Commentary: Growth of Global Health Spending Share in Low and Middle Income Countries

摘要

The paper by Jakovljevic and Getzen highlighted the fact that low- and middle-income countries have been grabbing an ever larger share of global health spending over the last couple of decades (1). Share of global health spending of low- and middle-income countries as of 1995 expressed in million current PPP international $US grew from 26.1% in 1995 to 39.7% in 2013 (1). These countries are led by nations of BRICS (Brazil, Russia, India, China, and South Africa), followed by Next-11 nations (Bangladesh, Egypt, Indonesia, Iran, Mexico, Nigeria, Pakistan, the Philippines, Republic of Korea (South Korea), Turkey, and Vietnam) with a joint contribution to the global total health expenditure several times below the one of BRICS (1–5). Low- and middle-income countries, which represent an immense range of health system contexts, are likely to have more significant contribution in the global health-care market in the future as it is estimated that per-capita health spending will increase annually by 2.4, 3.0, and 3.4% in low-, lower-middle-, and upper-middle-income countries by 2040, respectively (1, 6). For high-income countries this rate is estimated at 2.7% (6).