Ageing population and health care expenditure: Evidence using time series analysis

Roziana Baharin, Suhaila Saad

Abstract


This study is conducted to examine the relationship between population agieng and its effects on total health expenditure since there has been less attention given in analysing this issue particularly in developing countries. Thus, the study covers a period from 1995 to 2014 and was analysed in 3 countries in Southeast Asia; Malaysia, Indonesia, and Thailand. This study applies Autoregressive Distributed Lag (ARDL) method with Bound test approach to examine the existance of cointegration in the model. Apart from that Vector Error Correction Model (VECM) was also estimated to investigate the short run nexus. For validation and appropriate model specification purpose, different econometric diagnostic tests were applied. The motivation of this study is to shed some light on the growing concern of raising ageing population across the world and the burden carried with it, namely health expenditure. The result of this study supports previous studies where increasing numbers of ageing population has significantly affect health expenditure in Malaysia and Indonesia while in the case of Thailand its remains insignificant. The ageing does not affect health expenditure in Thailand probably due the fact that major healthcare provider in Thailand is private sector which implies that health expenditure are mostly determined by the affordability of population to pay for health services. Thus, in order to ensure that raising of ageing population would not increase the burden via health expenditure, the government should embark on the education campaign to encourage a healthy life style among adulthood since they were young.

Keywords: ageing population, ARDL, expenditure, growth, health, public spending


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References


Ang, J.B. (2010). The determinants of health care expenditure in Australia. Applied Economics Letters, 17(7), 639-644.

Catalan, M., Guajardo, J., & Hoffmaister, A.W. (2010). Dealing with global ageing and declining world interest rates: Fiscal costs and pension reform in small open economies. Pensions: An International Journal, 15(3), 191-213.

Coulmas, F. (2007). Population decline and ageing in Japan: The social consequences. London, Routledge.

Dang, T.T., Antolin, P., & Oxley, H. (2001). Fiscal implication of ageing: Projection of age-related spending (Working Paper No. 305). Retrieved from OECD Economics Department.

Eiras, M., & Niepelt, D. (2012). Ageing, government budgets, retirement and growth. European Economic Review, 56, 97-115.

Eliska, O. (2015). Impact of population ageing and elderly poverty on macroeconomic aggregates. Procedia Economics and Finance, 30, 598-605.

Fredrik, A.G. (2013). The impact of ageing on health care expenditures: A study of steepening. European Journal Health Economics, 15, 979-989.

Getzen, T.E. (1992). Population ageing and the growth of health expenditure. Journal of Gerontology, 47(3), 98-104.

Hamid, T.A. (2015a). Population ageing in Malaysia: A mosaic of issues, challenges and prospects. Serdang, UPM Press.

Hamid, T.A. (2015b). Population ageing in Malaysia: A Mosaic of issues, challenges and prospects. Inaugural Series. Serdang, UPM Press.

Ibrahim, R.I. (2012). Impact of increasing retirement age on longevity factor: An empirical study for government pensioners in Malaysia. Jurnal Ekonomi Malaysia, 46(2), 29-35.

Ikeda N., Saito, E., & Kondo, E. (2011). What has made the population of Japan healthy? The Lancet, 378(9796), 1094-1105.

Knickman, J.R., & Snell, W.E. (2002). The 2030 problem: Caring for aging baby boomers. Health Services Research, 37(4), 849-884.

Kinsella, K., & He, W. (2009). An Aging World 2008. Washington D.C., U.S. Census Bureau International Population Reports.

Lakshmi, T.S., Panda, P.K., & Rout, H.S. (2012). An analysis of pattern and determinants of public expenditure on health in Andhra Pradesh, India. IUP Journal of Public Finance, 22-35.

Lisenkova, K., Merette, M., & Wright, R. (2012). The impact of population ageing on the labour market: Evidence from overlapping generations computable general equilibrium (olg-cge) model of Scotland (Discussion paper). Retrieved from Economic, Strathclde.

Lopreite, M., & Mauro, M. (2017). The effects of population ageing on health care expenditure: A Bayesian VAR analysis using data from Italy. Health Policy, Elsevier, 121(6), 663-674.

Mahal, A., & McPake, B. (2017). Health system for aging societies in Asia and the pacific. Health System & Reform, 3(3), 149-153.

Meijer, C.D., Wouterse, B., Polder, J., & Koopmanschap, M. (2013). The effect of population aging on health expenditure growth: A critical review. European Journal of Ageing, 10(4), 353-361.

Moore, W.J., Newman, W.J., & Fheili, M. (1992). Measuring the relationship between income and NHEs. Healthcare Financial Review, 14(1), 133-139.

Nordin, N.H., Ismail, N.W., & Nordin, N.N. (2016). Ageing population and healthcare expenditure: Study based on ardl model on developing countries. Journal of Global and Social Entrepreneurship, 4(5), 70-80.

Ogawa, N., Chawla, A., Matsukura, R., & Tung, A.C. (2009). Health expenditure and ageing in selested asian countries. Expert Group Meeting on Population Ageing, Intergenerational Transfer and Social Protection. Santiago, Chile.

Pesaran, M.H., Shin, Y., & Smith, R.J. (2001). Bound testing approach to the analysis of level relationships. Journal of Applied Econometrics, 16(3), 289-326.

Seshamani, M. & Gray, A. (2004). Aging and health care expenditure: The Red Herring argument revisited. Health Economic, 23(2), 217-235.

Townsend, M. (2016). The impact of an ageing population on end of life care costs (Discussion Paper 2912). Retrieved from Personal Social Services Research Unit, London School of Economics.

World Bank. (2014). World Bank Report 2014. Retrieved from: http://worldbank.org.

Yang, Z., Norton, E.C., & Stearns, S.C. (2003). Longevity and health care expenditure: The real reasons older people spend more. Journal of Gerontology and Social Sciences, 58(1), 2-10.

Yew, W.C., & Noor Azlan, M.N. (2014). Sociocultural determinants of health and illness: A theoretical inquiry. Geografia Malaysian Journal of Society and Space, 10(1), 49-59.

Yu, Y., Zhang, L., Li, F., & Zheng, X. (2013). Determinant of public health expenditure in Chinese cities: A spatial econometrics perspective. Social Science Journal, 48, 458-467.


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