Determinants of health expenditures: income level countries analysis

Authors

  • Azwardi Azwardi Economics Department, Faculty of Economics, Universitas Sriwijaya, Indonesia
  • Sukanto Sukanto Economics Department, Faculty of Economics, Universitas Sriwijaya, Indonesia
  • Nazeli Adnan Economics Department, Faculty of Economics, Universitas Sriwijaya, Indonesia

DOI:

https://doi.org/10.22437/ppd.v11i1.21502

Keywords:

Covid-19, Health expenditure, Income level, Wagner law

Abstract

A global health phenomenon, in particular, there is a significant difference between health spending in developed and developing countries. This study focuses on modeling health expenditures in short-term and long-term schemes in three categories of countries: low-income countries, moderate-income, and high income from 2000 to 2019. The health expenditure scheme is analyzed using the panel data regression approach as a model of determinants of health expenditures. The results showed relatively significant differences between the determinants of health expenditure variables, including populations variable in low-middle-income countries. The positive and significant influences on middle-income countries, whereas high-income countries have a negative and significant influence. As for the overall GDP variable, low-income, lower-middle, and advanced countries negatively and significantly influence health care. For middle-income countries have a positive and significant influence on health spending.

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References

Amiri, M., Kazemian, M., Motaghed, Z., & Abdi. Z. (2021). Systematic review of factors determining health care expenditures. Health Policy and Technology, 10(2). http://dx.doi.org/10.1016/j.hlpt.2021.01.004

Atilgan, E., Kilic, D., & Ertugrul, H. M. (2017). The dynamic relationship between health expenditure and economic growth: is the health-led growth hypothesis valid for Turkey? The European Journal of Health Economics, 18(5), 567–574. https://doi.org/10.1007/s10198-016-0810-5

Baltagi, B. H., Lagravinese, R., Moscone, F., & Tosetti, E. (2016). Health Care Expenditure and Income : A Global Perspective. Health Economics, 26(7), 863-874. https://doi.org/10.1002/hec.3424

Bayar, Y., Gavriletea, M. D., Pintea, M. O., & Sechel, I.C. (2021). Impact on Environment, Life Expectancy and Real GDP per Capita on Health Expenditures: Evidence from the EU Member States. International Journal of Environmental Research and Public Health, 18(24). https://doi.org/10.3390/ijerph182413176

Bloom, D. E., Canning, D., Hu, L., Liu, Y., Mahal, A., & Yip, W. (2010). The contribution of population health and demographic change to economic growth in China and India. Journal of Comparative Economics, 38(1), 17–33. https://doi.org/10.1016/j.jce.2009.11.002

Bloom, D. E., Kuhn, M., & Prettner, K. (2018). Health and Economic Growth. IZA Discussion Paper 11939. https://dx.doi.org/10.2139/ssrn.3301688

Buracom, P. (2016). The Distributional Effects of Social Spending in Thailand: Evidence From a New Database. Asian Politics and Policy, 8(2), 263–279. https://doi.org/10.1111/aspp.12245

Çelik, E. U., Omay, T., & Tuzlukaya, Ş. (2022). Testing Health Expenditure Convergence In 21 OECD Countries By Using Nonlinear Unit Root Tests. Konuralp Tıp Dergisi, 14, 192–205. https://doi.org/10.18521/ktd.1056926

Cima, J., & Almeida, Ã. S. (2018). Health Expenditure, GDP Growth and the Financial Crisis: A Panel Data Analysis for OECD European Countries. FEP Working Papers 602, Universidade do Porto, Faculdade de Economia do Porto https://ideas.repec.org/s/por/fepwps.html

De La Maisonneuve, C., & Martins, J. O. (2014). The future of health and long-term care spending. OECD Journal: Economic Studies, 1, 61–96. https://doi.org/10.1787/eco_studies-2014-5jz0v44s66nw

de Meijer, C., Wouterse, B., Polder, J., & Koopmanschap, M. (2013). The effect of population aging on health expenditure growth: A critical review. European Journal of Ageing, 10(4), 353–361. https://doi.org/10.1007/s10433-013-0280-x

Dreger, C., & Reimers, H.-E. (2021). Health Care Expenditures in OECD Countries: A Panel Unit Root and Cointegration Analysis. SSRN Electronic Journal, 1469. https://doi.org/10.2139/ssrn.651985

Eissa, N. (2020). Pandemic Preparedness and Public Health Expenditure. Economies, 8(3). https://doi.org/10.3390/ECONOMIES8030060

Erçelik, G. (2018). The relationship between health expenditure and economic growth in Turkey from 1980 to 2015. Dergipark.Org.Tr, 1(1), 1–8. https://dergipark.org.tr/en/pub/jopem/issue/36356/369537

Esen, E., & Çelik Keçili, M. (2022). Economic Growth and Health Expenditure Analysis for Turkey: Evidence from Time Series. Journal of the Knowledge Economy, 13(3), 1786–1800. https://doi.org/10.1007/s13132-021-00789-8

Fabiana, M. F. (2019). Health Expenditure and Economic Growth. 1–18.

Grigoli, F., & Kapsoli, J. (2013). The Efficiency of Health Expenditure in Emerging and Developing Economies. IMF Working Papers, 13(187), 1. https://doi.org/10.5089/9781484364260.001

Gujarati, D. N. (2011). Econometrics by example. Palgrave Macmillan New York.

Halıcı-Tülüce, N. S., Doğan, İ., & Dumrul, C. (2016). Is income relevant for health expenditure and economic growth nexus? International Journal of Health Economics and Management, 16(1), 23–49. https://doi.org/10.1007/s10754-015-9179-8

Hanushek, E. A. (2013). Economic growth in developing countries: The role of human capital. Economics of Education Review, 37, 204–212. https://doi.org/10.1016/j.econedurev.2013.04.005

Kalleberg, A.L. (2020). Labor Market Uncertainties and Youth Labor Force Experiences: Lessons Learned. The Annals of the American Academy of Political and Social Science, 688 (1), 258-270.

Kouassi, E., Akinkugbe, O., Kutlo, N. O., & Brou, J. M. B. (2018). Health expenditure and growth dynamics in the SADC region: evidence from non-stationary panel data with cross section dependence and unobserved heterogeneity. International Journal of Health Economics and Management, 18(1), 47–66. https://doi.org/10.1007/s10754-017-9223-y

Martin, A. B., Hartman, M., Lassman, D., Catlin, A. (2021). National Health Care Spending in 2019: Steady Growth for The Fourth Consecutive Year. Health Affairs, 40(1), 14-24.

Naidu, S., & Chand, A. (2013). Does central government health expenditure and medical technology advancement determine economic growth rates in the Pacific island countries? Asia-Pacific Journal of Business Administration, 5(3), 234–245. https://doi.org/10.1108/APJBA-01-2013-0005

Ndaguba, E. A., & Hlotywa, A. (2021). Public health expenditure and economic development: The case of South Africa between 1996 and 2016. Cogent Economics and Finance, 9(1). https://doi.org/10.1080/23322039.2021.1905932

Nghiem, S. H., & Connelly, L. B. (2017). Convergence and determinants of health expenditures in OECD countries. Health Economics Review, 7(1). https://doi.org/10.1186/s13561-017-0164-4

Obrizan, M., & Wehby, G. L. (2018). Health Expenditures and Global Inequalities in Longevity. World Development, 101, 28–36. https://doi.org/10.1016/j.worlddev.2017.08.003

Ozawa, S., Clark, S., Portnoy, A., Grewal, S., Brenzel, L., & Walker, D. G. (2016). Return on investment from childhood immunization in low- and middle-income countries, 2011-20. Health Affairs, 35(2), 199–207. https://doi.org/10.1377/hlthaff.2015.1086

Paitoon Kraipornsak. (2017). Factors Determining Health Expenditure in the Asian and the OECD Countries. Economics World, 5(5), 407–417. https://doi.org/10.17265/2328-7144/2017.05.003

Panopoulou, E., & Pantelidis, T. (2012). Convergence in per capita health expenditures and health outcomes in the OECD countries. Applied Economics, 44(30), 3909–3920. https://econpapers.repec.org/RePEc:taf:applec:44:y:2012:i:30:p:3909-3920

Piabuo, S. M., & Tieguhong, J. C. (2017). Health expenditure and economic growth - a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review, 7(1), 1–13. https://doi.org/10.1186/s13561-017-0159-1

Piatti-Fünfkirchen, M., Lindelow, M., & Yoo, K. (2018). What are governments spending on health in east and Southern Africa? Health Systems and Reform, 4(4), 284–299. https://doi.org/10.1080/23288604.2018.1510287

Raghupathi, V., & Raghupathi, W. (2020). Healthcare Expenditure and Economic Performance: Insights From the United States Data. Frontiers in Public Health, 8(May), 1–15. https://doi.org/10.3389/fpubh.2020.00156

Rengin, A. K. (2012). The Relationship between Health Expenditures and Economic Growth: Turkish Case. International Journal of Business Management & Economic Research, 3(1), 404–409. http://ijbmer.com/docs/volumes/vol3issue1/ijbmer2012030101.pdf

Sfakianakis, G., Grigorakis, N., Galyfianakis, G., & Katharaki, M. (2021). The impact of macro-fiscal factors and private health insurance financing on public health expenditure: evidence from the OECD countries for the period 2000–2017. EuroMed Journal of Business, 16(1), 1–24. https://doi.org/10.1108/EMJB-03-2020-0029

Vande Maele, N., Xu, K., Soucat, A., Fleisher, L., Aranguren, M., & Wang, H. (2019). Measuring primary healthcare expenditure in low-income and lower middle-income countries. BMJ Global Health, 4(1), e001497. https://doi.org/10.1136/bmjgh-2019-001497

Wang, K.-M. (2011). Health care expenditure and economic growth: Quantile panel-type analysis. Economic Modelling, 28, 1536–1549. https://doi.org/10.1016/j.econmod.2011.02.008

WHO. (2019). Global spending on health: a world transition. Geneva: World Health Organization. https://www.who.int/publications/i/item/who-his-hgf-hfworkingpaper-19.4

Xu, K., Soucat, A., Kutzin, J., Brindley, C., Maele, nathalie vande, Toure, H., Garcia, maria aranguren, Li, D., Barroy, H., Flores, G., Roubal, T., Indikadahena, C., Cherilova, V., & Siroka, A. (2019). Public Spending on Health: A Closer Look at Global Trends. Geneva: World Health Organization. http://apps.who.int/bookorders.

Yang, X. (2020). Health expenditure, human capital, and economic growth: an empirical study of developing countries. International Journal of Health Economics and Management, 20(2), 163–176. https://doi.org/10.1007/s10754-019-09275-w

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Published

2023-04-30

How to Cite

Azwardi, A., Sukanto, S., & Adnan, N. . (2023). Determinants of health expenditures: income level countries analysis. Jurnal Perspektif Pembiayaan Dan Pembangunan Daerah, 11(1), 17 - 30. https://doi.org/10.22437/ppd.v11i1.21502