Abstract
This article analyses the relationship between health and development. It provides a theoretical foundation of the empirical finding that health and development are positively correlated. Empirical data and recent studies on the relation between health and development are analysed. The theory of development traps is enhanced to explain the feedback loop between these elements. There is a strong empirical correlation between health and development. The higher the gross national product, the higher the life expectancy and the lower the mortality and morbidity. This relation is true for developing as well as for developed countries. It is obvious that economic resources have an impact on the availability of health care resources and consequently on health, but at the same time the health of a population is of strong importance for their economic capability. Thus, health and development are elements of an autocatalytic process. Investments in health care will start a positive spiral of development and health. However, not every investment will yield fruits. They must be efficient and effective, must follow the value system of a society and must invest in the ability of decision makers to deal with complexity and dynamics.
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References
Amoako KY (2002) Additional resources will mean better health. Bull World Health Organ 80:164–165
Ashraf H (2000) WHO assembles leading economists to study poverty reduction and health. Lancet 355:386
Brundtland GH (2002) Health: a pathway to sustainable development. JAMA 288:156
Eastwood R, Lipton M (1999) The impact of changes in human fertility on poverty. J Dev Stud 36:1–30
European Commission (2005) The contribution of health to the economy in the European Union. European Commission, Luxembourg
Feachem RGA (2002) Commission on Macroeconomics and Health (editorial). Bull World Health Organ 80:87
Flessa S (1999) Decision support for malaria-control programmes—a system dynamics model. Health Care Manage Sci 2:181–191
Flessa S (2000) Where efficiency saves lives: a linear programme for the optimal allocation of health care resources in developing countries. Health Care Manage Sci 3:249–267
Flessa S (2002) Gesundheitsreformen in Entwicklungsländern. Lembeck, Frankfurt
Flessa S (2003) Arme habt ihr allezeit. Vandenhoeck & Ruprecht, Göttingen
Fleßa S (2007) Overcoming the poverty trap by effective and efficient health care. Proceedings of the European Health Conference 2006. European Commission, pp 285–290
Frenk J, Knaul F (2002) Health and the economy: empowerment through evidence. Bull World Heath Organ 80:88
Frenkel M, Hemmer HR (1999) Grundlagen der Wachstumstheorie. Vahlen, Munich
Gwatkin DR, Rutstein S, Johnson K, Pande RP, Wagstaff A (2001) Socio-economic differences in health, nutrition and population. Report from The World Bank, Washington, D.C.
Ivinson AJ (2002) Macroeconomics and health: investing in health for economic development (book review). Nat Med 6:551–552
Klein R, Scholl A (2004) Planung und Entscheidung. Vahlen, Munich
Meade MS, Florin JW, Gesler WM (1988) Medical geography. Guildford, New York
Mielck A (2005) Soziale Ungleichheit und Gesundheit. Hans Huber, Bern
Möller J, Schmidt C, Laaser U, Güntert B (2004) Gesundheit der Ökonomie und Ökonomie der Gesundheit. J Public Health 12:3–9
Morrow RH (2002) Macroeconomics and health. Despite shortcomings the plans in this report deserve strong support. BMJ 325:53–54
Nelson RR (1956) A theory of the low-level equilibrium trap in underdeveloped economies. Am Econ Rev 46:894–908
Neumann M (1994) Theoretische Volkswirtschaftslehre III, 2nd edn. Vahlen, Munich
Pokhrel S, Hidayat B, Flessa S, Sauerborn R (2005) Modelling the effectiveness of financing policies to address underutilization of children’s health services in Nepal. Bull World Health Organ 83:339–346
Pritchett L, Summers LH (1996) Wealthier is healthier. J Hum Resour 31:841–868
Rose K (1995) Grundlagen der Wachstumstheorie, 6th edn. Vandenhoeck & Ruprecht, Göttingen
Sachs J (2002a) Creating a healthy global economy. BMJ 324:12
Sachs J (2002b) An economist’s view of health. Bull World Health Organ 80:167–169
Siadat B, Stolpe M (2005) Reforming health care finance: what can Germany learn from other countries? Kiel economic policy papers No. 5, Institut für Weltwirtschaft, Kiel
Sterman J (2000) Business dynamics. McGraw-Hill, Boston
Su TT, Pokhrel S, Gbangou A, Flessa S (2006) Determinants of household health expenditure on western institutional health care. Eur J Health Econ 7:199–207
Subramanian SV, Belli P, Kawachi I (2002) The macroeconomic determinants of health. Annu Rev Public Health 23:287–302
WHO (2001) Report of the Commission on Macroeconomics and Health. World Health Organisation, Geneva
WHO (2004) Health for all database. World Health Organisation, Geneva
WHO (2006) Health statistics. http://www.who.int/whosis/whostat2006_ mortality.xls (access: 11 Sept 2006)
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Flessa, S. Investing in health. J Public Health 15, 415–421 (2007). https://doi.org/10.1007/s10389-007-0115-3
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DOI: https://doi.org/10.1007/s10389-007-0115-3