Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability

Alicia Ramírez-Orellana, María del Carmen Valls Martínez and Mayra Soledad Grasso
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Alicia Ramírez-Orellana: Department of Economics and Business, University of Almería, 04120 Almeria, Spain
María del Carmen Valls Martínez: Department of Economics and Business, University of Almería, 04120 Almeria, Spain
Mayra Soledad Grasso: Department of Economics and Business, University of Almería, 04120 Almeria, Spain

Mathematics, 2021, vol. 9, issue 11, 1-23

Abstract: This article aims to provide information to public agencies and policymakers on the determinants of health systems and their relationships that influence citizens’ health–disease status. A total of 61 indicators for each of 17 Spanish autonomous communities were collected from the Spanish Ministry of Health, Social Services, and Equality between 2008 and 2017. The applied technique was partial least squares structural equation modeling (PLS-SEM). Concerning health–disease status, an influence of sustainability and performance on the health system was hypothesized. The findings revealed that health system sustainability had a negative effect on health–disease status, measured in terms of disease incidence. However, the relationship between health system performance and health–disease status is positive. Furthermore, health system performance mediates the relationship between sustainability and health–disease status. According to our study, if we consider the opposite poles that make up the definition of health–disease status (well-being and disease), this concept is defined more by the incidence of the negative aspect.

Keywords: National Health Services; health–disease status; health system performance; health system sustainability; health policy; healthcare quality; partial least squares structural equation modeling (PLS-SEM) (search for similar items in EconPapers)
JEL-codes: C (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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