Can We Increase Health Expenditure Per Capita Through Higher  Economic Growth? Empirical Evidence from Turkey

Kılcı Esra

doi:https://dx.doi.org/10.26650/ekoist.2022.36.982652

Research Article

DOI :10.26650/ekoist.2022.36.982652 IUP :10.26650/ekoist.2022.36.982652 Full Text (PDF)

Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey

Many researchers indicate that health expenditures positively contribute to economic growth and prosperity, emphasizing that when healthy individuals are more efficient, they make a huge contribution to human capital, which in turn improves productivity. There is also a relationship between economic growth and health expenditures, meaning that health expenditure is a function of income and higher income leads to an increase in spending on health. In this study, we assess whether economic growth has an impact on healthcare expenditure by focusing on an emerging market economy. Therefore, the main objective of this paper is to test the impact of economic performance on health expenditure per capita for Turkey in the period of 1999-2018. In the analysis, the unit root properties are tested by using RALS (Residual Augmented Least Squares) ADF and traditional Augmented Dickey Fuller (ADF) unit root tests. In order to examine the long-run relationship between economic growth and health expenditure per capita, we employ the RALS Engle-Granger and traditional Engle-Granger cointegration tests. The findings of our analysis support the evidence of a long-run impact of economic growth on healthcare expenditure per capita for Turkey in the relevant period.

Keywords: Health Expenditure Per Capita, Economic Growth, RALS

DOI :10.26650/ekoist.2022.36.982652 IUP :10.26650/ekoist.2022.36.982652 Full Text (PDF)

Ekonomik Büyüme ile Kişi Başına Düşen Sağlık Harcamalarını Arttırılabilir miyiz? Türkiye Örneği

Esra Nazmiye Kılcı

Birçok iktisatçı, sağlıklı bireylerin verimliliği artırdığını vurgulayarak, sağlık sistemine yapılan yatırımların ekonomik büyümeye olumlu katkıda bulunduğuna işaret etmektedir. Benzer şekilde, sağlık harcamaları gelirin bir fonksiyonudur; gelir arttıkça sağlık harcamaları artmaktadır. Bu çalışmada, temel olarak, gelişmekte olan bir ülkede, ekonomik büyümenin sağlık harcamaları üzerinde etkisi olup olmadığı sorusu cevaplanmaya çalışılmaktadır. Dolayısıyla, bu çalışmanın amacı, Türkiye’de, ekonomik büyüme ile kişi başına düşen sağlık harcamaları arasındaki ilişkinin 1999-2018 dönemi için analiz edilmesidir. Analizde, serilerin durağanlığının test edilmesi amacıyla, geleneksel ADF testine ek olarak, RALS (Residual Augmented Least Squares) ADF birim kök testi uygulanmaktadır. Ekonomik büyüme ve kişi başına sağlık harcamaları arasındaki uzun dönemli ilişkinin test edilmesi amacıyla ise, Engle-Granger ve RALS Engle-Granger kointegrasyon testlerinden yararlanılmaktadır. Analiz sonuçları, ekonomik büyümenin kişi başına düşen sağlık harcamaları üzerinde uzun dönemde etkisi olduğuna işaret etmektedir.

Keywords: Kişi Başına Düşen Sağlık Harcaması, Ekonomik Büyüme, RALS

References

Akinci, A. & Tuncer, G. (2016). The Relationship between Health Expenditures and Economic Growth, Journal of Turkish Court of Accounts, 102, 47-61. google scholar
Atun, R. (2015). Transforming Turkey’s Health System-Lessons for Universal Coverage, Global Systems, Harvard University, 373(14), 1285-1289. google scholar
Baltagi, B. H. & Moscone, F. (2010). Health Care Expenditure and Income in the OECD Reconsidered: Evidence From Panel Data, Economic Modelling, 27(4), 804-811. google scholar
Bloom, D. E. ve Canning, D. (2000). The Health and Wealth of Nations, Science, 287(5456), 12071209. google scholar
Bloom, D. E., Canning, D., Sevilla, J. (2001). The Effect of Health on Economic Growth: Theory and Evidence. NBER Papers, No: 8587, 1-26. google scholar
Boussalem, F., Boussalem, Z. & Taiba, A. (2014). The Relationship between Public Spending on Health and Economic Growth in Algeria: Testing for Co-Integration and Causality, International Journal of Business and Management, II(3), 25-39. google scholar
Brempong, K. G. & Wilson, M. (2004). Health Human Capital and Economic Growth In Sub-Saharan African and OECD Countries, The Quarterly Review of Economics and Finance, 44(2), 296-320. google scholar
Chaabouni, S., & Saidi, K. (2017). The Dynamic Links between Carbon Dioxide (CO2) Emissions, Health Spending and GDP Growth: A Case Study for 51 Countries, Environmental Research, 158, 137-144. google scholar
Cima, J. & Almeida, A. S. (2018). Health Expenditure, GDP Growth and The Financial Crisis: A Panel Data Analysis for OECD European Countries”, FEP Working Paper, No: 602. google scholar
Dormont, B., Oliveira-Martins, J., Pelgrin, F. & Suhrcke, M. (2008). Health Expenditures, Longevity and Growth, SSRN Electronic Journal, https://ssrn.com/abstract=1130315or http:// dx.doi.org/10.2139/ssrn.1130315. (Cited 13.01.2020). google scholar
Dreger, C. & Reimers, H. E., (2005). Health Care Expenditures in OECD Countries: A Panel Unit Root and Cointegration Analysis, International Journal of Applied Econometrics and Quantitative Studies, Euro-American Association of Economic Development, 2(2), 5-20. google scholar
Elmi, M. Z.& 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. google scholar
Esen, E. & Kecili, M. C. (2021). Economic Growth and Health Expenditure Analysis for Turkey: Evidence from Time Series, Journal of the Knowledge Economy, https://doi.org/10.1007/ s13132-021-00789-8 google scholar
Im K. S., Lee J., Tieslau M. A. (2014). More Powerful Unit Root Tests with Non-normal Errors, in RC Sickles and WC Horrace (eds), Festschrift in Honor of Peter Schmidt: Econometric Methods and Applications, 315-342. google scholar
Institute for Health Metrics and Evaluation (2017). Turkey. http://www.healthdata.org/turkey (Cited 20.03.2020). google scholar
Lee, H., Lee, J., & Im, K. (2015). More Powerful Cointegration Tests with Non-normal Errors, Studies in Nonlinear Dynamics & Econometrics, 19(4), 397-413. google scholar
Lusting, N. (2006). Investing in Health for Economic Development: The Case of Mexico, WIDER Research Paper, No: 2006/30. google scholar
Ndedi, A. A., Metha, A. & Nisabwe, F. (2017). The Impact of Health Expenditures on Economic Growth of Cameroon: A Literature Review Perspective. Available at SSRN: https://ssrn.com/ abstract=3036510 or http://dx.doi.org/10.2139/ssrn.3036510 google scholar
OECD (2014). OECD Reviews of Health Care Quality: Turkey Raising Standards, 25 November 2014. http://www.oecd.org/els/health-systems/Review-of-Health-Care-Quality-Turkey_ExecutiveSummary. pdf (Cited 07.01.2020). google scholar
OECD (2019). Health at a Glance 2019, OECD Indicators. https://www.oecd.org/health/health-systems/health-at-a-glance-19991312.htm (Cited 25.12.2019). google scholar
OECD Statistics (2019). Health Expenditure and Finance Statistics. https://stats.oecd.org/Index. aspx?DataSetCode=SHA (Cited 14.11.2020). google scholar
OECD (2020). Beyond Containment: Health Systems Responses to COVID-19 in the OECD Countries, Updated 20 March, OECD. https://read.oecd-ilibrary.org/view/?ref=119_119689-ud5comtf84&title=Beyond_Containment:Health_systems_responses_to_COVID-19_in_the_ OECD (cited 25.03.2020). google scholar
Ozlale, U. (2007). “Sağlık”h Ekonomik büyüme, Makro Bakış Dergisi, Kasım Sayısı. google scholar
Raghupathi, V. & Raghupathi, W. (2020). Healthcare Expenditure and Economic Performance: Insights From the United States Data, Frontiers in Public Health, https://doi.org/10.3389/ fpubh.2020.00156. google scholar
Republic of Turkey Ministry of Health (2016). Health Statistics Yearbook 2016. http://ohsad.org/ wp-content/uploads/2017/12/13160.pdf (Cited 25.12.2019). google scholar
Sachs, J.D. (2001). Macroeconomics and Health: Investing in Health for Economic Development, Report of the Commission on Macroeconomics and Health, WHO Commission on Macroeconomics and Health. World Health Organization. https://apps.who.int/iris/ handle/10665/42463 (Cited 20.01.2019). google scholar
Sahin, D. & Durmus, S. (2019). Analysis of The Effect of Economic Growth And Environmetal Pollution On Health Expenditures in OECD Countries, Finance, Politics and Economic Reviews, 647, 185-201. google scholar
Sancar, S. & Polat, M. A. (2021). The Relationship between CO2 Emissions, Economic Growth, and Health Expenditures: An Empirical Application for Turkey and Selected Countries, MANAS Journal of Social Studies, 10 (1), 236-252. google scholar
Turkish Statistical Institute (2020). Statistics Data Portal. https://www.tuik.gov.tr/Home/Index (Cited 14.11.2020). google scholar
Wang, F. (2015). More Health Expenditure, Better Economic Performance? Empirical Evidence From OECD Countries, Inquiry, 52 (January-December 2015), 1-5. google scholar
World Bank (2020). Data Catalog. https://datacatalog.worldbank.org/ (Cited 03.02.2020). google scholar
World Health Organization (2012). Turkey Health System Performance Assessment 2011, May 2012. http://www.euro.who.int/__data/assets/pdf_file/0004/165109/e95429.pdf (Cited 15.11.2019) google scholar
World Health Organization (2019). Global Spending on Health: A World in Transition, December 2019. https://www.who.int/publications/i/item/WHO-HIS-HGF-HFWorkingPaper-19.4 (Cited 03.04.2021). google scholar
World Health Organization (2020). Global Spending on Health: Weathering the Storm, December 2020. https://www.who.int/publications/i/item/9789240017788 (Cited 03.04.2021). google scholar
World Bank Health and Nutrition Statistics (2020). Databank. https://databank.worldbank.org/ source/health-nutrition-and-population-statistics (Cited 14.11.2020). google scholar
Yilanci, V., & Aydin, M. (2018). Türkiye’de Kadın Okullaşmasının Ekonomik Büyüme Üzerindeki Etkisi: Rals-Eg Eşbütünleşme Testi Yaklaşımı. Uluslararası İktisadi ve İdari İncelemeler Dergisi, 101-112. google scholar

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APA

Kılcı, E.N. (2022). Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey. EKOIST Journal of Econometrics and Statistics, 0(36), 137-152. https://doi.org/10.26650/ekoist.2022.36.982652

AMA

Kılcı E N. Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey. EKOIST Journal of Econometrics and Statistics. 2022;0(36):137-152. https://doi.org/10.26650/ekoist.2022.36.982652

ABNT

Kılcı, E.N. Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey. EKOIST Journal of Econometrics and Statistics, [Publisher Location], v. 0, n. 36, p. 137-152, 2022.

Chicago: Author-Date Style

Kılcı, Esra Nazmiye,. 2022. “Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey.” EKOIST Journal of Econometrics and Statistics 0, no. 36: 137-152. https://doi.org/10.26650/ekoist.2022.36.982652

Chicago: Humanities Style

Kılcı, Esra Nazmiye,. “Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey.” EKOIST Journal of Econometrics and Statistics 0, no. 36 (Jun. 2023): 137-152. https://doi.org/10.26650/ekoist.2022.36.982652

Harvard: Australian Style

Kılcı, EN 2022, 'Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey', EKOIST Journal of Econometrics and Statistics, vol. 0, no. 36, pp. 137-152, viewed 3 Jun. 2023, https://doi.org/10.26650/ekoist.2022.36.982652

Harvard: Author-Date Style

Kılcı, E.N. (2022) ‘Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey’, EKOIST Journal of Econometrics and Statistics, 0(36), pp. 137-152. https://doi.org/10.26650/ekoist.2022.36.982652 (3 Jun. 2023).

MLA

Kılcı, Esra Nazmiye,. “Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey.” EKOIST Journal of Econometrics and Statistics, vol. 0, no. 36, 2022, pp. 137-152. [Database Container], https://doi.org/10.26650/ekoist.2022.36.982652

Vancouver

Kılcı EN. Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey. EKOIST Journal of Econometrics and Statistics [Internet]. 3 Jun. 2023 [cited 3 Jun. 2023];0(36):137-152. Available from: https://doi.org/10.26650/ekoist.2022.36.982652 doi: 10.26650/ekoist.2022.36.982652

ISNAD

Kılcı, EsraNazmiye. “Can We Increase Health Expenditure Per Capita Through Higher Economic Growth? Empirical Evidence from Turkey”. EKOIST Journal of Econometrics and Statistics 0/36 (Jun. 2023): 137-152. https://doi.org/10.26650/ekoist.2022.36.982652

Issue 362022, P. 137-152

TIMELINE

Submitted	13.08.2021
Accepted	07.10.2021
Published Online	13.04.2022

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