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Unveiling Convergence in Healthcare Expenditures in OECD Countries: Evidence From Club Convergence Analysis

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  • Şekip Yazgan
  • Fatih Hakan Dikmen
  • Reşat Ceylan
  • Dilek Başar

Abstract

The purpose of this study is to investigate the convergence dynamics of per capita healthcare expenditures in OECD countries. The study employs the Club Convergence Hypothesis framework, following the approach proposed by Phillips and Sul. There is no overall convergence in per capita health expenditure among OECD countries during the period studied. However, 38 OECD countries were categorized into three final convergence clubs based on per capita health expenditure: Club A includes 23 countries, Club B consists of 9 countries, and Club C comprises 6 countries. A comprehensive analysis of the commonalities and divergences in the healthcare systems of countries within these clubs yields valuable policy recommendations.

Suggested Citation

  • Şekip Yazgan & Fatih Hakan Dikmen & Reşat Ceylan & Dilek Başar, 2026. "Unveiling Convergence in Healthcare Expenditures in OECD Countries: Evidence From Club Convergence Analysis," Bulletin of Economic Research, Wiley Blackwell, vol. 78(2), pages 268-277, April.
    • Handle: RePEc:bla:buecrs:v:78:y:2026:i:2:p:268-277
    DOI: 10.1111/boer.70021
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    References listed on IDEAS

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    1. Galor, Oded, 1996. "Convergence? Inferences from Theoretical Models," Economic Journal, Royal Economic Society, vol. 106(437), pages 1056-1069, July.
    2. Young, Andrew T. & Higgins, Matthew J. & Levy, Daniel, 2008. "Sigma Convergence versus Beta Convergence: Evidence from U.S. County-Level Data," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 40(5), pages 1083-1093.
    3. Narayan, Paresh Kumar, 2006. "Examining structural breaks and growth rates in international health expenditures," Journal of Health Economics, Elsevier, vol. 25(5), pages 877-890, September.
    4. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    5. Mateusz Tomal, 2024. "A review of Phillips‐Sul approach‐based club convergence tests," Journal of Economic Surveys, Wiley Blackwell, vol. 38(3), pages 899-930, July.
    6. Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
    7. Peter C. B. Phillips & Donggyu Sul, 2009. "Economic transition and growth," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 24(7), pages 1153-1185.
    8. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health care expenditure and income in the OECD reconsidered: Evidence from panel data," Economic Modelling, Elsevier, vol. 27(4), pages 804-811, July.
    9. Fallahi, Firouz, 2011. "Convergence of Total Health Expenditure as a Share of GDP: Evidence from Selected OECD Countries," MPRA Paper 51324, University Library of Munich, Germany.
    10. Nicholas Apergis & Puja Padhi, 2013. "Health expenses and economic growth: convergence dynamics across the Indian States," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 261-277, December.
    11. Didem Pekkurnaz, 2015. "Convergence of Health Expenditure in OECD Countries: Evidence from a Nonlinear Asymmetric Heterogeneous Panel Unit Root Test," Journal of Reviews on Global Economics, Lifescience Global, vol. 4, pages 76-86.
    12. Robert M. Solow, 1956. "A Contribution to the Theory of Economic Growth," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 70(1), pages 65-94.
    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. Son Hong Nghiem & Luke Brian Connelly, 2017. "Convergence and determinants of health expenditures in OECD countries," Health Economics Review, Springer, vol. 7(1), pages 1-11, December.
    15. Quah, Danny T, 1996. "Convergence Empirics across Economies with (Some) Capital Mobility," Journal of Economic Growth, Springer, vol. 1(1), pages 95-124, March.
    16. Reşat CEYLAN, 2010. "Yakınsama Hipotezi: Teorik Tartışmalar," Sosyoekonomi Journal, Sosyoekonomi Society, issue 2010-1.
    17. Apergis, Nicholas & Payne, James E., 2017. "Per capita carbon dioxide emissions across U.S. states by sector and fossil fuel source: Evidence from club convergence tests," Energy Economics, Elsevier, vol. 63(C), pages 365-372.
    18. Bangjun, Wang & Linyu, Cui & Feng, Ji & Yue, Wang, 2023. "Research on club convergence effect and its influencing factors of per capita energy consumption: Evidence from the data of 243 prefecture-level cities in China," Energy, Elsevier, vol. 263(PB).
    19. Bart Hobijn & Philip Hans Franses, 2000. "Asymptotically perfect and relative convergence of productivity," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 15(1), pages 59-81.
    20. Yinnan He & Ruxiang Qin & Bangjun Wang, 2023. "On the Club Convergence in China’s Provincial Coal Consumptions: Evidence from a Nonlinear Time-Varying Factor Model," Sustainability, MDPI, vol. 15(3), pages 1-18, January.
    21. Herrerias, M.J., 2013. "The environmental convergence hypothesis: Carbon dioxide emissions according to the source of energy," Energy Policy, Elsevier, vol. 61(C), pages 1140-1150.
    22. Ekaterini Panopoulou & Theologos Pantelidis, 2012. "Convergence in per capita health expenditures and health outcomes in the OECD countries," Applied Economics, Taylor & Francis Journals, vol. 44(30), pages 3909-3920, October.
    23. Lee, Junsoo & Tieslau, Margie & Strazicich, Mark C. & Jewell, Todd, 2008. "Corrigendum to "Stationarity of health expenditures and GDP: Evidence from panel unit root tests with heterogeneous structural breaks" [J. Health Econ. 22 (2003) 313-323]," Journal of Health Economics, Elsevier, vol. 27(4), pages 1141-1142, July.
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