CEU eTD Collection (2021); Tóth, Manna Odette: The Impact of EU Funds of The Quality of Healthcare in Hungary

CEU Electronic Theses and Dissertations, 2021
Author Tóth, Manna Odette
Title The Impact of EU Funds of The Quality of Healthcare in Hungary
Summary This thesis investigates EU funds channeled into the Hungarian healthcare sector across the 175 districts of the country between 2004 and 2019. The study seeks to answer the following research questions: 1) What factors played a significant role in the allocation of EU funds at a district level? 2) What has been the impact of EU funds on healthcare quality outcomes at the district level? 3) Have geographical health inequalities across districts been increasing or not?
District level treatable and preventable mortality ratios were calculated, and a comprehensive Hungarian district level healthcare database was built for the analysis. A panel ordinary least square regression was conducted with year and district fixed effects to discover factors that influenced the allocation of EU funds. To examine the causal impact of EU funds a two-stage least square panel regression was implemented with year and district fixed effects using the mayor of the district capital from the ruling party at the time as an instrument to deal with the endogeneity of EU funds variable. Geographical inequalities were assessed by calculating the Gini coefficient.
Results of the empirical analyses discovered that 1) EU funds targeted improvements of in- and outpatient care and county hospitals were preferred over university clinics and national institutions; 2) Political considerations also played a role in the allocation of EU funds; 3) EU funds had a positive effect on healthcare quality outcomes measured by treatable and preventable mortality; 4) Within-district disparities in healthcare capacity outcomes were reducing and disparities in healthcare quality outcomes were increasing simultaneously.
Supervisor Corduneanu-Huci, Cristina
Department Economics MA
Full texthttps://www.etd.ceu.edu/2021/toth_manna.pdf

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