DETERMINING THE TEMPORAL PATTERNS OF THE IMPACT OF FINANCIAL DETERMINANTS AND PUBLIC HEALTH FACTORS ON THE LOCAL COMMUNITY RESILIENCE IN THE CONTEXT OF OVERCOMING THE CONSEQUENCES OF THE COVID-19 PANDEMIC

Alina Vysochyna

Sumy State University,
Sumy, Ukraine

Artem Rudychenko

Sumy State University,
Sumy, Ukraine

Pages: 37-45

Original language: Ukrainian

DOI: 10.21272/1817-9215.2023.4-04

Summary:
In the article it is developed a methodological toolkit for determining the temporal patterns of the influence of financial determinants and public health factors on the local community resilience in the context of overcoming the consequences of the COVID-19 pandemic, based on the use of panel data regression modeling (testing for the presence of a lag of up to 3 years). The practical approbation of the approach was carried out on the basis of a sample from 21 European countries for the period 2000-2021. The following indicators were chosen as local community resilience parameters (outcome indicators): level of tax revenue decentralization; the level of income decentralization (ratio of own incomes of local budgets to central government incomes); the level of expenditure decentralization (the ratio of own expenditures of local budgets to central government expenditures). The financial and infrastructural factors of public health, the impact of which on performance indicators was studied, are the following: the number of beds (per 1,000 people); capital expenditures for health care (% of GDP); current health care expenditures (% of GDP); domestic government health care expenditures (% of current health care expenditures); domestic private health care expenditures (% of current health care expenditures); out-of-pocket health care expenditures (% of current health care expenditures). Based on the results of the approbation of the developed approach, immediate drivers and inhibitors of ensuring local community resilience, as well as drivers and inhibitors of delayed action, were identified. The obtained results allow us to note that in the context of strengthening the financial resilience of local community, it is necessary to increase the number of hospital beds, as well as the volume of current expenditures on health care, and to ensure this growth mainly by the expenditures from private financial resources and out-of-pocket expenditures.

Keywords:
local community resilience, COVID-19, post-pandemic recovery, public health, decentralization, budget expenditures, financing of the health care system.

Reference:
  1. Височина А. В. & Олексіч Ж. А. (2023). Науково-методичний підхід до визначення явних і латентних взаємозв’язків між фінансовими детермінантами та факторами громадського здоров’я у контексті їх впливу на національну безпеку держави. Сталий розвиток економіки, 2 (47), 29–34. https://doi.org/10.32782/2308-1988/2023-47-4
  2. Височина А. В. & Пуговкіна Ю. А. (2022). Визначення паттернів впливу пандемії COVID-19 на макроекономічну стабільність держави. Вісник Сумського державного університету. Серія "Економіка", 4, 248–258. https://doi.org/10.21272/1817-9215.2022.4-26
  3. Fiscal Decentralization Dataset (2023). International Monetary Fund. https://data.imf.org/?sk=1C28EBFB-62B3-4B0C-AED3-048EEEBB684F&sId=1544653290705
  4. Health Nutrition and Population Statistics (2023). World Bank DataBank. https://databank.worldbank.org/source/health-nutrition-and-population-statistics
  5. Costello et al. (2009). Managing the health effects of climate change: Lancet and University College London Institute for Global Health Commission. Lancet, 373(9676), 1693-733. https://doi.org/10.1016/S0140-6736(09)60935-1
  6. Tscharntke T. et al. (2012). Landscape moderation of biodiversity patterns and processes - eight hypotheses. Biological Reviews, 87(3), 661–685. https://doi.org/10.1111/j.1469-185X.2011.00216.x
  7. Sharma G.D., Thomas A. & Paul J. (2021). Reviving tourism industry post-COVID-19: A resilience-based framework. Tourism Management Perspectives, 37, 100786. https://doi.org/10.1016%2Fj.tmp.2020.100786
  8. Vogel C., Moser S.C., Kasperson R.E. & Dabelko G.D. (2007). Linking vulnerability, adaptation, and resilience science to practice: Pathways, players, and partnerships. Global Environmental Change, 17(3-4), 349–364. https://doi.org/10.1016/j.gloenvcha.2007.05.002
  9. Chazdon R.L., Guariguata M.R. (2016). Natural regeneration as a tool for large-scale forest restoration in the tropics: prospects and challenges. Biotropica, 48(6), 716–730. https://doi.org/10.1111/btp.12381
  10. Bonada N., Dolédec S. & Statzner B. (2007). Taxonomic and biological trait differences of stream macroinvertebrate communities between mediterranean and temperate regions: Implications for future climatic scenarios. Global Change Biology, 13(8), 1658–1671. https://doi.org/10.1111/j.1365-2486.2007.01375.x
  11. McManus P. et al. (2012). Rural community and rural resilience: What is important to farmers in keeping their country towns alive? Journal of Rural Studies, 28(1), 20–29. https://doi.org/10.1016/j.jrurstud.2011.09.003
  12. Wilson G.A. (2012). Community Resilience and Environmental Transitions. (1st ed.). Routledge. https://doi.org/10.4324/9780203144916
  13. Micheli F. (2012). Evidence that marine reserves enhance resilience to climatic impacts. PLoS ONE, 7(7), e40832. https://doi.org/10.1371/journal.pone.0040832
  14. Strickland-Munro J.K., Allison H.E. & Moore S.A. (2010). Using resilience concepts to investigate the impacts of protected area tourism on communities. Annals of Tourism Research, 37(2), 499–519. https://doi.org/10.1016/j.annals.2009.11.001