Dynamics of Health Expenditures in OECD Countries: Panel ARDL Approach


This study used a panel data set, which is including 15 OECD countries that have high income per capita for the time period of 1995-2011. Following causality and autoregressive distributed lag (ARDL), paper yields: 1) respectively the largest and the smallest impacts on health expenditures are caused by public spending and the influences of Age Dependency Ratio Young (ADRY); 2) income and Age Dependency Ratio Old (ADRO) on health expenditures are positive; 3) another striking inference is that while young working population rate is increasing, health expenditure is decreasing.

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Doğan, İ. , Tülüce, N. and Doğan, A. (2014) Dynamics of Health Expenditures in OECD Countries: Panel ARDL Approach. Theoretical Economics Letters, 4, 649-655. doi: 10.4236/tel.2014.48082.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Solow, R.M. (1956) A Contribution to the Theory of Economic Growth. The Quarterly Journal of Economics, 70, 65-94.
[2] Easterly, W.R. and Wetzel, D.L. (1989) Policy Determinants of Growth: Survey of Theory and Evidence. PPR Working Paper Series, 343, The World Bank.
[3] Schultz, T.P. (1997) Assessing the Productive Benefits of Nutrition and Health: An Integrated Human Capital Approach. Journal of Econometrics, 77, 141-158.
[4] Lucas Jr., R.E. (1988) On the Mechanics of Economic Development. Journal of Monetary Economics, 22, 3-42. http://dx.doi.org/10.1016/0304-3932(88)90168-7
[5] Barro, R. (1999) Human Capital and Growth in Cross Country Regressions. Swedish Economic Policy Review, 6, 237-277.
[6] Romer, P.M. (1986) Increasing Returns and Long-Run Growth. The Journal of Political Economy, 94, 1002-1037. http://dx.doi.org/10.1086/261420
[7] Baltagi, B.H. and Moscone, F. (2010) Health Care Expenditure and Income in the OECD Reconsidered: Evidence from Panel Data. Economic Modelling, 27, 804-811.
[8] Amiri, A. and Ventelou, B. (2012) Granger Causality between Total Expenditure on Health and GDP in OECD: Evidence from the Toda-Yamamoto Approach. Economics Letters, 116, 541-544.
[9] Albouy, V., Laurent D. and Debrand, T. (2010) Health Expenditure Models: A comparison Using Panel Data. Economic Modelling, 27, 791-803. http://dx.doi.org/10.1016/j.econmod.2010.02.006
[10] Bloom, D.E. and Canning, D. (2005) Health and Economic Growth: Reconciling the Micro and Macro Evidence. Working Paper, Harvard University.
[11] Clemente, J., Marcuiello, C., Montanes, A. and Pueyo, F. (2004) On the International Stability of Health Care Expenditure Functions: Are Government and Private Functions Similar? Journal of Health Economics, 23, 589-613. http://dx.doi.org/10.1016/j.jhealeco.2003.08.007
[12] Bhargava, A., Jamison, D.T., Lau, L.J. and Murray, C.J.L. (2001) Modeling the Effects of Health on Economic Growth. Journal of Health Economics, 20, 423-440. http://dx.doi.org/10.1016/S0167-6296(01)00073-X
[13] Di Matteo, L. and Di Matteo, R. (1998) Evidence on the Determinants of Canadian Provincial Government Health Expenditures: 1965-1991. Journal of Health Economics, 17, 211-228.
[14] Hansen, P. and King, A. (1996) The Determinants of Health Care Expenditure: A Cointegration Approach. Journal of Health Economics, 15, 127-137.
[15] Murthy, N.R.V. and Ukpolo, V. (1994) Aggregate Health Care Expenditure in the United States: Evidence from Cointegration Tests. Applied Economics, 26, 797-802.
[16] Leu, R.E. (1986) Public and Private Health Services: Complementarities and Conflicts. In: Culyer, A.J. and Jonsson, B., Eds., Blackwell, Oxford, 41-63.
[17] Gyimah-Brempong, K. and Wilson, M. (2004) Health Human Capital and Economic Growth in Sub-Saharan African and OECD Countries. The Quarterly Review of Economics and Finance, 44, 296-320. http://dx.doi.org/10.1016/j.qref.2003.07.002
[18] Xie, X.Q. (2005) Investment in Physical Capital, Investment in Health and Economic Growth in China. Investment Management and Financial Innovation, 1, 23-29.
[19] Moscone, F. and Tosetti, E. (2010) Testing for Error Cross Section Independence with an Application to US Health Expenditure. Regional Science and Urban Economics, 40, 283-291.
[20] Erdil, E. and Yetkiner, I.H. (2009) The Granger-Causality Between Health Care Expenditure and Output: A Panel Data Approach. Applied Economics, 41, 511-518.
[21] Narayan, S., 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, 404-411. http://dx.doi.org/10.1016/j.asieco.2010.03.006
[22] World Health Statistics (2013) Who Library Cataloguing-in-Publication Data.
[23] Pesaran, M.H. and Smith, R. (1995) Estimating Lon-Run Relationship from Dynamic Heterogeneous Panels. Journal of Econometrics, 68, 79-113. http://dx.doi.org/10.1016/0304-4076(94)01644-F
[24] Pesaran, M.H. And Shin, Y. (1997) Long Run Structural Modelling. Unpublished Manuscript, University of Cambridge, Cambridge.
[25] Taban, S. (2006) Türkiye’de Saglik ve Ekonomik Büyüme arasindaki Nedensellik íliskisi Sosyoekonomi, 2, Article ID: 060202.
[26] Devlin, N. and Hansen, P. (2001) Health Care Spending and Economic Output: Granger Causality. Applied Economics Letters, 8, 561-564. http://dx.doi.org/10.1080/13504850010017357
[27] Chen, W.C., Clarke, J.A. and Roy, N. (2013) Health and Wealth: Short Panel Granger Causality Tests for Developing Countries. The Journal of International Trade & Economic Development: An International and Comparative Review, 23, 755-784.
[28] Rahman, Md.M. (2011) Causal Relationship among Education Expenditure, Health Expenditure and GDP: A Case Study for Bangladesh. International Journal of Economics and Finance, 3, 149-159. http://dx.doi.org/10.5539/ijef.v3n3p149
[29] Pesaran, M.H., Shin, Y. and Smith, R. (2001) Bounds Testing Approaches to the Analysis of Level Relationships. Journal of Applied Econometrics, 16, 289-326. http://dx.doi.org/10.1002/jae.616
[30] Pesaran, M.H. and Shin, Y. (1999) An Autoregressive Distributed Lag Modeling Approach to Cointegration Analysis. In: Strom, S., Ed., Econometrics and Economic Theory in the 20th Century, Chapter 11, The Ragnar Frisch Centennial Symposium, Cambridge University Press, Cambridge.

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