The impact of economic recession on municipal expenditure on public health in Denmark Elizabeth Headley 1-2 Henrik Brønnum-Hansen 1 Lau Caspar Thygesen 1 Marie Bergmann 1 1 National Institute of Public Health of Denmark, University of Southern Denmark 2 School of Public Health and Preventive Medicine, Monash University, Australia
9
Embed
The impact of economic recession on municipal expenditure on public health in Denmark
The impact of economic recession on municipal expenditure on public health in Denmark. Elizabeth Headley 1-2 Henrik Brønnum-Hansen 1 Lau Caspar Thygesen 1 Marie Bergmann 1 1 National Institute of Public Health of Denmark, University of Southern Denmark - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
The impact of economic recession on municipal expenditure on public health in Denmark
Elizabeth Headley1-2
Henrik Brønnum-Hansen1
Lau Caspar Thygesen1
Marie Bergmann1
1National Institute of Public Health of Denmark, University of Southern Denmark
2School of Public Health and Preventive Medicine, Monash University, Australia
Background Why study the impact of the financial crisis on
municipal expenditure on public health?
• Expenditure on public health is an important indicator of a country’s commitment to the health of its population.
• Lack of research examining variation in government expenditure on public health over the course of the Global Financial Crisis.
• In 2007 in Denmark, responsibility for health promotion and prevention transferred from the county level to the municipal level, with no formal monitoring of changes public health funding in the light of the economic recession.
Objective Overall: To inform decision making about public health funding,
specifically targeted towards municipalities that have a funding deficit for health promotion and prevention
Specifically: Firstly to determine the changes in the budgets, income and
expenditure on health promotion and prevention since 2007. Secondly to determine to what extent the changes are related to
the economic recession.
Hypothesis The financial crisis has restricted governmental funding for health
promotion and prevention in Danish municipalities.
Methods Quantitative analysis: We ascertained the temporal trends for budgets, income and
expenditure on ‘health promotion and prevention’ before and after the economic recession. Data source: ‘Statistiks Danmark’
Qualitative analysis: Telephone interviews: representative sample of municipalities (20
out of 98).Questions investigated the underlying municipal rationale for spending patterns, and the extent to which the financial crisis has influenced the income for health promotion and prevention. Thematic analysis of interview responses.
Results
2007 2008 2009 2010 20110
100,000,000
200,000,000
300,000,000
400,000,000
500,000,000
600,000,000
Denmark: 2007-2011Health promotion and preventionbudget, income and expenditure
Total expenditure
Total income
Total budget
Dani
sh cr
owns
(cur
renc
y)
Results Proportion of total budget and
total expenditure on ’health promotion and prevention’
Income: Health promotion and prevention
Region Hove
dstaten
Region Sj
ælland
Region Sy
ddanmark
Region M
idtjylla
nd
Region Nord
jyllan
d
ALL DEN
MARK0
20,000,000
40,000,000
60,000,000
80,000,000
100,000,000
120,000,000
Income for health promotion and prevention
200720082009
20072008
20092010
20110
0.02
0.04
0.06
0.08
0.1
0.12
0.14
0.16
Denmark: 2007-2009Proportion of budget and expenditure
on health promotion and prevention (HP & HP)
Proportion budget on HP & HP(%)
Proportion ex-penditure on HP & HP(%)
Perc
en
tage
ResultsQualitative interviews:
Near-consensus agreement that the financial crisis has influenced the types and the degree of interventions able to be undertaken.
The financial crisis has been a peripheral, but decisive factor in influencing the income received for health promotion and prevention at the municipal level.
Implications & future directionPublic health is given a high priority, in spite
of the financial crisis.Expenditure on health promotion and
prevention increased between 2007-2009, as a deliberate action to offset the negative health impacts of the recession.
“Zero growth” public spending policy until 2015.
Greatest challenge for Denmark is to implement the most cost-effective and efficient ways of addressing the public health needs of the Danish population.