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The influence of government health investment on economic resilience: A perspective from health human capital

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  • Guo, Tongji
  • Tong, Yun
  • Yu, Yuanze

Abstract

Government health investment is an important factor in promoting high-quality economic development in China. As government investment in the health sector increases, its impact on economic resilience has garnered widespread attention. However, the mechanisms through which government health investment affects economic resilience remain unclear. This study aims to explore the intrinsic relationship between government health investment and economic resilience, providing a reference for achieving high-quality economic development within the new 'dual circulation' development pattern. Utilizing panel data from China's 31 provinces between 2003 and 2021, this research constructs a government health investment index using the entropy method. It measures the level of economic resilience with an improved entropy-weight TOPSIS approach. Empirical results indicate that an increase in government health investment significantly enhances economic resilience, a conclusion that holds after a series of robustness tests. Furthermore, despite the overall improvement in government health investment levels, significant regional disparities still persist. Mechanism analysis reveals that government health investment primarily exerts a positive impact on economic resilience by enhancing health human capital and promoting the optimization of industrial structure. Heterogeneity analysis suggests that the role of government health investment in enhancing economic resilience is more pronounced in the eastern regions, areas rich in human capital, and regions with lower fiscal pressure.

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  • Guo, Tongji & Tong, Yun & Yu, Yuanze, 2025. "The influence of government health investment on economic resilience: A perspective from health human capital," International Review of Economics & Finance, Elsevier, vol. 99(C).
    • Handle: RePEc:eee:reveco:v:99:y:2025:i:c:s1059056025002138
    DOI: 10.1016/j.iref.2025.104050
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    1. Alok Bhargava & Dean T. Jamison & Lawrence J. Lau & Christopher J. L. Murray, 2006. "Modeling the effects of health on economic growth," World Scientific Book Chapters, in: Econometrics, Statistics And Computational Approaches In Food And Health Sciences, chapter 20, pages 269-286, World Scientific Publishing Co. Pte. Ltd..
    2. Yolanda Ubago Martínez & Ignacio García‐Lautre & Belén Iraizoz & Pedro Pascual, 2019. "Why are some Spanish regions more resilient than others?," Papers in Regional Science, Wiley Blackwell, vol. 98(6), pages 2211-2231, December.
    3. Qingxiu Peng & Lifang Xuan & Wen-Long Shang, 2023. "Evaluation of County Economic Resilience in Henan Province Based on the Entropy Weight-Normal Cloud Model," Complexity, Hindawi, vol. 2023, pages 1-13, April.
    4. Lu Zhang & Guodong Lin & Xiao Lyu & Wenjie Su, 2024. "Suppression or promotion: research on the impact of industrial structure upgrading on urban economic resilience," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-14, December.
    5. Mayer, David, 2001. "The Long-Term Impact of Health on Economic Growth in Latin America," World Development, Elsevier, vol. 29(6), pages 1025-1033, June.
    6. Yi Che & Lei Zhang, 2018. "Human Capital, Technology Adoption and Firm Performance: Impacts of China's Higher Education Expansion in the Late 1990s," Economic Journal, Royal Economic Society, vol. 128(614), pages 2282-2320, September.
    7. Yahong Liu & Shixin Huo, 2024. "Measurement of health human capital and its economic effect in China," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-10, December.
    8. Farasat A. S. Bokhari & Yunwei Gai & Pablo Gottret, 2007. "Government health expenditures and health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 16(3), pages 257-273, March.
    9. Steven Brakman & Harry Garretsen & Charles van Marrewijk, 2015. "Regional resilience across Europe: on urbanisation and the initial impact of the Great Recession," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 8(2), pages 225-240.
    10. Allen Kelley & Robert Schmidt, 2005. "Evolution of recent economic-demographic modeling: A synthesis," Journal of Population Economics, Springer;European Society for Population Economics, vol. 18(2), pages 275-300, June.
    11. Justin Doran & Bernard Fingleton, 2018. "US Metropolitan Area Resilience: Insights from dynamic spatial panel estimation," Environment and Planning A, , vol. 50(1), pages 111-132, February.
    12. Jingshan Gu & Zongting Liu, 2024. "A study of the coupling between the digital economy and regional economic resilience: Evidence from China," PLOS ONE, Public Library of Science, vol. 19(1), pages 1-30, January.
    13. Wolfe, Barbara L., 1986. "Health status and medical expenditures: Is there a link?," Social Science & Medicine, Elsevier, vol. 22(10), pages 993-999, January.
    14. Shazia Kousar & Farhan Ahmed & Muhammad Afzal & Juan E. Trinidad Segovia, 2023. "Is government spending in the education and health sector necessary for human capital development?," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-11, December.
    15. Shulong Gao & Lele Wan, 2024. "Analysis of the Role of Human Capital on Economic Growth in the Beijing-Tianjin-Hebei Region," Advances in Management and Applied Economics, SCIENPRESS Ltd, vol. 14(5), pages 1-15.
    16. Isabella Hatak & Haibo Zhou, 2021. "Health as Human Capital in Entrepreneurship: Individual, Extension, and Substitution Effects on Entrepreneurial Success," Entrepreneurship Theory and Practice, , vol. 45(1), pages 18-42, January.
    17. Chenhuan Kou & Donghan Meng & Xiuli Yang, 2024. "Construction and application of economic resilience evaluation model for megacities," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-28, May.
    18. Dunfu Zhang & K. M. Atikur Rahman, 2020. "Government health expenditure, out‐of‐pocket payment and social inequality: A cross‐national analysis of China and OECD countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(5), pages 1111-1126, September.
    19. Alistair McGuire & David Parkin & David Hughes & Karen Gerard, 1993. "Econometric analyses of national health expenditures: Can positive economics help to answer normative questions?," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 113-126, July.
    20. Ron Martin, 2012. "Regional economic resilience, hysteresis and recessionary shocks," Journal of Economic Geography, Oxford University Press, vol. 12(1), pages 1-32, January.
    21. 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.
    22. Brendan Fisher & Luz A. de Wit & Taylor H. Ricketts, 2021. "Integrating Economics into Research on Natural Capital and Human Health," Review of Environmental Economics and Policy, University of Chicago Press, vol. 15(1), pages 95-114.
    23. Peter A.G. Bergeijk & Steven Brakman & Charles Marrewijk, 2017. "Heterogeneous economic resilience and the great recession's world trade collapse," Papers in Regional Science, Wiley Blackwell, vol. 96(1), pages 3-12, March.
    24. Cao, Zhenzi & Tao, Ling, 2023. "Green finance and economic resilience: Investigating the nexus with natural resources through econometric analysis," Economic Analysis and Policy, Elsevier, vol. 80(C), pages 929-940.
    25. Mihaela Onofrei & Anca-Florentina Vatamanu & Georgeta Vintilă & Elena Cigu, 2021. "Government Health Expenditure and Public Health Outcomes: A Comparative Study among EU Developing Countries," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    26. Justin Doran & Bernard Fingleton, 2016. "Employment Resilience in Europe and the 2008 Economic Crisis: Insights from Micro-Level Data," Regional Studies, Taylor & Francis Journals, vol. 50(4), pages 644-656, April.
    27. Trung V. Vu, 2023. "Life expectancy and human capital: New empirical evidence," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 395-412, February.
    28. Ainsworth, Martha & Over, Mead, 1994. "AIDS and African Development," The World Bank Research Observer, World Bank, vol. 9(2), pages 203-240, July.
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