IDEAS home Printed from https://ideas.repec.org/a/eee/ecanpo/v73y2022icp425-440.html
   My bibliography  Save this article

Does health quality affect tourism? Evidence from system GMM estimates

Author

Listed:
  • Konstantakopoulou, Ioanna

Abstract

This study examines the impact of health quality on tourism. We argue that the health quality of host countries is a significant factor influencing tourist decisions and destination choices. We introduce health quality as a determinant of international tourism receipts, assuming that a proxy for health quality is a set of six health measures. The analysis is conducted by employing the system GMM estimation in two panels of 44 developing and 39 developed economies over the period 2000–2016. Our results suggest that health quality has a significant effect on international tourism receipts. In particular, these are affected positively by life expectancy, and negatively by mortality and the lifetime risk of maternal death rate. The domestic general government health expenditure for developed countries has a weak positive effect on international tourism receipts, while the prevalence of undernourishment in developing countries has a strongly negative effect. Finally, the tuberculosis death rate in developing countries has a negative impact on international tourism receipts.

Suggested Citation

  • Konstantakopoulou, Ioanna, 2022. "Does health quality affect tourism? Evidence from system GMM estimates," Economic Analysis and Policy, Elsevier, vol. 73(C), pages 425-440.
    • Handle: RePEc:eee:ecanpo:v:73:y:2022:i:c:p:425-440
    DOI: 10.1016/j.eap.2021.12.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0313592621001776
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.eap.2021.12.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Alok Bhargava & Dean T. Jamison & Lawrence J. Lau & Christopher J. L. Murray, 2006. "Modeling the effects of health on economic growth," World Scientific Book Chapters, in: Econometrics, Statistics And Computational Approaches In Food And Health Sciences, chapter 20, pages 269-286, World Scientific Publishing Co. Pte. Ltd..
    2. Borensztein, E. & De Gregorio, J. & Lee, J-W., 1998. "How does foreign direct investment affect economic growth?1," Journal of International Economics, Elsevier, vol. 45(1), pages 115-135, June.
    3. Robertico Croes, 2014. "The Role of Tourism in Poverty Reduction: An Empirical Assessment," Tourism Economics, , vol. 20(2), pages 207-226, April.
    4. Martins, Luís Filipe & Gan, Yi & Ferreira-Lopes, Alexandra, 2017. "An empirical analysis of the influence of macroeconomic determinants on World tourism demand," Tourism Management, Elsevier, vol. 61(C), pages 248-260.
    5. Azizi, SeyedSoroosh, 2018. "The impacts of workers' remittances on human capital and labor supply in developing countries," Economic Modelling, Elsevier, vol. 75(C), pages 377-396.
    6. Bloom, David E. & Canning, David & Sevilla, Jaypee, 2004. "The Effect of Health on Economic Growth: A Production Function Approach," World Development, Elsevier, vol. 32(1), pages 1-13, January.
    7. Nuno Carlos LEITÃO, 2010. "Does Trade Help to Explain Tourism Demand? The Case of Portugal," Theoretical and Applied Economics, Asociatia Generala a Economistilor din Romania / Editura Economica, vol. 3(3(544)), pages 63-74, March.
    8. de Mello, Luiz R, Jr, 1999. "Foreign Direct Investment-Led Growth: Evidence from Time Series and Panel Data," Oxford Economic Papers, Oxford University Press, vol. 51(1), pages 133-151, January.
    9. David Roodman, 2009. "How to do xtabond2: An introduction to difference and system GMM in Stata," Stata Journal, StataCorp LP, vol. 9(1), pages 86-136, March.
    10. Campos-Soria, Juan A. & Inchausti-Sintes, Federico & Eugenio-Martin, Juan L., 2015. "Understanding tourists' economizing strategies during the global economic crisis," Tourism Management, Elsevier, vol. 48(C), pages 164-173.
    11. Jacint Balaguer & Manuel Cantavella-Jorda, 2002. "Tourism as a long-run economic growth factor: the Spanish case," Applied Economics, Taylor & Francis Journals, vol. 34(7), pages 877-884.
    12. Jalil, Abdul & Mahmood, Tahir & Idrees, Muhammad, 2013. "Tourism–growth nexus in Pakistan: Evidence from ARDL bounds tests," Economic Modelling, Elsevier, vol. 35(C), pages 185-191.
    13. Grossman, Gene M. & Helpman, Elhanan, 1991. "Trade, knowledge spillovers, and growth," European Economic Review, Elsevier, vol. 35(2-3), pages 517-526, April.
    14. Robert J. Barro, 1998. "Determinants of Economic Growth: A Cross-Country Empirical Study," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262522543, December.
    15. Ogundari, Kolawole & Awokuse, Titus, 2018. "Human capital contribution to economic growth in Sub-Saharan Africa: Does health status matter more than education?," Economic Analysis and Policy, Elsevier, vol. 58(C), pages 131-140.
    16. Nikolaos Dritsakis, 2012. "Tourism Development and Economic Growth in Seven Mediterranean Countries: A Panel Data Approach," Tourism Economics, , vol. 18(4), pages 801-816, August.
    17. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    18. James E. Payne & Andrea Mervar, 2010. "Research Note: The Tourism–Growth Nexus in Croatia," Tourism Economics, , vol. 16(4), pages 1089-1094, December.
    19. Edgar J Sanchez Carrera & W. Adrian Risso & Juan Gabriel Brida, 2008. "Tourism's Impact on Long-Run Mexican Economic Growth," Economics Bulletin, AccessEcon, vol. 3(21), pages 1-8.
    20. Blundell, Richard & Bond, Stephen, 1998. "Initial conditions and moment restrictions in dynamic panel data models," Journal of Econometrics, Elsevier, vol. 87(1), pages 115-143, August.
    21. Shahzad, Syed Jawad Hussain & Shahbaz, Muhammad & Ferrer, Román & Kumar, Ronald Ravinesh, 2017. "Tourism-led growth hypothesis in the top ten tourist destinations: New evidence using the quantile-on-quantile approach," Tourism Management, Elsevier, vol. 60(C), pages 223-232.
    22. Tang, Chor Foon & Tan, Eu Chye, 2015. "Does tourism effectively stimulate Malaysia's economic growth?," Tourism Management, Elsevier, vol. 46(C), pages 158-163.
    23. repec:ebl:ecbull:v:3:y:2008:i:21:p:1-8 is not listed on IDEAS
    24. Chou, Ming Che, 2013. "Does tourism development promote economic growth in transition countries? A panel data analysis," Economic Modelling, Elsevier, vol. 33(C), pages 226-232.
    25. María Santana-Gallego & Francisco Ledesma-Rodríguez & Jorge Pérez-Rodríguez, 2011. "Tourism and trade in OECD countries. A dynamic heterogeneous panel data analysis," Empirical Economics, Springer, vol. 41(2), pages 533-554, October.
    26. Ioanna Konstantakopoulou & Mike G. Tsionas, 2017. "The long-run causal relationship between exports and economic growth in the euro area," Applied Economics Letters, Taylor & Francis Journals, vol. 24(8), pages 536-539, May.
    27. Tim Taylor & Ramon Arigoni Ortiz, 2009. "Impacts of Climate Change on Domestic Tourism in the UK: A Panel Data Estimation," Tourism Economics, , vol. 15(4), pages 803-812, December.
    28. Juan Luis Eugenio-Martín & Noelia Martín Morales & Riccardo Scarpa, 2004. "Tourism and Economic Growth in Latin American Countries: A Panel Data Approach," Working Papers 2004.26, Fondazione Eni Enrico Mattei.
    29. Yair Eilat & Liran Einav, 2004. "Determinants of international tourism: a three-dimensional panel data analysis," Applied Economics, Taylor & Francis Journals, vol. 36(12), pages 1315-1327.
    30. De Vita, Glauco & Kyaw, Khine S., 2016. "Tourism development and growth," Annals of Tourism Research, Elsevier, vol. 60(C), pages 23-26.
    31. Gong, Liutang & Li, Hongyi & Wang, Dihai, 2012. "Health investment, physical capital accumulation, and economic growth," China Economic Review, Elsevier, vol. 23(4), pages 1104-1119.
    32. Massidda, Carla & Etzo, Ivan, 2012. "The determinants of Italian domestic tourism: A panel data analysis," Tourism Management, Elsevier, vol. 33(3), pages 603-610.
    33. Weil, David N., 2014. "Health and Economic Growth," Handbook of Economic Growth, in: Philippe Aghion & Steven Durlauf (ed.), Handbook of Economic Growth, edition 1, volume 2, chapter 3, pages 623-682, Elsevier.
    34. Gozgor, Giray & Lau, Chi Keung Marco & Zeng, Yan & Lin, Zhibin, 2019. "The effectiveness of the legal system and inbound tourism," Annals of Tourism Research, Elsevier, vol. 76(C), pages 24-35.
    35. Tiago Neves Sequeira & Paulo Macas Nunes, 2008. "Does tourism influence economic growth? A dynamic panel data approach," Applied Economics, Taylor & Francis Journals, vol. 40(18), pages 2431-2441.
    36. Scott, Daniel & Hall, C. Michael & Gössling, Stefan, 2019. "Global tourism vulnerability to climate change," Annals of Tourism Research, Elsevier, vol. 77(C), pages 49-61.
    37. Eric Neumayer, 2004. "The Impact of Political Violence on Tourism," Journal of Conflict Resolution, Peace Science Society (International), vol. 48(2), pages 259-281, April.
    38. Shafiullah, Muhammad & Selvanathan, Saroja & Naranpanawa, Athula, 2017. "The role of export composition in export-led growth in Australia and its regions," Economic Analysis and Policy, Elsevier, vol. 53(C), pages 62-76.
    39. Tugcu, Can Tansel, 2014. "Tourism and economic growth nexus revisited: A panel causality analysis for the case of the Mediterranean Region," Tourism Management, Elsevier, vol. 42(C), pages 207-212.
    40. Jean-Jacques Nowak & Mondher Sahli & Isabel Cortés-Jiménez, 2007. "Tourism, Capital Good Imports and Economic Growth: Theory and Evidence for Spain," Tourism Economics, , vol. 13(4), pages 515-536, December.
    41. Juan Gabriel Brida & Bibiana Lanzilotta & Stefania Lionetti & Wiston Adrián Risso, 2010. "Research Note: The Tourism-Led Growth Hypothesis for Uruguay," Tourism Economics, , vol. 16(3), pages 765-771, September.
    42. Balaguer, Jacint & Cantavella-Jorda, Manuel, 2004. "Export composition and Spanish economic growth: evidence from the 20th century," Journal of Policy Modeling, Elsevier, vol. 26(2), pages 165-179, February.
    43. Arellano, Manuel & Bover, Olympia, 1995. "Another look at the instrumental variable estimation of error-components models," Journal of Econometrics, Elsevier, vol. 68(1), pages 29-51, July.
    44. Marie Poprawe, 2015. "A panel data analysis of the effect of corruption on tourism," Applied Economics, Taylor & Francis Journals, vol. 47(23), pages 2399-2412, May.
    45. Dunia Rassy & Richard D. Smith, 2013. "The economic impact of H1N1 on Mexico's tourist and pork sectors," Health Economics, John Wiley & Sons, Ltd., vol. 22(7), pages 824-834, July.
    46. Miao Wang & M. C. Sunny Wong, 2009. "Foreign Direct Investment And Economic Growth: The Growth Accounting Perspective," Economic Inquiry, Western Economic Association International, vol. 47(4), pages 701-710, October.
    47. Jordan, Evan J. & Spencer, Daniel M. & Prayag, Girish, 2019. "Tourism impacts, emotions and stress," Annals of Tourism Research, Elsevier, vol. 75(C), pages 213-226.
    48. David N. Well, 2007. "Accounting for the Effect Of Health on Economic Growth," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1265-1306.
    49. Jayoti Das & Cassandra Dirienzo, 2010. "Tourism Competitiveness and Corruption: A Cross-Country Analysis," Tourism Economics, , vol. 16(3), pages 477-492, September.
    50. Walter Enders & Todd Sandler & Gerald F. Parise, 1992. "An Econometric Analysis of the Impact of Terrorism on Tourism," Kyklos, Wiley Blackwell, vol. 45(4), pages 531-554, November.
    51. Pascaline Dupas, 2011. "Health Behavior in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 3(1), pages 425-449, September.
    52. Boris OK Lokonon & Ichaou Mounirou, 2019. "Does foreign direct investment impede forest area in Sub‐Saharan Africa?," Natural Resources Forum, Blackwell Publishing, vol. 43(4), pages 230-240, November.
    53. repec:bla:kyklos:v:45:y:1992:i:4:p:531-54 is not listed on IDEAS
    54. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    55. Robaina, M. & Madaleno, M. & Silva, S. & Eusébio, C. & Carneiro, M.J. & Gama, C. & Oliveira, K. & Russo, M.A. & Monteiro, A., 2020. "The relationship between tourism and air quality in five European countries," Economic Analysis and Policy, Elsevier, vol. 67(C), pages 261-272.
    56. Christine Lim, 1997. "An Econometric Classification and Review of International Tourism Demand Models," Tourism Economics, , vol. 3(1), pages 69-81, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chandan Sharma, 2024. "Good and bad effects of corruption and political uncertainty on tourism-growth linkage: World-wide evidence," Tourism Economics, , vol. 30(6), pages 1423-1447, September.
    2. Bloom, David E. & Canning, David & Kotschy, Rainer & Prettner, Klaus & Schünemann, Johannes, 2024. "Health and economic growth: Reconciling the micro and macro evidence," World Development, Elsevier, vol. 178(C).
    3. Jochen Hartwig, 2008. "Has Health Capital Formation Cured 'Baumol's Disease'? - Panel Granger Causality Evidence for OECD Countries," KOF Working papers 08-206, KOF Swiss Economic Institute, ETH Zurich.
    4. Hartwig, Jochen, 2012. "Testing the growth effects of structural change," Structural Change and Economic Dynamics, Elsevier, vol. 23(1), pages 11-24.
    5. Colin Cannonier & Monica Galloway Burke, 2019. "The economic growth impact of tourism in Small Island Developing States—evidence from the Caribbean," Tourism Economics, , vol. 25(1), pages 85-108, February.
    6. Imen Mohamed Sghaier, 2022. "Foreign Capital Inflows and Economic Growth in North African Countries: the Role of Human Capital," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 13(4), pages 2804-2821, December.
    7. Hartwig, Jochen, 2010. "Is health capital formation good for long-term economic growth? - Panel Granger-causality evidence for OECD countries," Journal of Macroeconomics, Elsevier, vol. 32(1), pages 314-325, March.
    8. Blanka Škrabić Perić & Blanka Šimundić & Vinko Muštra & Marijana Vugdelija, 2021. "The Role of UNESCO Cultural Heritage and Cultural Sector in Tourism Development: The Case of EU Countries," Sustainability, MDPI, vol. 13(10), pages 1-14, May.
    9. Zdravko Sergo, 2019. "Inter-Generational Employment Spillovers From Tourism Across The Eu," Economic Thought and Practice, Department of Economics and Business, University of Dubrovnik, vol. 28(1), pages 97-125, june.
    10. Sultana, Tanzila & Dey, Sima Rani & Tareque, Mohammad, 2022. "Exploring the linkage between human capital and economic growth: A look at 141 developing and developed countries," Economic Systems, Elsevier, vol. 46(3).
    11. Gazi Hassan & Arusha Cooray & Mark Holmes, 2017. "The effect of female and male health on economic growth: cross-country evidence within a production function framework," Empirical Economics, Springer, vol. 52(2), pages 659-689, March.
    12. Kehinde Oluseyi Olagunju & Adebayo Isaiah Ogunniyi & Kunle Francis Oguntegbe & Ibrahim Oluwole Raji & Kolawole Ogundari, 2019. "Welfare Impact of Globalization in Developing Countries: Examining the Mediating Role of Human Capital," Economies, MDPI, vol. 7(3), pages 1-24, August.
    13. Jun Zhang & Li Cheng, 2019. "Threshold Effect of Tourism Development on Economic Growth Following a Disaster Shock: Evidence from the Wenchuan Earthquake, P.R. China," Sustainability, MDPI, vol. 11(2), pages 1-22, January.
    14. Imen Mohamed Sghaier, 2021. "Foreign Financial Flows, Human Capital and Economic Growth in North African Countries," Economic Alternatives, University of National and World Economy, Sofia, Bulgaria, issue 3, pages 355-371, September.
    15. Osinubi, Tolulope Temilola & Osinubi , Olufemi Bankole, 2020. "Inclusive Growth in Tourism-led Growth Hypothesis: Evidence from Nigeria," African Journal of Economic Review, African Journal of Economic Review, vol. 8(2), July.
    16. Nadide Halıcı-Tülüce & İbrahim Doğan & Cüneyt Dumrul, 2016. "Is income relevant for health expenditure and economic growth nexus?," International Journal of Health Economics and Management, Springer, vol. 16(1), pages 23-49, March.
    17. Taiwo, Kayode, 2018. "A contribution to the health-growth empirics on Africa," MPRA Paper 111023, University Library of Munich, Germany, revised 31 Aug 2020.
    18. Rajesh Sharma, 2018. "Health and economic growth: Evidence from dynamic panel data of 143 years," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-20, October.
    19. Hasan Murat Ertugrul & Fatih Mangir, 2015. "The tourism-led growth hypothesis: empirical evidence from Turkey," Current Issues in Tourism, Taylor & Francis Journals, vol. 18(7), pages 633-646, July.
    20. Sami Chaabouni & Mounir Ben Mbarek, 2024. "What Will Be the Impact of the COVID-19 Pandemic on the Human Capital and Economic Growth? Evidence from Eurozone," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 15(1), pages 2482-2498, March.

    More about this item

    Keywords

    International tourism receipts; Health quality; System GMM; Developing; developed countries;
    All these keywords.

    JEL classification:

    • C01 - Mathematical and Quantitative Methods - - General - - - Econometrics
    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • L83 - Industrial Organization - - Industry Studies: Services - - - Sports; Gambling; Restaurants; Recreation; Tourism
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ecanpo:v:73:y:2022:i:c:p:425-440. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.journals.elsevier.com/economic-analysis-and-policy .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.