Abstract
Human capital plays an important role in the process of economic growth. Two key components of human capital are education and health. The primary aim of this research was to test the hypothesis that health human capital impacts the economic growth. This study analysed the impact of health human capital on the economic growth of 181 countries over a 17-year period, 2001–2017, using structural equation modelling methodology and panel data. The study has observed that the declining trends in poverty ratio, infant mortality rate and fertility rate induced economic growth. On the other hand, increasing trends in life expectancy, health expenditure and technological progress positively affected economic growth. Overall, our results using structural equation modelling methodology involving 181 countries from 2001 to 2017 indicate that health human capital can have significant positive impacts on economic growth if adequate measures are taken for increasing health expenditure, life expectancy and technological progress while reducing poverty ratio, infant mortality rate and fertility rate especially for developing countries.
Similar content being viewed by others
References
Ainsworth M, Beegle K, Nyamete A (1996) The impact of women’s schooling on fertility and contraceptive use: a study of fourteen sub-Saharan African countries. World Bank Econ Rev 10(1):85–122
Altun Ada A, Acaroğlu H (2014) Human capital and economic growth: a panel data analysis with health and education for MENA region. Adv Manag Appl Econ 4(4):59–71
Baldacci E, Clements B, Gupta S, Cui Q (2008) Social spending, human capital, and growth in developing countries. World Dev 36(8):1317–1341. https://doi.org/10.1016/j.worlddev.2007.08.003
Barro RJ (1996) Determinants of economic growth: a cross-country empirical study. NBER working paper series.
Bhargava A, Jamison DT, Lauc LJ, Murrayd CJL (2001) Modeling the effects of health on economic growth. J Health Econ 20:423–440
Bloom DE, Canning D, Sevilla J (2004) The effect of health on economic growth: a production function approach. World Dev 32(1):1–13. https://doi.org/10.1016/j.worlddev.2003.07.002
Bloom DE, Kuhn M, Prettner K (2018) Health and economic growth. (IZA DP No. 11939). IZA Institute of Labour Economics, USA
Colantonio E, Marianacci R, Mattoscio N (2010) On human capital and economic development: some results for Africa. Procedia Soc Behav Sci 9:266–272. https://doi.org/10.1016/j.sbspro.2010.12.148
Cooray A (2013) Does health capital have differential effects on economic growth? Appl Econ Lett 20(3):244–249. https://doi.org/10.1080/13504851.2012.690844
Eggoh J, Houeninvo H, Sossou G-A (2015) Education, health and economic growth in African countries. J Econ Dev 40(1):93–111
Fogel RW (1994) Economic growth, population theory, and physiology: the bearing of long-term processes on the making of economic policy. Am Econ Rev 84(3):369–395
Gallup JL, Sachs JD (2001) The Economic Burden of Malaria. Ame Soc Tropical Med Hyg 64(1–2):85–96
Gyimah-Brempong K, Wilson M (2004) Health human capital and economic growth in sub-Saharan African and OECD countries. Q Rev Econ Financ 44(2):296–320. https://doi.org/10.1016/j.qref.2003.07.002
Heshmati A (2001) On the causality between GDP and health care expenditure. SSE/EFI working paper series in economics and finance (423). Sweden
Jamison DT, Lau LJ, Wang J (2004) Health’s contribution to economic growth in an environment of partially endogenous technical progress. Disease control priorities project working paper no. 10
Johnson RA, Wichern DW (2007) Applied multivariate statistical analysis, 6th edn. Pearson Education Inc., New Jersey
Knowles S, Owen PD (1995) Health capital and cross-country variation in income per capita in the Mankiw–Romer–Weil model. Econ Lett 48:99–106
Li H, Huang L (2009) Health, education, and economic growth in China: Empirical findings and implications. China Econ Rev 20(3):374–387. https://doi.org/10.1016/j.chieco.2008.05.001
Li H, Liang H (2010) Health, education, and economic growth in East Asia. J Chin Econ Foreign Trade Stud 3(2):110–131. https://doi.org/10.1108/17544401011052267
Lucas J, Robert E (1988) On the mechanics of economic development. J Monet Econ 22:3–42
Maksymenko S, Rabbani M (2011) Economic reforms, human capital, and economic growth in India and South Korea: a cointegration analysis. J Econ Dev 36(2):39–58
Mayer A, Umbach N, Flunger B, Kelava A (2017) Effect analysis using nonlinear structural equation mixture modeling. Struct Equ Model Multidiscip J 24(4):556–570. https://doi.org/10.1080/10705511.2016.1273780
McDonald S, Roberts J (2002) Growth and multiple forms of human capital in an augmented solow model: a panel data investigation. Econ Lett 74:271–276
O’Rourke N, Hatcher L (2013) A step-by-step approach to using sas for factor analysis and structural equation modeling. SAS, North Carolina
Pradhan RP (2010) The long run relation between health spending and economic growth in 11 OECD countries: evidence from panel cointegration. Int J Econ Perspect 4(2):427–438
Prettner K, Bloom DE, Strulik H (2013) Declining fertility and economic well-being: do education and health ride to the rescue? Labour Econ 22:70–79
Raghupathi V, Raghupathi W (2020) Healthcare expenditure and economic performance: insights from the United States data. Front Public Health 8:156. https://doi.org/10.3389/fpubh.2020.00156
Ram R (2007) IQ and economic growth: further augmentation of Mankiw–Romer–Weil model. Econ Lett 94(1):7–11. https://doi.org/10.1016/j.econlet.2006.05.005
Romer PM (1990) Endogenous technological change. J Polit Econ 98(5):S71–S102
Şen H, Kaya A, Alpaslan B (2018) Education, health and economic growth nexus: a bootstrap panel granger causality analysis for developing countries. Sosyoekonomi. https://doi.org/10.17233/sosyoekonomi.2018.02.07
Sharma R (2018) Health and economic growth: evidence from dynamic panel data of 143 years. PLoS ONE 13(10):e0204940. https://doi.org/10.1371/journal.pone.0204940
Solow RM (1956) A contribution to the theory of economic growth. Q J Econ 70(1):65–94
Webber DJ (2010) Policies to stimulate growth: should we invest in health or education? Appl Econ 34(13):1633–1643. https://doi.org/10.1080/00036840110115109
World Bank T (2019) World development indicators (WDI). http://datatopics.worldbank.org/world-development-indicators/. Accessed 15 July 2019
Yang X (2020) Health expenditure, human capital, and economic growth: an empirical study of developing countries. Int J Health Econ Manag 20(2):163–176. https://doi.org/10.1007/s10754-019-09275-w
Acknowledgements
I would like to express my sincere gratitude to Prof. Denny Meyer and Prof. Nam Hoang for their patience, motivation, and immense knowledge; World Bank officials for making the data available to use; and anonymous reviewers for reviewing manuscript. I take the sole responsibility for any mistakes in the paper.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Jayadevan, C.M. Impacts of health on economic growth: evidence from structural equation modelling. Asia-Pac J Reg Sci 5, 513–522 (2021). https://doi.org/10.1007/s41685-020-00182-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41685-020-00182-4