Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability
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 o...
| Main Authors: | , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
| Published: |
MDPI
2021
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10835/11999 |
| _version_ | 1789406717420765184 |
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| author | Ramírez-Orellana, Alicia Valls Martínez, María del Carmen Soledad Grasso, Mayra |
| author_facet | Ramírez-Orellana, Alicia Valls Martínez, María del Carmen Soledad Grasso, Mayra |
| author_sort | Ramírez-Orellana, Alicia |
| collection | DSpace |
| description | 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. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-11999 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2021 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-119992023-04-12T19:10:22Z Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability Ramírez-Orellana, Alicia Valls Martínez, María del Carmen Soledad Grasso, Mayra National Health Services health–disease status health system performance health system sustainability health policy healthcare quality partial least squares structural equation modeling (PLS-SEM) 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. 2021-07-21T09:44:59Z 2021-07-21T09:44:59Z 2021-05-27 info:eu-repo/semantics/article 2227-7390 http://hdl.handle.net/10835/11999 en https://www.mdpi.com/2227-7390/9/11/1228 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | National Health Services health–disease status health system performance health system sustainability health policy healthcare quality partial least squares structural equation modeling (PLS-SEM) Ramírez-Orellana, Alicia Valls Martínez, María del Carmen Soledad Grasso, Mayra Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title | Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title_full | Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title_fullStr | Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title_full_unstemmed | Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title_short | Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability |
| title_sort | using higher-order constructs to estimate health-disease status: the effect of health system performance and sustainability |
| topic | National Health Services health–disease status health system performance health system sustainability health policy healthcare quality partial least squares structural equation modeling (PLS-SEM) |
| url | http://hdl.handle.net/10835/11999 |
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