savings on hospital care including F10 associated somatic co-morbidities amounted to € 295 per patient. More sensitive diagnostic assessment and sub-type specific pharmacotherapy and psychotherapy following implementation of LAT software lead to significant savings on costs of hospital care.
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Affiliation(s)
- Mihajlo Jakovljevic
- Department of Pharmacology and Toxicology; The Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Mirjana Jovanovic
- Department of Psychiatry; The Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Nemanja Rancic
- Centre for Clinical Pharmacology; Medical Faculty Military Medical Academy, University of Defense, Belgrade, Serbia
| | - Benjamin Vyssoki
- Department of Psychiatry and Psychotherapy; Medical University of Vienna, Vienna, Austria
| | - Natasa Djordjevic
- Department of Pharmacology and Toxicology; The Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Jakovljević M, Ranković A, Rančić N, Jovanović M, Ivanović M, Gajović O, Lazić Z. Radiology Services Costs and Utilization Patterns Estimates in Southeastern Europe—A Retrospective Analysis from Serbia. Value Health Reg Issues 2013; 2:218-225. [DOI: 10.1016/j.vhri.2013.07.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] [Imported: 08/29/2023]
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Jakovljevic M, Mijailovic Z, Popovska Jovicic B, Canovic P, Gajovic O, Jovanovic M, Petrovic D, Milovanovic O, Djordjevic N. Assessment of viral genotype impact to the cost-effectiveness and overall costs of care for PEG-interferon-2α + ribavirine treated chronic hepatitis C patients. Hepat Mon 2013; 13:e6750. [PMID: 24032044 PMCID: PMC3768202 DOI: 10.5812/hepatmon.6750] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2012] [Revised: 01/31/2013] [Accepted: 04/15/2013] [Indexed: 12/11/2022] [Imported: 08/29/2023]
Abstract
BACKGROUND Pegylated interferon alfa plus ribavirin protocol is currently considered the most efficient hepatitis C treatment. However, no evidence of costs comparison among common viral genotypes has been published. OBJECTIVES We aimed to assess core drivers of hepatitis C medical care costs and compare cost effectiveness of this treatment among patients infected by hepatitis C virus with genotypes 1 or 4 (group I), and 2 or 3 (group II). PATIENTS AND MATERIALS Prospective bottom-up cost-effectiveness analysis from societal perspective was conducted at Infectious Diseases Clinic, University Clinic Kragujevac, Serbia, from 2007 to 2010. There were 81 participants with hepatitis C infection, treated with peg alpha-2a interferon plus ribavirin for 48 or 24 weeks. Economic data acquired were direct inpatient medical costs, outpatient drug acquisition costs, and indirect costs calculated through human capital approach. RESULTS Total costs were significantly higher (P = 0.035) in group I (mean ± SD: 12,751.54 ± 5,588.06) compared to group II (mean ± SD: 10,580.57 ± 3,973.02). In addition, both direct (P = 0.039) and indirect (P < 0.001) costs separately were significantly higher in group I compared to group II. Separate comparison within direct costs revealed higher total cost of medical care (P = 0.024) in first compared to second genotype group, while the similar tendency was observed for total drug acquisition (P = 0.072). CONCLUSION HCV genotypes 1 and 4 cause more severe clinical course require more care and thus incur higher expenses compared to HCV 2 and 3 genotypes. Policy makers should consider willingness to pay threshold differentially depending upon HCV viral genotype detected.
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Affiliation(s)
- Mihajlo Jakovljevic
- Pharmacology and Toxicology Department, The Faculty of Medical Sciences Kragujevac, University of Kragujevac, Kragujevac, Serbia
| | - Zeljko Mijailovic
- Infectious Diseases Clinic, University Clinical Center Kragujevac, Kragujevac, Serbia
| | | | - Predrag Canovic
- Infectious Diseases Clinic, University Clinical Center Kragujevac, Kragujevac, Serbia
| | - Olgica Gajovic
- Infectious Diseases Clinic, University Clinical Center Kragujevac, Kragujevac, Serbia
| | - Mirjana Jovanovic
- Regional Addiction Disorders Center, Psychiatry Clinic, University Clinical Center Kragujevac, Kragujevac, Serbia
| | - Dejan Petrovic
- Urology and Nephrology Clinic, University Clinical Center Kragujevac, Kragujevac, Serbia
| | - Olivera Milovanovic
- Department of Pharmacy The Faculty of Medical Sciences University of Kragujevac, Kragujevac, Serbia
| | - Natasa Djordjevic
- Pharmacology and Toxicology Department, The Faculty of Medical Sciences Kragujevac, University of Kragujevac, Kragujevac, Serbia
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