Skip to main content

Advertisement

Log in

The influence of (public) health expenditure on longevity

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

We report new evidence on the contribution of health expenditure to increasing life expectancy in OECD countries, differentiating the effects of public and private health expenditures.

Methods

A theoretical model is presented and estimated though a cross-country fixed effects multiple regression analysis for a sample of OECD countries over the period 1980–2000.

Results

Although the effect of aggregate health expenditure is not conclusive, public health expenditure plays a significant role in enhancing longevity. However, its influence diminishes as the size of the public health sector on GDP expands, reaching a maximum around the 8 %.

Conclusions

With the influence of public health expenditure being positive, the ambiguous effect of the aggregate expenditure suggests that the weight of public and private health sectors matters, the second having a lower impact on longevity. This might explain the poor evolution of the life expectancy in countries with a high amount of private resources devoted to health. In such cases, an extension of public services could give rise to a better outcome from the overall health investment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Adams KF, Schatzkin A, Harris TB, Kipnis V, Mouw T, Ballard-Barbash R, Hollenbeck A, Leitzmann MF (2006) Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. N Engl J Med 355:763–778

    Article  PubMed  CAS  Google Scholar 

  • Arts W, Gelissen J (2002) Three worlds of welfare capitalism or more? A state-of-the-art-report. J Eur Soc Policy 12:137–158

    Article  Google Scholar 

  • Baltagi B, Moscone F (2010) Health expenditure and income in the OECD reconsidered: evidence from panel data. Econ Model 27:804–811

    Article  Google Scholar 

  • Byrne MM, Pietz K, Woodard L, Petersen LA (2007) Health care funding levels and patient outcomes: a national study. Health Econ 16:385–393

    Article  PubMed  Google Scholar 

  • Cheaito L, Azizi S, Saleh N, Salameh P (2014) Assessment of self-medication in population buying antibiotics in pharmacies: a pilot study from Beirut and its suburbs. Int J Public Health 59:319–327

    Article  PubMed  Google Scholar 

  • Clemente J, Marcuello C, Montañés A, Pueyo F (2004) On the international stability of health care expenditure functions: are government and private functions similar? J Health Econ 23:589–613

    Article  PubMed  Google Scholar 

  • Cutler D, McClellan M (2001) Is technological change in medicine worth it? Health Aff 20:11–29

    Google Scholar 

  • Cutler D, Glaeser EL, Shapiro JM (2003) Why have Americans become more obese? J Econ Perspect 17:93–118

    Article  Google Scholar 

  • Enthoven A (1980) Health plan. Addison-Wesley, Reading

    Google Scholar 

  • Esping-Andersen G (1990) The three worlds of welfare capitalism. Princenton University Press, New Jersey

    Google Scholar 

  • Evans DB, Tandon A, Murray CJ, Lauer JA (2001) Comparative efficiency of national health systems: cross national econometric analysis. BMJ 327:307–310

    Article  Google Scholar 

  • Ferrera M (1996) The southern model of welfare in social Europe. J Eur Soc Policy 6:17–37

    Article  Google Scholar 

  • Habibov N (2009) What determines healthcare utilization and related out-of-pocket expenditures in Tajikistan? Lessons from a national survey. Int J Public Health 54:260–266

    Article  PubMed  Google Scholar 

  • Heerink N (1994) Population growth, income distribution, and economic development: theory, methodology, and empirical results. Springer, Berlin, New York

    Book  Google Scholar 

  • Heston A, Summers R, Aten B (2012) Penn World Tables version 7.1. Center for International Comparisons of Production, Income and Prices at the University of Pennsylvania

  • Hsiao C (2007) Panel data analysis-advantages and challenges. Test 16:1–22

    Article  Google Scholar 

  • Hsiao C, Mountain DC, Ho-Illman K (1995) Bayesian integration of end-use metering and conditional demand analysis. J Bus Econ Stat 13:315–326

    Google Scholar 

  • Ivaschenko O (2005) The patterns and determinants of longevity in Russia’s regions: evidence from panel data. J Comp Econ 33:788–813

    Article  Google Scholar 

  • Lichtenberg FR (2004) Sources of US longevity increase, 1960–2001. Q Rev Econ Financ 44:369–389

    Article  Google Scholar 

  • Liu J, Shi L, Khan M, Xu L, Wang L (2012) Trends of out-of-pocket expenditure for influenza in China health and nutrition survey during 1989–2006. Int J Public Health 57:193–198

    Article  PubMed  Google Scholar 

  • Loureiro ML, Nayga RM (2005) International dimensions of obesity and overweight related problems: an economic perspective. Am J Agric Econ 87:1147–1153

    Article  Google Scholar 

  • Maziak W, Critchley J, Zaman S, Unwin N, Capewell S, Bennett K, Unal B, Husseini A, Romdhane HB, Phillimore P (2013) Mediterranean studies of cardiovascular disease and hyperglycemia: analytical modeling of population socioeconomic transitions (MedCHAMPS)—rationale and methods. Int J Public Health 58:547–553

    Article  PubMed  Google Scholar 

  • OECD (2005) Health Data Base: http://www.oecd.org/health/health-systems/oecdhealthdata.htm

  • Or Z, Wang J, Jamison D (2005) International differences in the impact of doctors on health: a multilevel analysis of OECD countries. J Health Econ 24:531–560

    Article  PubMed  Google Scholar 

  • Pakes A, Griliches Z (1984) Estimating distributed lags in short panels with an application to the specification of depreciation patterns and capital stock constructs. Rev Econ Stud 51:243–262

    Article  Google Scholar 

  • Panopoulou E, Pantelidis T (2012) Convergence in per capita health expenditure and health outcomes in OECD countries. Appl Econ 44:3909–3920

    Article  Google Scholar 

  • Posnett J, Hitiris T (1992) The determinants and effects of health expenditure in developed countries. J Health Econ 11:173–181

    Article  PubMed  Google Scholar 

  • Self S, Grabowski R (2003) How effective is public health expenditure in improving overall health? A cross-country analysis. Appl Econ 35:835–845

    Article  Google Scholar 

  • Thornton J (2002) Estimating a health production function for the US: some new evidence. Appl Econ 34:59–62

    Article  Google Scholar 

  • United Nations (2003) World population prospects: the 2002 revision. United Nations, New York

    Google Scholar 

  • Van Zon A, Muysken J (2001) Health and endogenous growth. J Health Econ 20:169–185

    Article  PubMed  Google Scholar 

  • Wilkinson RG (1992) Income distribution and life expectancy. Br Med J304:165–168

    Article  Google Scholar 

  • Wu LA, Kanitz E, Crumly J, D’Ancona F, Strikas RA (2013) Adult immunization policies in advanced economies: vaccination recommendations, financing, and vaccination coverage. Int J Public Health 58:865–874

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jesús Clemente.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aísa, R., Clemente, J. & Pueyo, F. The influence of (public) health expenditure on longevity. Int J Public Health 59, 867–875 (2014). https://doi.org/10.1007/s00038-014-0574-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-014-0574-6

Keywords

JEL Classification

Navigation