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Health Expenditures-Economic Growth Nexus: The EU 28 And Panel Feder-Ram Model

Year 2018, Volume: 13 Issue: 2, 184 - 193, 30.12.2018

Abstract

This study uses the dynamic panel data Feder-Ram model to analyze possible direct
and indirect (external or productivity enhancer) effects of the health expenditures on
economic growth for 28 European Union Countries period of 2006-2015. The main
findings obtained from the study; The Feder-Ram equations show that the direct
effect of healthcare expenditures on economic growth is negative and statistically
significant. However, the indirect effect of healthcare expenditures on other sectors
are positive and significant. The healthcare expenditures increase the productivity of
labour factor and thus, the efficiency on other sectors and consequently, healthcare
expenditures provide a positive contribution to production. Results obtained from the
equations have shown that indirect effect is higher than direct effect. As a result, it can
be smoothly said that the net effect of healthcare expenditures is positive. 

References

  • AKRAM, N., (2009). Short Run and Long Run Dynamics of Impact of Health Status on Economic Growth Evidence From Pakistan, Munich Personal RePEc Archive (MPRA) Papers, No. 15454 http://mpra.ub.uni-muenchen.de/15454/ (Retrieved on:6.11.16) ARORA S., (2001). Health, Human Productivity, and Longterm Economic Growth, Journal of Economic History, 61(3), 699-749. ATKINSON, A. B., (1995). The Scope for a European Growth Initiative: Is The Welfare State Necessarily an Obstacle to Economic Growth?, European Economic Review, 39: 723–30. DOI:10.1016/0014-2921(94)00079-F. BARRO,R.J., (1991).Economic Growth in a Cross Section of Countries,Quaterly Journal of Economics,106,2(- may),407-433. DOI:10.2307/2937943. __________ (1996), Health and economic growth, PAHO programme on public policy and health. BARRO, R. and Xavier S.M., (1995).Economic Growth,New York,Mc Graw Hill. BARROS, P. P., (1998).The Black Box of Health Care Expenditure Growth Determinants, Health Economics, Volume 7, Issue 6. 533–544 DOI: 10.1002/(SICI)1099-1050(199809)7:6<533::AID-HEC374>3.0.CO;2-B. BERALDO, S., MONTOLIO, D. and TURATI, G., (2005). Healthy, Educated and Wealthy: Is the Welfare State Really Harmful for Growth?,Working Papers in Economics 127, Barcelona: Universitat de Barcelona, Espai de Recerca en Economia. BISWAS, B. and RATI R., (1986). Military Expenditure and Economic Growth in Less Developed Countries: An Augmented Model and Further Evidence. Economic Development and Cultural Change 34, 361-72. BHARGAVA, A., JAMISON, D. T. ve LAU, L. J. MURRAY C.J.L., (2001). Modeling the Effects of Health on Economic Growth, Journal of Health Economics, 20(3): 423–440. DOI:10.1016/S0167-6296(01)00073-X BLOMQVIST A.G., CARTER R.A.L., (1997). Is health care really a luxury?, Journal of Health Economics 16 207-229. DOI: 10.1016/S0167-6296(96)00534-6 BLOOM D.E., C. D. and S. J., (2001). The Effect of Health on Economic Growth: Theory and Evidence, NBER Working Paper 8587, Cambridge: National Bureau of Economic Research (www.nber.org/papers/w8587 ). (Retrieved on:6.11.16). BOKHARI F.A.S., GAI Y. and GOTTRET P., (2007). Government Health Expenditures and Health Outcomes, Health Economics,16: 257–273. DOI: 10.1002/hec.1157. BRINKLEY, G. L., (2001). The Macroeconomic Impact of Improving Health: Investigating the Causal Direction, unpublished.(http://trc.ucdavis.edu/glbrinkley/Docs/Causal.pdf ). (Retrieved on 18.6.2009). CASS, D., (1965). Optimum Growth in an Aggregative Model of Capital Accumulation, Review of Economic Studies,32(- July),233-240. ÇETİN, M., Ecevit, E., (2010). The Effect of Health Expenditures on Economic Growth: a Panel Regression Analysis on OECD Countries. Doğuş University Journal, 1(2), 166-182. CHANG, K. and YING Y.H., (2006). Economic Growth, Human Capital İnvestment, and Health Expenditure: A Study of OECD Countries, Hitotsubashi Journal of Economics, 47(1), 1-16. DOI:10.15057/7644. DREGER, C. ve REIMERS H.E., (2005). Health Care Expenditures in OECD Countries: A Panel Unit Root And Cointegration Analysis, Iza Discussion Paper, 1469, 1-20. ERDİL, E. ve YETKINER, H., (2004). A Panel Data Approach for Income-Health Causality, https://core.ac.uk/download/pdf/7071589.pdf?repositoryId=153 (Retrieved on 6.11.16). ERYİĞİT, S. B., ERYİĞİT, K. Y., SELEN, U., (2012). The Long-Run Linkages Between Education, Health and Defence Expenditures and Economic Growth: Evidence from Turkey. Defence and Peace Economics, 23(6), 559-574 DOI:10.1080/10242694.2012.663577. FEDER, G., (1983). On Exports and Economic Growth. Journal of Development Economics 12, 59-73. DOI: https://doi. org/10.1016/0304-3878(83)90031-7. FEDER, G., (1986). Growth in Semi-Industrial Countries: A Statistical Analysis. In: Hollis C., Sherman R., Moshe S.: Industrialization and Growth: A Comparative Study. New York: Oxford University Press, 263-82. FIELDING, D. and SHIELDS, K., (2001). Dynamic Interaction between Income and Health: Time-Series Evidence from Scandinavia, Discussion Papers in Economics 01/5, Department of Economics, University of Leicester, https:// ideas.repec.org/p/lec/leecon/01-5.html (Retrieved on 8.11.16 ). FOGEL, R. W., (1994). Economic growth, population theory, and physiology: the bearing of long-term process on the making of economic policy. NBER Working Paper Series, Working Paper No. 4638, Cambridge. __________ (1999) The Human Capital Model of Demand for Health, NBER, Working Paper, No: 7078, 1-100. HANSEN P., KING A., (1996). The Determinants of Health Care Expenditure: A Cointegration Approach, Journal of Health Economics. 15(1), ss. 127–137. DOI: 10.1016/0167-6296(95)00017-8. HARTWIG, J., (2010). Is Health Capital Formation Good for Long-term Economic Growth? – Panel Granger-causality Evidence for OECD Countries, Journal of Macroeconomics, 32, 314–325. DOI:10.1016/j.jmacro.2009.06.003. HESHMATI, A., (2001). On the Causality between GDP and Health Care Expenditure in Augmented Solow Growth Model, SSE/EFI Working Paper Series in Economics and Finance, 423, 1-19. HITIRIS T. (1997) Health Care Expenditure and Integration in the countries of the European Union, Applied Economics, 29: 1, 1-6. DOI: 10.1080/000368497327335. IM, K. S., MOHAMMAD H. P., and YONGCHEOL S. (2003). Testing for Unit Roots in Heterogeneous Panels, Journal of Econometrics 115: 53–74. DOI: 10.1016/S0304-4076(03)00092-7. JAVADIPOUR, S., (2005). Studying the Impact of Health Expenditures on Economic Growth, M.A. thesis by guidance of Mojtahed, A. Allameh, Tabatabaee University, Department of Economics. JONES, D. B., (1990). Public Policies and Economic Growth in the American States, The Journal of Politics, Cambridge University Press on Behalf of the Southern Political Science Association, Vol. 52, No.1, February, 219-233. KAR, M., TABAN, S., (2003). The İmpacts of The Disaggregated Public Expenditure on Economic Growth. Ankara University Faculty of Political Science Journal, 53(3), 145-169. KLARMAN H. E., (1965). Economics of Health, Fist edition, Published by Columbia University, New York KOOPMANS, T. C. (1965).On the Concept of Optimal Economic Growth,in The Econometric Approach to Development Planning,Amsterdam,North Holland. KURT S., (2015). Government Health Expenditures and Economic Growth: A Feder–Ram Approach for the Case of Turkey, International Journal of Economics and Financial Issues, 5(2), 441-447. LEVIN, A., LIN C.F. and CHU, C.S.J., (2002). Unit Root Tests in Panel Data: Asymptotic and Finite-Sample Properties. Journal of Econometrics,108:1-24. DOI:10.1016/S0304-4076(01)00098-7. LUCAS, R.E.J.,(1988).On the Mechanics of Economic Development, Journal of Monetary Economics, 22,1(July),3-42. DOI:10.1016/0304-3932(88)90168-7. MCCOSKEY S. K. and SELDEN T. M., (1998). Health Care Expenditure and GDP: Panel Data Unit Root Test Results, Journal of Health Economics, 17(3): 369–376. DOI :10.1016/S0167-6296(97)00040-4. MUSHKIN, S. J., (1962). Health as an Investment, The Journal of Political Economy, Vol: 70(5):129-157. DOI: 10.1086/258730. NARAYAN, S. W., NARAYAN P. K. and MISHRA S, (2010). Investigating The Relationship between Health and Economic Growth: Empirical Evidence from A Panel of 5 Asian Countries. Journal of Asian Economics, 21, pp. 401-411. DOI: 10.1016/j.asieco.2010.03.006. NEWHOUSE, J. P., (1977). Medical Care Expenditure: A Cross-National Survey, Journal of Human Resources, 12, ss. 115–125. DOI: 10.2307/145602. PESARAN, M. H., (2007). A simple panel unit root test in the presence of cross section dependence. Journal of Applied Econometrics 27: 265–312. DOI: 10.1002/jae.951. PRADHAN, R. P., (2011). Effects of Health Spending on Economic Growth: A Time Series Approach, Decision, 38(2), 68-83. RAM, R., (1986). Government Size And Economic Growth: A New Framework And Some Evidence From Cross-Section And Time Series Data. American Economic Review, 76(1), 191-203. RAMSEY, F., (1928). A Mathematical Theory of Saving, Economic Journal, Vol. 38, No. 152 (December),543-559. DOI: 10.2307/2224098. RIVERA B. and CURRAIS L., (1999a). Economic growth and health: direct impact or reverse causation?, Applied Economics Letters, 6: 761–764. DOI:10.1080/135048599352367. RIVERA B. and CURRAIS L., (1999b). Income variation and health expenditure: evidence for OECD countries, Review of Development Economics, 3(3): 258–267. DOI: 10.1111/1467-9361.00066. ROMER, P. M. (1986), Increasing Returns and Long-Run Growth, Journal of Political Economy, 94,5(October),1002-1037. DOI: 10.1086/261420. LAGO-PEÑAS, S. & CANTARERO-PRIETO, D. & BLÁZQUEZ-FERNÁNDEZ, C., (2013). On the Relationship Between GDP and Health Care Expenditure: A New Look, Economic Modelling 32 124–129 DOI:10.1016/j.econmod.2013.01.021. SCHIEBER G. and MAEDA A., (1999). Health Care Financing and Delivery in Developing Countries,” Health Affairs, Vol: 18(3), May/June, pp.193- 205. DOI: 10.1377/hlthaff.18.3.193 SCHULTZ, T. W., (1961). Investment in Human Capital, The American Economic Review, Vol: 1(1).pp.1-17. SOLOW, R. M. (1956), A Contribution to the Theory of Economic Growth, Quaterly Journal of Economics, 70, 1(February),65-94. DOI: 10.2307/1884513. SWAN, T. W. (1965). Economic Growth and Capital Accumulation, Economic Record, 32(November), 334-361. DOI: 10.1111/j.1475-4932.1956.tb00434.x. YUMUŞAK, İ. G.. YILDIRIM, D. Ç., (2009). An Econometric Examination over the Relation Between Health Expenditure and Economic Growth. The Journal of Knowledge Economy and Knowledge Management, IV, 57-70.
Year 2018, Volume: 13 Issue: 2, 184 - 193, 30.12.2018

Abstract

References

  • AKRAM, N., (2009). Short Run and Long Run Dynamics of Impact of Health Status on Economic Growth Evidence From Pakistan, Munich Personal RePEc Archive (MPRA) Papers, No. 15454 http://mpra.ub.uni-muenchen.de/15454/ (Retrieved on:6.11.16) ARORA S., (2001). Health, Human Productivity, and Longterm Economic Growth, Journal of Economic History, 61(3), 699-749. ATKINSON, A. B., (1995). The Scope for a European Growth Initiative: Is The Welfare State Necessarily an Obstacle to Economic Growth?, European Economic Review, 39: 723–30. DOI:10.1016/0014-2921(94)00079-F. BARRO,R.J., (1991).Economic Growth in a Cross Section of Countries,Quaterly Journal of Economics,106,2(- may),407-433. DOI:10.2307/2937943. __________ (1996), Health and economic growth, PAHO programme on public policy and health. BARRO, R. and Xavier S.M., (1995).Economic Growth,New York,Mc Graw Hill. BARROS, P. P., (1998).The Black Box of Health Care Expenditure Growth Determinants, Health Economics, Volume 7, Issue 6. 533–544 DOI: 10.1002/(SICI)1099-1050(199809)7:6<533::AID-HEC374>3.0.CO;2-B. BERALDO, S., MONTOLIO, D. and TURATI, G., (2005). Healthy, Educated and Wealthy: Is the Welfare State Really Harmful for Growth?,Working Papers in Economics 127, Barcelona: Universitat de Barcelona, Espai de Recerca en Economia. BISWAS, B. and RATI R., (1986). Military Expenditure and Economic Growth in Less Developed Countries: An Augmented Model and Further Evidence. Economic Development and Cultural Change 34, 361-72. BHARGAVA, A., JAMISON, D. T. ve LAU, L. J. MURRAY C.J.L., (2001). Modeling the Effects of Health on Economic Growth, Journal of Health Economics, 20(3): 423–440. DOI:10.1016/S0167-6296(01)00073-X BLOMQVIST A.G., CARTER R.A.L., (1997). Is health care really a luxury?, Journal of Health Economics 16 207-229. DOI: 10.1016/S0167-6296(96)00534-6 BLOOM D.E., C. D. and S. J., (2001). The Effect of Health on Economic Growth: Theory and Evidence, NBER Working Paper 8587, Cambridge: National Bureau of Economic Research (www.nber.org/papers/w8587 ). (Retrieved on:6.11.16). BOKHARI F.A.S., GAI Y. and GOTTRET P., (2007). Government Health Expenditures and Health Outcomes, Health Economics,16: 257–273. DOI: 10.1002/hec.1157. BRINKLEY, G. L., (2001). The Macroeconomic Impact of Improving Health: Investigating the Causal Direction, unpublished.(http://trc.ucdavis.edu/glbrinkley/Docs/Causal.pdf ). (Retrieved on 18.6.2009). CASS, D., (1965). Optimum Growth in an Aggregative Model of Capital Accumulation, Review of Economic Studies,32(- July),233-240. ÇETİN, M., Ecevit, E., (2010). The Effect of Health Expenditures on Economic Growth: a Panel Regression Analysis on OECD Countries. Doğuş University Journal, 1(2), 166-182. CHANG, K. and YING Y.H., (2006). Economic Growth, Human Capital İnvestment, and Health Expenditure: A Study of OECD Countries, Hitotsubashi Journal of Economics, 47(1), 1-16. DOI:10.15057/7644. DREGER, C. ve REIMERS H.E., (2005). Health Care Expenditures in OECD Countries: A Panel Unit Root And Cointegration Analysis, Iza Discussion Paper, 1469, 1-20. ERDİL, E. ve YETKINER, H., (2004). A Panel Data Approach for Income-Health Causality, https://core.ac.uk/download/pdf/7071589.pdf?repositoryId=153 (Retrieved on 6.11.16). ERYİĞİT, S. B., ERYİĞİT, K. Y., SELEN, U., (2012). The Long-Run Linkages Between Education, Health and Defence Expenditures and Economic Growth: Evidence from Turkey. Defence and Peace Economics, 23(6), 559-574 DOI:10.1080/10242694.2012.663577. FEDER, G., (1983). On Exports and Economic Growth. Journal of Development Economics 12, 59-73. DOI: https://doi. org/10.1016/0304-3878(83)90031-7. FEDER, G., (1986). Growth in Semi-Industrial Countries: A Statistical Analysis. In: Hollis C., Sherman R., Moshe S.: Industrialization and Growth: A Comparative Study. New York: Oxford University Press, 263-82. FIELDING, D. and SHIELDS, K., (2001). Dynamic Interaction between Income and Health: Time-Series Evidence from Scandinavia, Discussion Papers in Economics 01/5, Department of Economics, University of Leicester, https:// ideas.repec.org/p/lec/leecon/01-5.html (Retrieved on 8.11.16 ). FOGEL, R. W., (1994). Economic growth, population theory, and physiology: the bearing of long-term process on the making of economic policy. NBER Working Paper Series, Working Paper No. 4638, Cambridge. __________ (1999) The Human Capital Model of Demand for Health, NBER, Working Paper, No: 7078, 1-100. HANSEN P., KING A., (1996). The Determinants of Health Care Expenditure: A Cointegration Approach, Journal of Health Economics. 15(1), ss. 127–137. DOI: 10.1016/0167-6296(95)00017-8. HARTWIG, J., (2010). Is Health Capital Formation Good for Long-term Economic Growth? – Panel Granger-causality Evidence for OECD Countries, Journal of Macroeconomics, 32, 314–325. DOI:10.1016/j.jmacro.2009.06.003. HESHMATI, A., (2001). On the Causality between GDP and Health Care Expenditure in Augmented Solow Growth Model, SSE/EFI Working Paper Series in Economics and Finance, 423, 1-19. HITIRIS T. (1997) Health Care Expenditure and Integration in the countries of the European Union, Applied Economics, 29: 1, 1-6. DOI: 10.1080/000368497327335. IM, K. S., MOHAMMAD H. P., and YONGCHEOL S. (2003). Testing for Unit Roots in Heterogeneous Panels, Journal of Econometrics 115: 53–74. DOI: 10.1016/S0304-4076(03)00092-7. JAVADIPOUR, S., (2005). Studying the Impact of Health Expenditures on Economic Growth, M.A. thesis by guidance of Mojtahed, A. Allameh, Tabatabaee University, Department of Economics. JONES, D. B., (1990). Public Policies and Economic Growth in the American States, The Journal of Politics, Cambridge University Press on Behalf of the Southern Political Science Association, Vol. 52, No.1, February, 219-233. KAR, M., TABAN, S., (2003). The İmpacts of The Disaggregated Public Expenditure on Economic Growth. Ankara University Faculty of Political Science Journal, 53(3), 145-169. KLARMAN H. E., (1965). Economics of Health, Fist edition, Published by Columbia University, New York KOOPMANS, T. C. (1965).On the Concept of Optimal Economic Growth,in The Econometric Approach to Development Planning,Amsterdam,North Holland. KURT S., (2015). Government Health Expenditures and Economic Growth: A Feder–Ram Approach for the Case of Turkey, International Journal of Economics and Financial Issues, 5(2), 441-447. LEVIN, A., LIN C.F. and CHU, C.S.J., (2002). Unit Root Tests in Panel Data: Asymptotic and Finite-Sample Properties. Journal of Econometrics,108:1-24. DOI:10.1016/S0304-4076(01)00098-7. LUCAS, R.E.J.,(1988).On the Mechanics of Economic Development, Journal of Monetary Economics, 22,1(July),3-42. DOI:10.1016/0304-3932(88)90168-7. MCCOSKEY S. K. and SELDEN T. M., (1998). Health Care Expenditure and GDP: Panel Data Unit Root Test Results, Journal of Health Economics, 17(3): 369–376. DOI :10.1016/S0167-6296(97)00040-4. MUSHKIN, S. J., (1962). Health as an Investment, The Journal of Political Economy, Vol: 70(5):129-157. DOI: 10.1086/258730. NARAYAN, S. W., NARAYAN P. K. and MISHRA S, (2010). Investigating The Relationship between Health and Economic Growth: Empirical Evidence from A Panel of 5 Asian Countries. Journal of Asian Economics, 21, pp. 401-411. DOI: 10.1016/j.asieco.2010.03.006. NEWHOUSE, J. P., (1977). Medical Care Expenditure: A Cross-National Survey, Journal of Human Resources, 12, ss. 115–125. DOI: 10.2307/145602. PESARAN, M. H., (2007). A simple panel unit root test in the presence of cross section dependence. Journal of Applied Econometrics 27: 265–312. DOI: 10.1002/jae.951. PRADHAN, R. P., (2011). Effects of Health Spending on Economic Growth: A Time Series Approach, Decision, 38(2), 68-83. RAM, R., (1986). Government Size And Economic Growth: A New Framework And Some Evidence From Cross-Section And Time Series Data. American Economic Review, 76(1), 191-203. RAMSEY, F., (1928). A Mathematical Theory of Saving, Economic Journal, Vol. 38, No. 152 (December),543-559. DOI: 10.2307/2224098. RIVERA B. and CURRAIS L., (1999a). Economic growth and health: direct impact or reverse causation?, Applied Economics Letters, 6: 761–764. DOI:10.1080/135048599352367. RIVERA B. and CURRAIS L., (1999b). Income variation and health expenditure: evidence for OECD countries, Review of Development Economics, 3(3): 258–267. DOI: 10.1111/1467-9361.00066. ROMER, P. M. (1986), Increasing Returns and Long-Run Growth, Journal of Political Economy, 94,5(October),1002-1037. DOI: 10.1086/261420. LAGO-PEÑAS, S. & CANTARERO-PRIETO, D. & BLÁZQUEZ-FERNÁNDEZ, C., (2013). On the Relationship Between GDP and Health Care Expenditure: A New Look, Economic Modelling 32 124–129 DOI:10.1016/j.econmod.2013.01.021. SCHIEBER G. and MAEDA A., (1999). Health Care Financing and Delivery in Developing Countries,” Health Affairs, Vol: 18(3), May/June, pp.193- 205. DOI: 10.1377/hlthaff.18.3.193 SCHULTZ, T. W., (1961). Investment in Human Capital, The American Economic Review, Vol: 1(1).pp.1-17. SOLOW, R. M. (1956), A Contribution to the Theory of Economic Growth, Quaterly Journal of Economics, 70, 1(February),65-94. DOI: 10.2307/1884513. SWAN, T. W. (1965). Economic Growth and Capital Accumulation, Economic Record, 32(November), 334-361. DOI: 10.1111/j.1475-4932.1956.tb00434.x. YUMUŞAK, İ. G.. YILDIRIM, D. Ç., (2009). An Econometric Examination over the Relation Between Health Expenditure and Economic Growth. The Journal of Knowledge Economy and Knowledge Management, IV, 57-70.
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Details

Primary Language Turkish
Journal Section Girişimcilik ve Kalkınma Dergisi
Authors

Nilgün Serim This is me

Serdar Kurt This is me

Publication Date December 30, 2018
Submission Date November 15, 2018
Published in Issue Year 2018 Volume: 13 Issue: 2

Cite

APA Serim, N., & Kurt, S. (2018). Health Expenditures-Economic Growth Nexus: The EU 28 And Panel Feder-Ram Model. Girişimcilik Ve Kalkınma Dergisi, 13(2), 184-193.