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THE VALIDITY OF THE HEALTH BASED GROWTH HYPOTHESIS: THE TURKEY EXAMPLE

Year 2023, Volume: 24 Issue: 2, 111 - 126, 29.06.2023
https://doi.org/10.53443/anadoluibfd.1245989

Abstract

Given the importance of human health as human capital to the national economy, it is emphasized in numerous studies in the health economics literature that differences in healthcare expenditures are a significant determinant of economic growth. The significance of the topic provided as the driving force behind this study, which aimed to use an empirical method to assess the validity of the health-based growth hypothesis for the Turkish economy between 1975 and 2020. The nonlinear bounds test approach was employed to test for cointegration between economic growth and healthcare expenditures, and the non-normally distributed autoregressive distributed lag approach (NARDL) modeling technique was applied to investigate cointegration. The study’s findings show that a 1% rise in per capita healthcare expenditure increases per capita gross domestic product (GDP) by 0.55%, whereas GDP per capita declines by 0.26% in response to a negative shock of 1%. The MSR model was used to assess the robustness of the NARDL model results, and the results appear to be similar. The validity of the health-based growth hypothesis was established in Turkey over the time period taken into account based on the conclusions drawn from the analyses.

References

  • Abolghasemi, M., Beh, E., Tarr, G., & Gerlach, R. (2020). Demand forecasting in supply chain: The impact of demand volatility in the presence of promotion. Computers and Industrial Engineering, 142, 106380.
  • Aboubacar, B., & Xu, D. (2017). The impact of health expenditure on the economic growth in Sub-Saharan Africa. Theoretical Economics Letters, 7 (03), 615.
  • Alp, Ö. S., & Kırkbeşoğlu, E. (2015). Sigorta endeksi getirisinin doğrusal olmayan yapısı. Finansal Araştırmalar ve Çalışmalar Dergisi, 7 (13), 245-260.
  • 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.
  • Beraldo, S., Montolio, D., & Turati, G. (2009). Healthy, educated and wealthy: A primer on the impact of public and private welfare expenditures on economic growth. The Journal of Socio-Economics, 38 (6), 946-956.
  • Bloom, D. E., & Canning, D. (2000). The health and wealth of nations. Science, 287 (5456), 1207-1209.
  • Bloom, D., & Canning, D. (2003). The health and poverty of nations: from theory to practice. Journal Of Human Development, 4 (1), 47-71.
  • Bloom, D. E., Canning, D., & Sevilla, J. (2004). The effect of health on economic growth: a production function approach. World development, 32 (1), 1-13.
  • Broock, W. A., Scheinkman, J. A., Dechert, W. D., & LeBaron, B. (1996). A test for ındependence based on the correlation dimension. Econometric Reviews, 15 (3), 197-235.
  • Chang, K., & Ying, Y. H. (2006). Economic growth, human capital investment, and health expenditure: a study of OECD countries. Hitotsubashi Journal of Economics, 1-16.
  • Chowdhury, M. A. F., Meo, M. S., Uddin, A., & Haque, M. M. (2020). Asymmetric effect of energy price on commodity price: New evidence from NARDL and time frequency wavelet approaches. Energy, 119461.
  • Esen, E., & Celik Kecili, M. (2022). Economic growth and health expenditure analysis for Turkey: Evidence from time series. Journal of The Knowledge Economy, 13 (3), 1786-1800.
  • Ertuğrul, H.M. & Ayhan, F. (2022). Türkiye’de savunma harcamaları GSYİH ilişkisinin doğrusal olmayan zaman serisi modelleriyle analizi, e-ICOAEF IX International Conference on Applied Economics and Finance and Extended With Social Sciences.
  • Gaies, B. (2022). Reassessing the impact of health expenditure on income growth in the face of the global sanitary crisis: the case of developing countries. The European Journal of Health Economics, 23(9), 1415-1436.
  • Gong, L., Li, H., & Wang, D. (2012). Health investment, physical capital accumulation, and economic growth. China Economic Review, 23 (4), 1104-1119.
  • Gutierrez, A. N., Carranza, A. R., & Carrasco, A. G. (2019). Detecting nonlinear dynamics using BDS test and surrogate data in financial time series. J Math Syst Sci, 9.
  • Güler, A. (2021). Reel döviz kuru şoklarının ihracat ve dış ticaret dengesi üzerindeki asimetrik etkileri: Türkiye için NARDL Yaklaşımından Kanıtlar. MANAS Sosyal Araştırmalar Dergisi, 10 (2), 950-970.
  • Kartal, M.T, Ertuğrul, H.M. & Ulussever, T. (2022). The impacts of foreign portfolio flows and monetary policy responses on stock markets by considering COVID-19 pandemic: Evidence from Turkey, Borsa Istanbul Review, 22 (1), 12-19.
  • Kutlu, Ş. Ş. (2021). Türkiye ekonomisinde sağlığa dayalı büyüme hipotezinin geçerliliğine ilişkin ampirik bir analiz. Yaşar Üniversitesi E-Dergisi, 16 (64), 1808-1822.
  • Maiti, M., Grubisic, Z., & Vukovic, D. B. (2020). Dissecting tether’s nonlinear dynamics during Covid-19. Journal of Open Innovation: Technology, Market, and Complexity, 6 (4), 161.
  • Mele, M., & Magazzino, C. (2021). Pollution, economic growth, and COVID-19 deaths in India: a machine learning evidence. Environmental Science and Pollution Research, 28, 2669-2677.
  • Mohamed, A. A., & Nageye, A. I. (2021). Measuring the effect of land degradation and environmental changes on agricultural production in Somalia with two structural breaks. Management of Environmental Quality: An International Journal, 32 (2), 160-174.
  • Mushkin, S. J. (1962). Health as an Investment. Journal of Political Economy, 70 5, Part 2, 129-157.
  • 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.
  • Narayan, S., & Narayan, P. K. (2004). Determinants of demand for Fiji’s exports: An empirical investigation. The Developing Economies, 42 (1), 95-112.
  • Ng, S., & Perron, P. (2001). Lag length selection and the construction of unit root tests with good size and power. Econometrica, 69 (6), 1519-1554.
  • OECD, (2017). What has driven life expectancy gains in recent decades? A cross-country analysis of OECD member states. Health at a Glance 2017. (Available:https://www.oecd-ilibrary.org/docserver/health_glance-2017 en.pdf? expires= 1670763699 andid=id andaccname =guest andchecksum=51C56989B0EDED06B62FE582BEC5B1B3
  • Özer, M. O. (2021). The relationship between health expenditures and economic growth: Evidence from Turkey. Optimum Ekonomi ve Yönetim Bilimleri Dergisi, 8 (1), 133-144.
  • Pesaran, M.H, Shin, Y, & Smith R.J. (2001). Bounds testing approaches to the analysis of level relationships, Journal of Applied Econometrics, 16 (3), 289-326.
  • Penghui, X., Xicang, Z., & Haili, L. (2022). Direct and indirect effects of health expenditure on economic growth in China. Eastern Mediterranean Health Journal, 28 (3)
  • Rahman, A., & Saadi, S. (2008). Random walk and breaking trend in financial series: An econometric critique of unit root tests. Review of Financial Economics, 17 (3), 204-212.
  • Schultz, T. P. (1999). Health and schooling investments in Africa. Journal of Economic Perspectives, 13 (3), 67-88.
  • Shin, Y., Yu, B., & Greenwood-Nimmo, M. (2014). Modelling asymmetric cointegration and dynamic multipliers in a nonlinear ARDL framework. In: Sickles, R., Horrace, W. (eds) Festschrift in Honor of Peter Schmidt. Springer, New York, NY.
  • Solow, R. M. (1957). Technical change and the aggregate production function. The Review of Economics and Statistics, 39 (3), 312–320. https://doi.org/10.2307/1926047
  • Wang, K. M. (2011). Health care expenditure and economic growth: Quantile panel-type analysis. Economic Modelling, 28 (4), 1536-1549.
  • Wang, K. M., & Lee, Y. M. (2018). The impacts of life insurance asymmetrically on health expenditure and economic growth: dynamic panel threshold approach. Economic research-Ekonomska istraživanja, 31 (1), 440-460.
  • 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.
  • Zivot, E., & Andrews, D. W. K. (1992). Further evidence on the great crash, the oil-price shocok and the unit-root hypothesis. Journal of Business and Economic Statistics, 10 (3), 251-270.

SAĞLIĞA DAYALI BÜYÜME HİPOTEZİNİN GEÇERLİLİĞİNİN TEST EDİLMESİ: TÜRKİYE ÖRNEĞİ

Year 2023, Volume: 24 Issue: 2, 111 - 126, 29.06.2023
https://doi.org/10.53443/anadoluibfd.1245989

Abstract

Sağlık ekonomisi literatüründeki birçok çalışma, insan sağlığının belirleyicilerinden biri olan sağlık harcamalarındaki farklılıkların ekonomik büyüme üzerinde önemli bir faktör olduğuna işaret edilmektedir. Sağlığa dayalı büyüme hipotezine göre, sağlık harcamaları ve ekonomik büyüme arasında pozitif yönlü bir ilişki vardır. Bu doğrultuda çalışmada, ampirik yöntemle 1975-2020 yılları arasında Türkiye ekonomisi için sağlığa dayalı büyüme hipotezinin geçerliliğinin test edilmesi amaçlanmıştır. Ekonomik büyüme ile sağlık harcamaları arasındaki eş bütünleşme ilişkisi doğrusal olmayan sınır testi yaklaşımı ile test edilmiş, eşbütünleşmenin varlığının tespiti ile normal dağılmayan otoregresif dağıtılmış gecikme yaklaşımı (NARDL) modellemesi kullanılmıştır. Çalışmadan elde edilen bulgulara göre, kişi başına sağlık harcamasındaki %1’lik pozitif şok, kişi başı gayri safi yurtiçi hasılada (GSYİH) %0,55’lik bir artışa sebep olurken, % 1’lik negatif şok kişi başı GSYİH’da % 0.26’lık azalışa sebep olmaktadır. NARDL model sonuçlarının sağlamlığı MSR modeli ile test edilmiştir ve sonuçların benzer şekilde örtüştüğü görülmektedir. Analizlerden elde edilen bulgulara dayanarak, incelenen dönemde Türkiye’de sağlığa dayalı büyüme hipotezinin geçerliliği tespit edilmiştir.

References

  • Abolghasemi, M., Beh, E., Tarr, G., & Gerlach, R. (2020). Demand forecasting in supply chain: The impact of demand volatility in the presence of promotion. Computers and Industrial Engineering, 142, 106380.
  • Aboubacar, B., & Xu, D. (2017). The impact of health expenditure on the economic growth in Sub-Saharan Africa. Theoretical Economics Letters, 7 (03), 615.
  • Alp, Ö. S., & Kırkbeşoğlu, E. (2015). Sigorta endeksi getirisinin doğrusal olmayan yapısı. Finansal Araştırmalar ve Çalışmalar Dergisi, 7 (13), 245-260.
  • 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.
  • Beraldo, S., Montolio, D., & Turati, G. (2009). Healthy, educated and wealthy: A primer on the impact of public and private welfare expenditures on economic growth. The Journal of Socio-Economics, 38 (6), 946-956.
  • Bloom, D. E., & Canning, D. (2000). The health and wealth of nations. Science, 287 (5456), 1207-1209.
  • Bloom, D., & Canning, D. (2003). The health and poverty of nations: from theory to practice. Journal Of Human Development, 4 (1), 47-71.
  • Bloom, D. E., Canning, D., & Sevilla, J. (2004). The effect of health on economic growth: a production function approach. World development, 32 (1), 1-13.
  • Broock, W. A., Scheinkman, J. A., Dechert, W. D., & LeBaron, B. (1996). A test for ındependence based on the correlation dimension. Econometric Reviews, 15 (3), 197-235.
  • Chang, K., & Ying, Y. H. (2006). Economic growth, human capital investment, and health expenditure: a study of OECD countries. Hitotsubashi Journal of Economics, 1-16.
  • Chowdhury, M. A. F., Meo, M. S., Uddin, A., & Haque, M. M. (2020). Asymmetric effect of energy price on commodity price: New evidence from NARDL and time frequency wavelet approaches. Energy, 119461.
  • Esen, E., & Celik Kecili, M. (2022). Economic growth and health expenditure analysis for Turkey: Evidence from time series. Journal of The Knowledge Economy, 13 (3), 1786-1800.
  • Ertuğrul, H.M. & Ayhan, F. (2022). Türkiye’de savunma harcamaları GSYİH ilişkisinin doğrusal olmayan zaman serisi modelleriyle analizi, e-ICOAEF IX International Conference on Applied Economics and Finance and Extended With Social Sciences.
  • Gaies, B. (2022). Reassessing the impact of health expenditure on income growth in the face of the global sanitary crisis: the case of developing countries. The European Journal of Health Economics, 23(9), 1415-1436.
  • Gong, L., Li, H., & Wang, D. (2012). Health investment, physical capital accumulation, and economic growth. China Economic Review, 23 (4), 1104-1119.
  • Gutierrez, A. N., Carranza, A. R., & Carrasco, A. G. (2019). Detecting nonlinear dynamics using BDS test and surrogate data in financial time series. J Math Syst Sci, 9.
  • Güler, A. (2021). Reel döviz kuru şoklarının ihracat ve dış ticaret dengesi üzerindeki asimetrik etkileri: Türkiye için NARDL Yaklaşımından Kanıtlar. MANAS Sosyal Araştırmalar Dergisi, 10 (2), 950-970.
  • Kartal, M.T, Ertuğrul, H.M. & Ulussever, T. (2022). The impacts of foreign portfolio flows and monetary policy responses on stock markets by considering COVID-19 pandemic: Evidence from Turkey, Borsa Istanbul Review, 22 (1), 12-19.
  • Kutlu, Ş. Ş. (2021). Türkiye ekonomisinde sağlığa dayalı büyüme hipotezinin geçerliliğine ilişkin ampirik bir analiz. Yaşar Üniversitesi E-Dergisi, 16 (64), 1808-1822.
  • Maiti, M., Grubisic, Z., & Vukovic, D. B. (2020). Dissecting tether’s nonlinear dynamics during Covid-19. Journal of Open Innovation: Technology, Market, and Complexity, 6 (4), 161.
  • Mele, M., & Magazzino, C. (2021). Pollution, economic growth, and COVID-19 deaths in India: a machine learning evidence. Environmental Science and Pollution Research, 28, 2669-2677.
  • Mohamed, A. A., & Nageye, A. I. (2021). Measuring the effect of land degradation and environmental changes on agricultural production in Somalia with two structural breaks. Management of Environmental Quality: An International Journal, 32 (2), 160-174.
  • Mushkin, S. J. (1962). Health as an Investment. Journal of Political Economy, 70 5, Part 2, 129-157.
  • 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.
  • Narayan, S., & Narayan, P. K. (2004). Determinants of demand for Fiji’s exports: An empirical investigation. The Developing Economies, 42 (1), 95-112.
  • Ng, S., & Perron, P. (2001). Lag length selection and the construction of unit root tests with good size and power. Econometrica, 69 (6), 1519-1554.
  • OECD, (2017). What has driven life expectancy gains in recent decades? A cross-country analysis of OECD member states. Health at a Glance 2017. (Available:https://www.oecd-ilibrary.org/docserver/health_glance-2017 en.pdf? expires= 1670763699 andid=id andaccname =guest andchecksum=51C56989B0EDED06B62FE582BEC5B1B3
  • Özer, M. O. (2021). The relationship between health expenditures and economic growth: Evidence from Turkey. Optimum Ekonomi ve Yönetim Bilimleri Dergisi, 8 (1), 133-144.
  • Pesaran, M.H, Shin, Y, & Smith R.J. (2001). Bounds testing approaches to the analysis of level relationships, Journal of Applied Econometrics, 16 (3), 289-326.
  • Penghui, X., Xicang, Z., & Haili, L. (2022). Direct and indirect effects of health expenditure on economic growth in China. Eastern Mediterranean Health Journal, 28 (3)
  • Rahman, A., & Saadi, S. (2008). Random walk and breaking trend in financial series: An econometric critique of unit root tests. Review of Financial Economics, 17 (3), 204-212.
  • Schultz, T. P. (1999). Health and schooling investments in Africa. Journal of Economic Perspectives, 13 (3), 67-88.
  • Shin, Y., Yu, B., & Greenwood-Nimmo, M. (2014). Modelling asymmetric cointegration and dynamic multipliers in a nonlinear ARDL framework. In: Sickles, R., Horrace, W. (eds) Festschrift in Honor of Peter Schmidt. Springer, New York, NY.
  • Solow, R. M. (1957). Technical change and the aggregate production function. The Review of Economics and Statistics, 39 (3), 312–320. https://doi.org/10.2307/1926047
  • Wang, K. M. (2011). Health care expenditure and economic growth: Quantile panel-type analysis. Economic Modelling, 28 (4), 1536-1549.
  • Wang, K. M., & Lee, Y. M. (2018). The impacts of life insurance asymmetrically on health expenditure and economic growth: dynamic panel threshold approach. Economic research-Ekonomska istraživanja, 31 (1), 440-460.
  • 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.
  • Zivot, E., & Andrews, D. W. K. (1992). Further evidence on the great crash, the oil-price shocok and the unit-root hypothesis. Journal of Business and Economic Statistics, 10 (3), 251-270.
There are 38 citations in total.

Details

Primary Language Turkish
Subjects Economics
Journal Section Araştırma Makalesileri
Authors

Melike Torun 0000-0003-4828-9379

Publication Date June 29, 2023
Submission Date February 1, 2023
Published in Issue Year 2023 Volume: 24 Issue: 2

Cite

APA Torun, M. (2023). SAĞLIĞA DAYALI BÜYÜME HİPOTEZİNİN GEÇERLİLİĞİNİN TEST EDİLMESİ: TÜRKİYE ÖRNEĞİ. Anadolu Üniversitesi İktisadi Ve İdari Bilimler Fakültesi Dergisi, 24(2), 111-126. https://doi.org/10.53443/anadoluibfd.1245989


This work is licensed under Creative Commons Attribution-NonCommercial 4.0 International License since 2023.