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Spatial Analysis of the Relationship between Health Capital and the Level of Health Care Expenditure in Poland

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  • Maria Klonowska-Matynia
  • Radosław Sobko

Abstract

Purpose: Considering the importance of social health in the national economy the aim of the article is to diagnose the level of health capital and health expenditure as well as to analyse the impact of expenditure on the level of health capital and to assess the spatial differentiation of their spatial distribution. Approach/Methodology/Design: The analysis was carried out in spatial terms at the NUTS 3 level for the years 2013-2019; the main source of data was the Local Data Bank of Statistics Poland. Taxonomic hierarchization methods (model-free) and classification of multi-feature objects were used. As a result, each object has been assigned a synthetic measure-indicator of the level of health capital (HCV) and an indicator of the level of expenses on health (HCM). Findings: There is a statistically significant negative nature of the relationship between the analysed categories. The spatial systems of the analysed measures differed from each other. One of the features most strongly influencing the level of health capital turned out to be the location and distance of a given unit (county) in relation to a larger urban centre, which is the centre of local growth. Practical Implications: The used approach at the local level provides institutions, local government authorities and all other interested units with important information that can be used in planning specific instruments supporting individuals with a deficit level of health capital. Originality/Value: In this paper has been suggested that it is necessary to increase expenditure on health in units with a relatively low level of health capital to deal with inequalities in this area and support local development. Otherwise, local governments that are currently in the worst situation in the future may never even come close to the level of the phenomenon in the most developed areas, which at the same time will constantly distance the others.

Suggested Citation

  • Maria Klonowska-Matynia & Radosław Sobko, 2021. "Spatial Analysis of the Relationship between Health Capital and the Level of Health Care Expenditure in Poland," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 1), pages 133-151.
    • Handle: RePEc:ers:journl:v:xxiv:y:2021:i:special1-part1:p:133-151
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    as
    1. Romer, Paul M, 1986. "Increasing Returns and Long-run Growth," Journal of Political Economy, University of Chicago Press, vol. 94(5), pages 1002-1037, October.
    2. Chevalier, Arnaud & Feinstein, Leon, 2006. "Sheepskin or Prozac: The Causal Effect of Education on Mental Health," IZA Discussion Papers 2231, Institute of Labor Economics (IZA).
    3. Savin, N Eugene & White, Kenneth J, 1977. "The Durbin-Watson Test for Serial Correlation with Extreme Sample Sizes or Many Regressors," Econometrica, Econometric Society, vol. 45(8), pages 1989-1996, November.
    4. Di Liberto, Adriana, 2008. "Education and Italian regional development," Economics of Education Review, Elsevier, vol. 27(1), pages 94-107, February.
    5. Giorgio Brunello & Margherita Fort & Nicole Schneeweis & Rudolf Winter‐Ebmer, 2016. "The Causal Effect of Education on Health: What is the Role of Health Behaviors?," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 314-336, March.
    6. Philip Oreopoulos, 2006. "Estimating Average and Local Average Treatment Effects of Education when Compulsory Schooling Laws Really Matter," American Economic Review, American Economic Association, vol. 96(1), pages 152-175, March.
    7. Hemingway, H. & Nicholson, A. & Stafford, M. & Roberts, R. & Marmot, M., 1997. "The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire: The Whitehall II study," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1484-1490.
    8. Halla, Martin & Zweimüller, Martina, 2013. "The effect of health on earnings: Quasi-experimental evidence from commuting accidents," Labour Economics, Elsevier, vol. 24(C), pages 23-38.
    9. Gary S. Becker, 1962. "Investment in Human Capital: A Theoretical Analysis," NBER Chapters, in: Investment in Human Beings, pages 9-49, National Bureau of Economic Research, Inc.
    10. Robert J. Barro, 1991. "Economic Growth in a Cross Section of Countries," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 106(2), pages 407-443.
    11. Michael Grossman, 2015. "The Relationship between Health and Schooling: What’s New?," NBER Working Papers 21609, National Bureau of Economic Research, Inc.
    12. Winkleby, M.A. & Jatulis, D.E. & Frank, E. & Fortmann, S.P., 1992. "Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease," American Journal of Public Health, American Public Health Association, vol. 82(6), pages 816-820.
    13. Charles I. Jones, 1999. "Growth: With or Without Scale Effects?," American Economic Review, American Economic Association, vol. 89(2), pages 139-144, May.
    14. Anne Case & Angus Deaton, 2005. "Health and Wealth among the Poor: India and South Africa Compared," American Economic Review, American Economic Association, vol. 95(2), pages 229-233, May.
    15. Eric A. Hanushek & Jens Ruhose & Ludger Woessmann, 2015. "Human Capital Quality and Aggregate Income Differences: Development Accounting for U.S. States," Economics Working Papers 15112, Hoover Institution, Stanford University.
    16. Jacob A. Mincer, 1974. "Introduction to "Schooling, Experience, and Earnings"," NBER Chapters, in: Schooling, Experience, and Earnings, pages 1-4, National Bureau of Economic Research, Inc.
    17. Hans van Kippersluis, & Owen O’Donnell & Eddy van Doorslaer, 2011. "Long-Run Returns to Education: Does Schooling Lead to an Extended Old Age?," Journal of Human Resources, University of Wisconsin Press, vol. 46(4), pages 695-721.
    18. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    19. Michaud, Pierre-Carl & van Soest, Arthur, 2008. "Health and wealth of elderly couples: Causality tests using dynamic panel data models," Journal of Health Economics, Elsevier, vol. 27(5), pages 1312-1325, September.
    20. repec:pri:cheawb:case_deaton_healthwealth is not listed on IDEAS
    21. Persson, J & Maimberg, B, 1996. "Human Capital, Demographics and Growth Across the US States 1920-1990," Papers 619, Stockholm - International Economic Studies.
    22. N. Gregory Mankiw & David Romer & David N. Weil, 1992. "A Contribution to the Empirics of Economic Growth," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 107(2), pages 407-437.
    23. Garett Jones & W. Schneider, 2006. "Intelligence, Human Capital, and Economic Growth: A Bayesian Averaging of Classical Estimates (BACE) Approach," Journal of Economic Growth, Springer, vol. 11(1), pages 71-93, March.
    24. Yoram Ben-Porath, 1967. "The Production of Human Capital and the Life Cycle of Earnings," Journal of Political Economy, University of Chicago Press, vol. 75(4), pages 352-352.
    25. Kuntsche, E. & Rehm, J. & Gmel, G., 2004. "Characteristics of binge drinkers in Europe," Social Science & Medicine, Elsevier, vol. 59(1), pages 113-127, July.
    26. Jacob Mincer, 1958. "Investment in Human Capital and Personal Income Distribution," Journal of Political Economy, University of Chicago Press, vol. 66(4), pages 281-281.
    27. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    28. repec:pri:rpdevs:case_deaton_healthwealth is not listed on IDEAS
    29. Arusha Cooray, 2013. "Does health capital have differential effects on economic growth?," Applied Economics Letters, Taylor & Francis Journals, vol. 20(3), pages 244-249, February.
    30. James J. Heckman & Jora Stixrud & Sergio Urzua, 2006. "The Effects of Cognitive and Noncognitive Abilities on Labor Market Outcomes and Social Behavior," Journal of Labor Economics, University of Chicago Press, vol. 24(3), pages 411-482, July.
    31. Larry E. Jones & Rodolfo Manuelli, 1990. "A Convex Model of Equilibrium Growth," NBER Working Papers 3241, National Bureau of Economic Research, Inc.
    32. repec:pri:rpdevs:case_deaton_healthwealth.pdf is not listed on IDEAS
    33. Jacob A. Mincer, 1974. "Schooling, Experience, and Earnings," NBER Books, National Bureau of Economic Research, Inc, number minc74-1, May.
    34. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters, in: Perspectives on the Economics of Aging, pages 415-526, National Bureau of Economic Research, Inc.
    35. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    36. repec:pri:cheawb:case_deaton_healthwealth.pdf is not listed on IDEAS
    37. Jones, Larry E & Manuelli, Rodolfo E, 1990. "A Convex Model of Equilibrium Growth: Theory and Policy Implications," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 1008-1038, October.
    38. Pilar García-Gómez & Hans van Kippersluis & Owen O’Donnell & Eddy van Doorslaer, 2013. "Long-Term and Spillover Effects of Health Shocks on Employment and Income," Journal of Human Resources, University of Wisconsin Press, vol. 48(4), pages 873-909.
    39. Selma J. Mushkin, 1962. "Health as an Investment," NBER Chapters, in: Investment in Human Beings, pages 129-157, National Bureau of Economic Research, Inc.
    40. Selma J. Mushkin, 1962. "Health as an Investment," Journal of Political Economy, University of Chicago Press, vol. 70(5), pages 129-129.
    41. Jacob Mincer, 1962. "On-the-Job Training: Costs, Returns, and Some Implications," NBER Chapters, in: Investment in Human Beings, pages 50-79, National Bureau of Economic Research, Inc.
    42. Lucas, Robert Jr., 1988. "On the mechanics of economic development," Journal of Monetary Economics, Elsevier, vol. 22(1), pages 3-42, July.
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    More about this item

    Keywords

    Human capital; public health; relationship; spatial disparities.;
    All these keywords.

    JEL classification:

    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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