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Impact of Environment, Life Expectancy and Real GDP per Capita on Health Expenditures: Evidence from the EU Member States

Author

Listed:
  • Yilmaz Bayar

    (Department of Public Finance, Faculty of Economics and Administrative Sciences, Bandirma Onyedi Eylul University, Bandırma 10200, Turkey)

  • Marius Dan Gavriletea

    (Department of Business, Business Faculty, Babes-Bolyai University, 400084 Cluj-Napoca, Romania)

  • Mirela Oana Pintea

    (Finance Department, Faculty of Economics and Business Administration, Babes-Bolyai University, 400084 Cluj-Napoca, Romania)

  • Ioana Cristina Sechel

    (Faculty of Automotive, Mechatronics and Mechanical Engineering—Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania)

Abstract

This research explores the impact of environment, life expectancy, and real GDP per capita on health expenditures in a sample of 27 EU member states over the 2000–2018 period through causality and cointegration analyses. The causality analysis revealed a significant unilateral causality from variables of greenhouse gas emissions, life expectancy, and real GDP per capita to health expenditures. In other words, greenhouse gas emissions, life expectancy, and real GDP per capita had a significant impact on health expenditures in the short run. The cointegration analysis indicated that life expectancy and real GDP per capita had a significant positive impact on health expenditures at the overall panel. On the other side, the country level cointegration coefficients revealed that life expectancy had a considerable positive impact on health expenditures, real GDP per capita had a moderate positive impact on the health expenditures in most of the countries in the panel, but the environment proxied by greenhouse gas emissions had a low positive or negative impact on the health expenditures in a limited number of countries.

Suggested Citation

  • Yilmaz Bayar & Marius Dan Gavriletea & Mirela Oana Pintea & Ioana Cristina Sechel, 2021. "Impact of Environment, Life Expectancy and Real GDP per Capita on Health Expenditures: Evidence from the EU Member States," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13176-:d:702088
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    1. Subhrendu K. Pattanayak & Alexander Pfaff, 2009. "Behavior, Environment, and Health in Developing Countries: Evaluation and Valuation," Annual Review of Resource Economics, Annual Reviews, vol. 1(1), pages 183-217, September.
    2. Irfan Ullah & Sher Ali & Muhammad Haroon Shah & Farrah Yasim & Alam Rehman & Basheer M. Al-Ghazali, 2019. "Linkages between Trade, CO 2 Emissions and Healthcare Spending in China," IJERPH, MDPI, vol. 16(21), pages 1-15, November.
    3. Westerlund, Joakim & Edgerton, David L., 2007. "A panel bootstrap cointegration test," Economics Letters, Elsevier, vol. 97(3), pages 185-190, December.
    4. M. Hashem Pesaran, 2007. "A simple panel unit root test in the presence of cross-section dependence," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 22(2), pages 265-312.
    5. Dumitrescu, Elena-Ivona & Hurlin, Christophe, 2012. "Testing for Granger non-causality in heterogeneous panels," Economic Modelling, Elsevier, vol. 29(4), pages 1450-1460.
    6. T. S. Breusch & A. R. Pagan, 1980. "The Lagrange Multiplier Test and its Applications to Model Specification in Econometrics," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 47(1), pages 239-253.
    7. M. Hashem Pesaran & Aman Ullah & Takashi Yamagata, 2008. "A bias-adjusted LM test of error cross-section independence," Econometrics Journal, Royal Economic Society, vol. 11(1), pages 105-127, March.
    8. M. Hashem Pesaran, 2021. "General diagnostic tests for cross-sectional dependence in panels," Empirical Economics, Springer, vol. 60(1), pages 13-50, January.
    9. Hashem Pesaran, M. & Yamagata, Takashi, 2008. "Testing slope homogeneity in large panels," Journal of Econometrics, Elsevier, vol. 142(1), pages 50-93, January.
    10. Murthy, Vasudeva N.R. & Okunade, Albert A., 2016. "Determinants of U.S. health expenditure: Evidence from autoregressive distributed lag (ARDL) approach to cointegration," Economic Modelling, Elsevier, vol. 59(C), pages 67-73.
    11. Joseph P. Newhouse, 1977. "Medical-Care Expenditure: A Cross-National Survey," Journal of Human Resources, University of Wisconsin Press, vol. 12(1), pages 115-125.
    12. Getzen, Thomas E., 2000. "Health care is an individual necessity and a national luxury: applying multilevel decision models to the analysis of health care expenditures," Journal of Health Economics, Elsevier, vol. 19(2), pages 259-270, March.
    13. Serge Mandiefe Piabuo & Julius Chupezi Tieguhong, 2017. "Health expenditure and economic growth - a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries," Health Economics Review, Springer, vol. 7(1), pages 1-13, December.
    14. Olorunfemi Yasiru Alimi & Kazeem Bello Ajide & Wakeel Atanda Isola, 2020. "Environmental quality and health expenditure in ECOWAS," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 22(6), pages 5105-5127, August.
    15. Halil Kiymaz & Yasemin Akbulut & Ahmet Demir, 2006. "Tests of stationarity and cointegration of health care expenditure and gross domestic product," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(4), pages 285-289, December.
    16. Erdogan, Seyfettin & Kirca, Mustafa & Gedikli, Ayfer, 2020. "Is There a Relationship between CO2 Emissions and Health Expenditures? Evidence from BRICS-T Countries," Business and Economics Research Journal, Uludag University, Faculty of Economics and Administrative Sciences, vol. 11(2), pages 293-305, April.
    17. Nancy Devlin & Paul Hansen, 2001. "Health care spending and economic output: Granger causality," Applied Economics Letters, Taylor & Francis Journals, vol. 8(8), pages 561-564.
    18. Fırat Bilgel & Kien C. Tran, 2013. "The determinants of Canadian provincial health expenditures: evidence from a dynamic panel," Applied Economics, Taylor & Francis Journals, vol. 45(2), pages 201-212, January.
    19. Sami Chaabouni & Chokri Abednnadher, 2014. "The Determinants of Health Expenditures in Tunisia: An ARDL Bounds Testing Approach," International Journal of Information Systems in the Service Sector (IJISSS), IGI Global, vol. 6(4), pages 60-72, October.
    20. B Balaji, 2011. "Causal Nexus Between Public Health Expenditure and Economic Growth in Four Southern Indian States," The IUP Journal of Public Finance, IUP Publications, vol. 0(3), pages 7-22, August.
    21. Narayan, Paresh Kumar & Narayan, Seema, 2008. "Does environmental quality influence health expenditures? Empirical evidence from a panel of selected OECD countries," Ecological Economics, Elsevier, vol. 65(2), pages 367-374, April.
    22. David Cantarero & Santiago Lago-Penas, 2010. "The determinants of health care expenditure: a reexamination," Applied Economics Letters, Taylor & Francis Journals, vol. 17(7), pages 723-726.
    23. Muhammad Awais Anwar & Ghulam Rasool Madni & Iftikhar Yasin, 2021. "Environmental quality, forestation, and health expenditure: a cross-country evidence," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 23(11), pages 16454-16480, November.
    24. Amiri, Arshia & Ventelou, Bruno, 2012. "Granger causality between total expenditure on health and GDP in OECD: Evidence from the Toda–Yamamoto approach," Economics Letters, Elsevier, vol. 116(3), pages 541-544.
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    2. Yushi Lu & Zhi Li & Yuting Fan & Jin Wang & Tian Zhong & Ling Wang & Ying Xiao & Dongmei Zhang & Qingsong Chen & Xi Yu, 2022. "The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    3. Melina Dritsaki & Chaido Dritsaki, 2024. "The Relationship Between Health Expenditure, CO2 Emissions, and Economic Growth in G7: Evidence from Heterogeneous Panel Data," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 15(1), pages 4886-4911, March.
    4. Caroline Orset, 2024. "Air, land, and water pollutants and public health expenditures: Empirical data from selected EU countries in the transport sector [Polluants atmosphériques, terrestres et aquatiques et dépenses de ," Post-Print hal-04521160, HAL.

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