Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 4 Issue 9

The Analysis of Health Expenditure as a Determinant of Economic Growth in 37 High Income Countries

Özlem Özsoy1* and Metin Gürler2

1Ekol Hospital İzmir, Turkey
2Uluslararası Rekabet Araştırmaları Kurumu (URAK), Istanbul, Turkey

*Corresponding Author: Özlem Özsoy, Ekol Hospital İzmir, Turkey.

Received: July 28, 2020; Published: August 24, 2020



Background: Labour force, which is one of the main factors of production function with capital input in traditional economic growth theory, has got an important effect on a country’s economic growth. So a productive labour force is crucial for an economy. An increase in health expenditure improves good health care to the citizens. Since people who were provided by good health care feel themselves more productive, the increasing productivity in labour force and working hours cause an economic growth hence enhancement in income (Gross Domestic Product, GDP) and income per capita (IPC) in a country incessantly. Also higher IPC means better access to the health services which were supplied by public and private sectors in a country. This study aims to investigate the relationship between the share of health expenditure in GDP (HEXP) and IPC data and vice versa for 37 High Income Countries (HIC).

Methods: Cross-section data (CSD) analysis and panel data (PD) analysis consisting of random and fixed effects estimations were used in the study to investigate the relationship between HEXP and IPC for selected country group.

Results: According to the random effects model (RAM) and fixed effects model (FEM) with PD analysis and CSD analysis in the study, HEXP is found as one of the determinants of IPC and IPC as a main determinant of HEXP in 37 HIC. Granger causality test is also applied to test the direction of causality between HEXP and IPC for HIC and Turkey. It is obviously seen that IPC Granger causes HEXP increase whereas we can’t reject HEXP doesn’t cause IPC hypothesis according to Granger test statistics for PD. There is also no proven correlation between two variables for CSD analysis.

Conclusion: In the study after the analysis of 37 HIC together it is found that IPC promotes HEXP not at once but in a time period. In the manuscript our results show that economic growth Granger causes HEXP increase and HEXP does not Granger cause IPC for PD. For CSD there is no relationship between HEXP and IPC. The case of IPC not increasing to a high income level from middle income stuck on a threshold is called in literature as "Middle Income Trap (MIT)". So guiding how HIC jumped from middle class to high income class is important for the emerging countries (EC) to avoid the "MIT". EC should increase HEXP to improve labour force productivity, which will cause a rapid economic growth as developed countries have done in past.

Keywords: High Income Countries (HIC); Cross-section Data (CSD); Economic Growth



  1. Gürler M and Özsoy Ö. “Exploring the relationship between life expectancy at birth and economic growth in 56 developing countries”. Journal of Global Health Reports 2 (2019): e2019001.
  2. The World Bank Health Expenditure, Total (% of GDP) data (2017).
  3. The World Bank GDP per capita (current US$) data (2019).
  4. IMF. World Economic Outlook (WEO). “Growth Slowdown, Precarious Recovery”. (2019): 133-134.
  5. The World Bank Country Classification (2016).
  6. United Nations Development Programme (UNDP). The Human Development Indices and Indicators Report: 2018 Statistical Update (2018).
  7. UNDP. Human Development Report: Human Development for Everyone (2016).
  8. UNDP. Human Development Report: Work for Human Development (2015).
  9. Romer PM. “Endogenous Technological Change”. Journal of Political Economy 98.5 (1990): 71-102.
  10. López-Casasnovas G., et al. “Health and Economic Growth: Findings and Policy Implications”. Cambridge: MIT Press (2005).
  11. Kurt S. “Government Health Expenditures and Economic Growth: A Feder–Ram Approach for the Case of Turkey”. International Journal of Economics and Financial Issues 5.2 (2015): 441-447. 
  12. Heshmati A. “On the causality between GDP and health care expenditure in augmented Solow growth model”. Department of Economic Statistics, Stockholm School of Economics, Working Paper Series in Economics and Finance 423 (2001): 1-19.
  13. Kar M and Taban S. “The impacts of the disaggregated public expenditure on economic growth”. Journal of Ankara University Faculty of Political Science 53.3 (2003): 145-169.
  14. OECD. The World Bank. OECD Reviews of Health Systems: Turkey 2008. OECD Publishing, Paris (2009). 
  15. Chakroun M. “Health Care Expenditure and GDP: An international panel smooth transition approach”. International Journal of Economics 4.1 (2010): 189-200.
  16. Yumuşak IG and Yıldırım DC. “An econometric examination over the relation between health expenditure and economic growth”. The Journal of Knowledge Economy and Knowledge Management 4.81 (2009): 57-70.
  17. Arısoy I., et al. “The relationship between social expenditures and economic growth: a dynamic analysis intended for 1960-2005 period of the Turkish economy”. Maliye Dergisi 158 (2010): 398-421.
  18. Cetin M and Ecevit E. “The effect of health expenditures on economic growth: a panel regression analysis on OECD countries”. Doğuş Üniversitesi Dergisi 11.2 (2010): 166-182.
  19. Ak R. “The Relationship between Health Expenditures and Economic Growth: Turkish Case”. International Journal of Business and Economics Research (IJBMER) 3.1 (2012): 404-409.
  20. Eryigit SB., et al. “The long-run linkages between education, health and defence expenditures and economic growth: evidence from Turkey”. Defence and Peace Economics 23.6 (2012): 559-574.
  21. Yardimcioglu F. “An Econometric Analysis of the Relationship between Health and Economic Growth in OECD Countries”. Eskişehir Osmangazi University Sosyal Bilimler Dergisi 13.2 (2012): 27-47.
  22. Tıraşoğlu M and Yıldırım B. “Health Expenditure and Economic Growth Relationship in the Case of Structural Break: A Case Study for Turkey”. Electronic Journal of Vocational Colleges (EJOVOC) 2.2 (2012): 111-117.
  23. Deloitte and Yased. “Turkey Life Science and Healthcare Report” (2012).
  24. Lago-Penas S., et al. “On the relationship between GDP and health care expenditure: a new look”. Economic Modelling 32 (2013): 124-129.
  25. Akar S. “An Investigation of the Relationship among Health Expenditures, Relative Price of Health Expenditures and Economic Growth in Turkey”. Management and Economics 21.1 (2014): 311-322.
  26. Aydemir C and Baylan S. “Health Expenditure and Economic Growth: A Case Study for Turkey”. Sosyal Bilimler Enstitusu Dergisi (DUSBED) 7.13 (2015): 417-435.
  27. Hayaloğlu P and Bal HC. “The Relationship between Health Expenditures and Economic Growth in Upper Middle-Income Countries”. İşletme ve İktisat Calışmaları Dergisi 3.2 (2015): 35-44. 
  28. Bedir S. “Healthcare Expenditure and Economic Growth in Developing Countries”. Advances in Economics and Business 4.2 (2016): 76-86.
  29. Başar S., et al. “Impacts of Education and Health Expenditures on Economic Growth: An Application on Turkey”. Journal of Social Science, Iğdır University. 2.10 (2016): 189-204.
  30. Gujarati DN and Porter DC. Basic Econometrics. 5th edition. New York: McGraw-Hill/Irwin (2009).
  31. Porter ME. “Competitive Advantage of Nations. Harvard Business Review”. Harvard Business Review (1990): 73-91. 
  32. The World Bank World Development Indicators dataset.


Citation: Özlem Özsoy and Metin Gürler. “The Analysis of Health Expenditure as a Determinant of Economic Growth in 37 High Income Countries". Acta Scientific Nutritional Health 4.9 (2020): 19-33.

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