The Causal Relationship between Health Expenditures, Capital Accumulation and Economic Growth: An Evidence from Developed and Developing Countries

Yıl 2020, Cilt: 5 Sayı: 2, 276 - 291, 31.08.2020

Ebru Topcu , Yeter Atasayar

https://doi.org/10.30784/epfad.734004

Cited By: 1

Öz

The factors related to economic growth, which is one of the main macroeconomic targets, is among the topics that are frequently researched in the literature. Factors associated with economic growth may differ across to the development levels and economic structures of the countries. In this context, the aim of this study is to examine the causal relationship between health expenditures, capital accumulation and economic growth in 29 developed and 10 developing countries over the period 1999-2018 using Dumitrescu and Hurlin (2012) panel causality method. Panel causality findings have proven the existence of bi-directional causality between health expenditures and economic growth, as well as between capital accumulation and economic growth in developed countries. In developing countries, there is uni-directional relationship from economic growth to health expenditures. There is also uni-directional causality from capital accumulation to economic growth. Developed countries should develop policies stimulating capital accumulation as well as health expenditures in order to encourage economic growth, which, in turn, contribute to capital accumulation and health expenditures. On the other hand, developing countries should implement policies that encourage capital accumulation and economic growth to increase health spending.

Anahtar Kelimeler

Capital Accumulation, Health Expenditures, Economic Growth, Panel Causality

Sağlık Harcamaları, Sermaye Birikimi ve Ekonomik Büyüme Arasındaki Nedensel İlişki: Gelişmiş ve Gelişmekte Olan Ülkeler Üzerine Bir İnceleme

Öz

Temel makroekonomik hedeflerin başında gelen ekonomik büyüme ile ilişkili olan faktörlerin neler olduğu literatürde sıklıkla araştırılan konular arasında yer almaktadır. Ekonomik büyüme ile ilişkili faktörler ülkelerin gelişmişlik düzeylerine ve ekonomik yapılarına göre farklılık gösterebilmektedir. Bu bağlamda çalışmanın amacı 29 gelişmiş ve 10 gelişmekte olan ülkede sağlık harcamaları, sermaye birikimi ve ekonomik büyüme arasındaki nedensellik ilişkisinin 1999-2018 dönemi için Dumitrescu ve Hurlin (2012) panel nedensellik yöntemi ile incelenmesidir. Panel nedensellik bulguları, gelişmiş ülkelerde hem sağlık harcamaları ile ekonomik büyüme arasında hem de sermaye birikimi ile ekonomik büyüme arasında çift yönlü bir nedensellik ilişkisinin varlığını kanıtlamıştır. Gelişmekte olan ülkelerde ise ekonomik büyümeden sağlık harcamalarına; sermaye birikimden ekonomik büyümeye doğru tek yönlü bir nedensellik ilişkisinin olduğu tespit edilmiştir. Gelişmiş ülkeler sermaye birikimini ve sağlık harcamalarını artırmaya yönelik politikalar uygulayarak ekonomik büyümeyi teşvik etmelidir. Böylece sermaye birikimi ve sağlık harcamalarına katkı sağlamalıdır. Diğer taraftan gelişmekte olan ülkeler ise sağlık harcamalarını artırmak için sermaye birikimini ve ekonomik büyümeyi teşvik eden politikalar uygulamalıdır.

Anahtar Kelimeler

Sermaye Birikimi, Sağlık Harcamaları, Ekonomik Büyüme, Panel Nedensellik

Kaynakça

• Ahmed, K., Mahalik, M. K. and Shahbaz, M. (2016). Dynamics between economic growth, labor, capital and natural resource abundance in Iran: an application of the combined cointegration approach. Resources Policy, 49, 213-221, doi.org/10.1016/j.resourpol.2016.06.005
• Alhowaish, A. K. (2014). Healthcare spending and economic growth in Saudi Arabia: A Granger causality approach. International Journal of Scientific & Engineering Research, 5(1), 1471-1476. Retrieved from https://www.ijser.org/
• Baz, K., Xu, D., Ampofo, G. M. K., Ali, I., Khan, I., Cheng, J. and Ali, H. (2019). Energy consumption and economic growth nexus: New evidence from Pakistan using asymmetric analysis. Energy, 189, 116254, doi.org/10.1016/j.energy.2019.116254
• Becker, G. S. (1962). Investment in human capital: A theoretical analysis. Journal of Political Economy, 70(5), 9-49, doi.org/10.1086/258724
• Bedir, S. (2016). Healthcare expenditure and economic growth in developing countries. Advances in Economics and Busines, 4(2), 76-86, doi.org/10.13189/aeb.2016.040202
• Boussalem, F., Boussalem, Z. and Taiba, A. (2014). The relationship between public spending in health and economic growth in Algeria: Testing for co-integration and causality. International Journal of Business and Management, 2(3), 25-39. Retrieved from http://www.ccsenet.org/journal/index.php/ijbm
• Dinçer, H. and Yüksel, S. (2019). Identifying causality relationship between health expenditure and economic growth: An application on E7 countries. Journal of Health Systems and Policies, 1, 5-23. Retrieved from https://dergipark.org.tr/tr/pub/jhesp
• Dumitrescu, E. I. and Hurlin, C. (2012). Testing for Granger non-causality in heterogeneous panels. Economic Modelling, 29(4), 1450-1460, doi.org/10.1016/j.econmod.2012.02.014
• Elmi, Z. H. and Sadeghi, S. (2012). Health care expenditures and economic growth in developing countries: Panel co-integration and causality. Middle-East Journal of Scientific Research, 12(1), 88-91, doi.org/ 10.13189/aeb.2016.040202
• Erdil, E. and Yetkiner, I. H. (2005). A panel data approach for income-health causality (Working Papers FNU-47). Retrieved from http://www.fnu.zmaw.de/fileadmin/fnu-files/publication/working-papers/FNU47.pdf
• Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political Economy, 80(2), 223–255. Retrieved from https://www.jstor.org/journal/jpoliecon
• Haldar, S. (2008). Effect of health human capital expenditure on economic growth in India: A state level study. Asia-Pacific Social Science Review, 8(2), 1-10, doi.org/10.3860/apssr.v8i2.785
• Howitt, P. (2005). Health, human capital and economic growth: A Schumpeterian perspective. Cambridge: The MIT Press
• Im, K. S., Pesaran, M. H. and Shin, Y. (2003). Testing for unit roots in heterogeneous panels. Journal of Econometrics, 115(1): 53-74, doi.org/10.1016/S0304-4076(03)00092-7
• Khan, H. N., Khan, M. A., Razli, R. B., Shehzada, G., Krebs, K. L. and Sarvghad, N. (2016). Health care expenditure and economic growth in SAARC countries (1995–2012): A panel causality analysis. Applied Research in Quality of Life, 11(3), 639-661, https://doi.org/10.1007/s11482-015-9385-z
• Li, H. and Huang, L. (2009). Health, education, and economic growth in China: Empirical findings and implications. China Economic Review, 20, 374-387, doi.org/10.1016/j.chieco.2008.05.001
• Mehmood, B., Raza, S. H. and Mureed, S. (2014). Health expenditure, literacy and economic growth: PMG evidence from Asian countries. Euro-Asian Journal of Economics and Finance, 2(4), 408- 417. Retrieved from http://absronline.org/eajef
• Mehrara, M. and Musai, M. (2011a). Granger causality between health and economic growth in oil exporting countries. Interdisciplinary Journal of Research in Business, 1(8), 103-108. Retrieved from http://www.idjrb.com/
• Mehrara, M. and Musai, M. (2011b). The causality between health expenditure and economic growth in Iran. International Journal of Economics and Research, 2(4), 13-19. Retrieved from http://www.ijeronline.com/
• Meyer, D. F. and Sanusi, K. A. (2019). A causality analysis of the relationships between gross fixed capıtal formation, economic growth and employment in South Africa. Studia Universitatis Babeș-Bolyai Oeconomıca, 64(1), 33-44, doi.org/10.2478/subboec-2019-0003
• Mincer, J. (1974). Schooling, experience and earnings. New York: Columbia University Press
• Modigliani, F. (1970). The life cycle hypothesis of saving and intercountry differences in the saving ratio. In W. A. Eltis, M. F. G. Scott and J. N. Wolfe (Eds.), Induction, growth and trade: Essays in honor of Sir Roy Harrod (pp. 197-225). Oxford: Clarendon Press
• Mohsen, M. and Maysam, M. (2013). The causality between capital formation and economic growth in MENA region. International Letters of Social and Humanistic Sciences, 8, 1-7, doi.org/10.18052/www.scipress.com/ILSHS.8.1
• Mushkin, S. J. (1962). Health as an investment. Journal of Political Economy, 70(5), 129-157. Retrieved from https://www.jstor.org/journal/jpoliecon
• Narayan, P.K. and Smyth, R. (2008). Energy consumption and real GDP in G7 countries: New evidence from panel cointegration with structural breaks. Energy Economics, 30, 2331–2341, doi.org/10.1016/j.eneco.2007.10.006
• Nasiru, I. and Usman, H. M. (2012). Health expenditure and economic growth nexus: An ARDL approach for the case of Nigeria. Journal of Research in National Development, 10(3), 95-100. Retrieved from https://www.ajol.info/index.php/jorind/
• Ncanywa, T. and Makhenyane, L. (2016). Can investment activities in the form of capital formation influence economic growth in South Africa? Paper presented at the SAAPAM Limpopo Chapter 5th Annual Conference, 1-10. Retrieved from http://ulspace.ul.ac.za/
• Onyinye, N. G., Idenyi, O. S. and Ifeyinwa, A. C. (2017). Effect of capital formation on economic growth in Nigeria. Asian J. Econ. Bus. Account, 5(1), 1–16, doi.org/10.9734/AJEBA/2017/36075
• Öztürk, F. and Altun Ada, A. (2013). Is health expenditure important for economic growth in selected EU countries. The Empirical Economics Letters, 12(7), 715-722. Retrieved from http://www.eel.my100megs.com/.
• Öztürk, S. and Topcu, E. (2014). Health expenditures and economic growth: Evidence from G8 countries. International Journal of Economics and Empirical Research (IJEER), 2(6), 256-261. Retrieved from https://econpapers.repec.org/article/ijrjournl/
• Pesaran, M. H. (2004). General diagnostic tests for cross section dependence in panels (Cambridge Working Papers in Economics No. 0435). Retrieved from https://doi.org/10.1007/s00181-020-01875-7
• Pesaran, M. H. (2007). A simple panel unit root test in the presence of cross‐section dependence. Journal of Applied Econometrics, 22(2), 265-312, doi.org/10.1002/jae.951
• Rosen, S. (1976). A theory of life earnings. Journal of Political Economy, 84(4), 45-67. Retrieved from https://www.jstor.org/journal/jpoliecon
• Satti, S. L., Farooq, A., Loganathan, N. and Shahbaz, M. (2014). Empirical evidence on the resource curse hypothesis in oil abundant economy. Economic Modelling, 42, 421–429, doi.org/10.1016/j.econmod.2014.07.020
• Schultz, T. W. (1961). Investment in human capital. American Economic Review, 51, 1-17. Retrieved from https://www.aeaweb.org/journals/aer
• Sghari, M. B. A. and Hammami, S. (2013). Relationship between health expenditure and GDP in developed countries. IOSR Journal of Pharmacy, 3(4), 41-45. Retrieved from https://www.iosrjournals.org/IOSR-PHR.html
• Solow, R. M. (1956). A contribution to the theory of economic growth. The Quarterly Journal of Economics, 70(1), 65-94, doi.org/10.2307/1884513
• Tang, J.-N., Lai, C.-C. and Lin, E. S. (2009). Military expenditure and unemployment rates: Granger causality tests using global panel data. Defence and Peace Economics, 20(4), 253-267, doi.org/10.1080/10242690903105257
• Topcu, E., Altınöz, B. and Aslan, A. (2020). Global evidence from the link between economic growth, natural resources, energy consumption, and gross capital formation. Resources Policy, 66, 101622, doi.org/10.1016/j.resourpol.2020.101622
• Uneze, E. (2013). The relation between capital formation and economic growth: Evidence from sub-Saharan African countries. Journal of Economic Policy Reform, 16(3), 272–286, doi.org/10.1080/17487870.2013.799916
• Uzawa, H. (1965). Optimal technical change in an aggregate model of economic growth. International Economic Review, 6, 18-31, doi.org/ 10.2307/2525621
• Verulava, T. (2019). Health capital, primary health care and economic growth. Eastern Journal of Medicine, 24(1), 57-62, doi.org/10.5505/ejm.2019.35762
• Wang, K.-M. (2011). Health care expenditure and economic growth: Quantile panel-type analysis. Economic Modelling, 28, 1536-1549, doi.org/10.1016/j.econmod.2011.02.008
• World Health Organization. (2019). Global spending on health: A world in transition. Retrieved from https://www.who.int/health_financing/documents/en/
• Yardımcıoğlu, F. (2012). OECD ülkelerinde sağlık ve ekonomik büyüme ilişkisinin ekonometrik bir incelemesi. Eskişehir Osmangazi Sosyal Bilimler Dergisi, 13(2), 27-47, https://dergipark.org.tr/tr/pub/ogusbd