THE EFFECT OF LOCAL GOVERNMENT EXPENDITURES ON HEALTH QUALITY
Keywords:
Health Expenditure, Public Health, Regional Government BudgetAbstract
This study aims to determine the effect of Local Government spending on public health by examining the Regional Revenue and Expenditure Budget (APBD). This study controlled for other important factors, including the region's gross domestic product (GRDP), education level as measured by the average length of schooling, access to sanitation facilities, and drinking water—as well as differences between regions such as Java Islands. In this study, the researchers analyzed data from 508 districts or cities in Indonesia. The time frame was expanded so that independent variables were measured on average from 2014 - 2018 to give a complete picture. This study used the Beta Regression Model method. This study demonstrates that increased spending by local governments on health care can improve the quality of health services in a region. This means that the government's budget in the health sector effectively improves the quality of public health in the areas. The quality of public health on the islands of Sumatra, Java, Bali, and Nusa Tenggara was above average for Indonesia due to high scores (higher than the national average) in many regions. Meanwhile, in the islands of Kalimantan, Sulawesi, and Maluku (also Papua), health quality is below average because it has a below-average IPKM score. This indicates a disparity in the quality of health between islands.
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