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Convergence Analysis of Health Care Expenditure in the EU Countries Using Two Approaches

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John Nixon
Abstract

Convergence analysis in economics has largely been confined to macro-indicators such as GDP income and applied within identifiable regions of the world or between developing and developed countries. This paper reports on the application of adapted methods within this discipline to the area of health care expenditure in the countries of the European Union in order to determine if differences in health care spending are diminishing over time. In answering this question we utilise two distinct approaches. The first tests for the presence of s-convergence using cross-sectional data over the period 1960-95 which provides an overall measure of change in dispersion for two chosen variables; total health expenditure as a share of GDP and per capita health expenditure. The second method utilises a panel of data for 1980-95 and tests for the presence of b-convergence in the same variables but also includes per capita income in the derivation of a regression model. Both methods confirm the presence of statistically significant convergence over the periods examined. Our results also identify sub-groupings based on health system typology and graphical representations illustrate which countries are contributing to the observed convergence. Our findings are important as they confirm that greater integration in health expenditure is occurring in the EU.

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Paper provided by Department of Economics, University of York in its series Discussion Papers with number 99/3.

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  1. Pammolli, Fabio & Riccaboni, Massimo & Magazzini, Laura, 2008. "The Sustainability of European Health Care Systems: Beyond Income and Ageing," MPRA Paper 16026, University Library of Munich, Germany. [Downloadable!]
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  2. Tiia Püss & Mare Viies & Reet Maldre, 2007. "Convergence Analysis of the Structure of Tax Revenue and Tax Burden in EU," Working Papers 166, School of Economics and Business Administration, Tallinn University of Technology. [Downloadable!]
  3. Tiia Püss & Mare Viies, 2004. "Changes in Socio-Demographic Situation and Social Convergence," Working Papers 114, School of Economics and Business Administration, Tallinn University of Technology. [Downloadable!]
  4. Zijun Wang, 2009. "The convergence of health care expenditure in the US states," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 55-70. [Downloadable!]
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