Relations between health care expenditure and income: an application of local quantile regressions
In this article, local relationship between per capita health care expenditure (HCE hereafter) and GDP is investigated with local quantile regressions. Logarithmic per capita GDP and HCE of 154 countries in 2001 and 25, 50 and 75% quantile regressions are considered. Three main findings are obtained from our empirical study. First, conditional distribution of per capita HCE on GDP is asymmetric. For lower GDP countries, the conditional distribution is skewed to the right which means less health care tends to be consumed. On the contrary, the conditional distribution is skewed to the left which implies more health care is apt to be consumed for high GDP countries. Second, variance of the conditional distribution is larger when per capita GDP is low and smaller when per capita GDP is high. This confirms the necessity of restricting the sample observations to OECD countries for holding the homogeneity of HCE when the conditional mean is considered. Third, whether health care is 'necessary' or 'luxury' depends on the level of per capita GDP. For 50% quantile, the income elasticity is significant >1 when per capita GDP is greater than US$ 1882 (ln(1882) = 7.56), which indicates that health care becomes luxury for countries with per capita GDP higher than US$ 1882. For 75% quantile, the elasticity is significantly >1 and health care becomes luxury for countries with per capita GDP higher than US$ 1737 (ln(1737) = 7.46). As to 25% quantile, the elasticity is significantly >1 and health care becomes luxury for countries with per capita GDP higher than US$ 1920 (ln(1920) = 7.56). These results indicate that health care is a necessity for 37 countries with per capita income lower than $ 1920 and is luxury for other countries.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 16 (2009)
Issue (Month): 2 ()
|Contact details of provider:|| Web page: http://www.tandfonline.com/RAEL20|
|Order Information:||Web: http://www.tandfonline.com/pricing/journal/RAEL20|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Blomqvist, A.G. & Carter, R.A.L., 1993.
"Is Health Care Really a Luxury?,"
UWO Department of Economics Working Papers
9311, University of Western Ontario, Department of Economics.
- Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
- 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.
- Koenker, Roger & Park, Beum J., 1996. "An interior point algorithm for nonlinear quantile regression," Journal of Econometrics, Elsevier, vol. 71(1-2), pages 265-283.
- Koenker, Roger & Zhao, Quanshui, 1996. "Conditional Quantile Estimation and Inference for Arch Models," Econometric Theory, Cambridge University Press, vol. 12(05), pages 793-813, December.
- Fitzenberger, Bernd, 1998. "The moving blocks bootstrap and robust inference for linear least squares and quantile regressions," Journal of Econometrics, Elsevier, vol. 82(2), pages 235-287, February.
- Albert Okunade & Mustafa Karakus, 2001. "Unit root and cointegration tests: timeseries versus panel estimates for international health expenditure models," Applied Economics, Taylor & Francis Journals, vol. 33(9), pages 1131-1137.
- Ulf‐G. Gerdtham, 1992. "Pooling international health care expenditure data," Health Economics, John Wiley & Sons, Ltd., vol. 1(4), pages 217-231, December.
- Gerdtham, Ulf-G. & Lothgren, Mickael, 2000.
"On stationarity and cointegration of international health expenditure and GDP,"
Journal of Health Economics,
Elsevier, vol. 19(4), pages 461-475, July.
- Gerdtham, Ulf-G. & Löthgren, Mickael, 1998. "On stationarity and cointegration of international health expenditure and GDP," SSE/EFI Working Paper Series in Economics and Finance 232, Stockholm School of Economics, revised 29 Jan 1999.
When requesting a correction, please mention this item's handle: RePEc:taf:apeclt:v:16:y:2009:i:2:p:177-181. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Michael McNulty)
If references are entirely missing, you can add them using this form.