December 2015. Volume 11. Number 4

Decreasing government health care spending increases child mortality

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Maruthappu M, Ng KY, Williams C, Atun R, Zeltner T. Government health care spending and child mortality. Pediatrics. 2015;135:e887-994.
Reviewers: Esparza Olcina MJ1, González Rodríguez MP2.
1Centro de Salud Barcelona. Móstoles. Madrid. España.
2CS Barrio del Pilar. Madrid. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 09/09/2015
Acceptance date: 14/09/2015
Publication date: 21/10/2015

Abstract

Authors’ conclusions: reductions in government health care spending are associated with significant increases in child mortality, with the largest increases occurring in low-income countries.

Reviewers’ commentary: reduction in health care spending is associated with increases in mortality in four child mortality measures and remains after controlling for economic, infrastructure, infectious disease, out-of-pocket expenditure and private health spending indicators.The reason this happens is not explained though the association is very robust. Countries must stablish ways to protect childhood.

How to cite this article

Esparza Olcina MJ, González Rodríguez MP. Disminuir el gasto público sanitario aumenta la mortalidad infantil. Evid Pediatr. 2015;11:59.

AVC | Critically appraised articles

Maruthappu M, Ng KY, Williams C, Atun R, Zeltner T. Government health care spending and child mortality. Pediatrics. 2015;135:e887-994.
Reviewers: Esparza Olcina MJ1, González Rodríguez MP2.
1Centro de Salud Barcelona. Móstoles. Madrid. España.
2CS Barrio del Pilar. Madrid. España.
Correspondence: María Jesús Esparza Olcina. Email: mjesparza8@gmail.com
Reception date: 09/09/2015
Acceptance date: 14/09/2015
Publication date: 21/10/2015

How to cite this article

Esparza Olcina MJ, González Rodríguez MP. Disminuir el gasto público sanitario aumenta la mortalidad infantil. Evid Pediatr. 2015;11:59.

References

  1. Ensor T, Cooper S, Davidson L, Fitzmaurice A, Graham WJ. The impact of economic recession on maternal and infant mortality: lessons from history. BMC Public Health. 2010;10:727.
  2. Cortés Marina RB, Buñuel Álvarez JC. Un bajo nivel de ingresos familiar se asocia a mayores índices de morbimortalidad perinatal en un país con un sistema sanitario gratuito. Evid Pediatr. 2007;3:96.
  3. Maruthappu M, Ng K, Williams C, Atun R, Agrawal P, Zeltner T. The association between government healthcare spending and maternal mortality in the European Union, 1981-2010: a retrospective study. BJOG. 2015;122:1216-24.
21/10/2015

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