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L’évolution des dépenses de santé au Maroc : une analyse des déterminants démographiques et macro-économiques
[The Evolution of the Health Expenditures in Morocco: A Demographics and Macroeconomics Determinants Analysis]

Author

Listed:
  • Y. TAMSAMANI, Yasser

Abstract

Morocco’s healthcare expenditures regime growth has been in decline since 2010. The average annual growth rate went from 7.9% over the period of 1996 to 2009 to 4.4% in the recent years. The objective of this paper is to identify the demographic and macroeconomic determinants that shape healthcare expenditures behavior in Morocco, and to evaluate their respective contributions to the shift observed in the trajectory of healthcare expenditures growth. On the one hand, results show that the combined demographic factors of population growth and demographic transition account for a 14% growth rate decline in healthcare expenditures. On the other hand, the evaluation of macroeconomic determinants based on econometric modeling, shows that the income elasticity of healthcare expenditures is less than a unit ranging from 0.5 to 0.8. It also yields a positive price semi-elasticity with an estimated value of 0.02, and a 0.01 (-0.01) sensitivity coefficient to the variation of the weight of public (versus private) funding in total healthcare expenditures. Therefore, as of 2010 the contributing factors to the slowing down in healthcare expenditures growth can be presented as follows: 45% is due to declining healthcare relative prices, 20 % is due to a shrinking share of public funding, and 11% is due to a decelerating economic growth. The estimated models’ residual contains the remainder (10%) shares of contributions.

Suggested Citation

  • Y. TAMSAMANI, Yasser, 2017. "L’évolution des dépenses de santé au Maroc : une analyse des déterminants démographiques et macro-économiques [The Evolution of the Health Expenditures in Morocco: A Demographics and Macroeconomics," MPRA Paper 83996, University Library of Munich, Germany, revised 18 Jan 2018.
    • Handle: RePEc:pra:mprapa:83996
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    as
    1. repec:hal:wpspec:info:hdl:2441/2583 is not listed on IDEAS
    2. Joshua D. Angrist & Alan B. Krueger, 2001. "Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments," Working Papers 834, Princeton University, Department of Economics, Industrial Relations Section..
    3. Hartwig, Jochen, 2008. "What drives health care expenditure?--Baumol's model of 'unbalanced growth' revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 603-623, May.
    4. 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.
    5. Dreger, C. & Reimers, H.E., 2005. "Health Care Expenditures in OECD Countries: A Panel Unit Root and Cointegration Analysis," International Journal of Applied Econometrics and Quantitative Studies, Euro-American Association of Economic Development, vol. 2(2), pages 5-20.
    6. 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.
    7. repec:spo:wpmain:info:hdl:2441/2583 is not listed on IDEAS
    8. Productivity Commission, 2005. "Economic Implications of an Ageing Australia," Labor and Demography 0506001, University Library of Munich, Germany.
    9. Seshamani, Meena & Gray, Alastair M., 2004. "A longitudinal study of the effects of age and time to death on hospital costs," Journal of Health Economics, Elsevier, vol. 23(2), pages 217-235, March.
    10. Justin Yifu Lin, 2012. "New Structural Economics : A Framework for Rethinking Development and Policy," World Bank Publications - Books, The World Bank Group, number 2232.
    11. repec:spo:wpecon:info:hdl:2441/eu4vqp9ompqllr09j0h1j80c0 is not listed on IDEAS
    12. repec:hal:spmain:info:hdl:2441/eu4vqp9ompqllr09j0h1j80c0 is not listed on IDEAS
    13. 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.
    14. Productivity Commission, 2005. "Economic Implications of an Ageing Australia," Research Reports, Productivity Commission, Government of Australia, number 16, July.
    15. repec:spo:wpmain:info:hdl:2441/eu4vqp9ompqllr09j0h1j80c0 is not listed on IDEAS
    16. Yannick L'Horty & Alain Quinet & Frédéric Rupprecht, 1997. "Expliquer la croissance des dépenses de santé : le rôle du niveau de vie et du progrès technique," Économie et Prévision, Programme National Persée, vol. 129(3), pages 257-268.
    17. Gerard Cornilleau, 2012. "Crise et dépenses de santé : financement et politiques à court-moyen terme," Post-Print hal-01024549, HAL.
    18. repec:fth:prinin:455 is not listed on IDEAS
    19. Joshua D. Angrist & Alan B. Krueger, 2001. "Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 69-85, Fall.
    20. repec:hal:spmain:info:hdl:2441/2583 is not listed on IDEAS
    21. repec:hal:wpspec:info:hdl:2441/eu4vqp9ompqllr09j0h1j80c0 is not listed on IDEAS
    22. Joshua Angrist & Alan Krueger, 2001. "Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments," Working Papers 834, Princeton University, Department of Economics, Industrial Relations Section..
    23. Murthy, Vasudeva N.R. & Okunade, Albert A., 2009. "The core determinants of health expenditure in the African context: Some econometric evidence for policy," Health Policy, Elsevier, vol. 91(1), pages 57-62, June.
    24. repec:spo:wpecon:info:hdl:2441/2583 is not listed on IDEAS
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    More about this item

    Keywords

    Healthcare expenditures; demography; macroeconomic determinants; elasticities; Morocco;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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