The Growth Returns of Health: Investments, Outcomes, And Cointegrated Development in Türkiye
DOI:
https://doi.org/10.63556/tisej.2025.1517Keywords:
Economic Growth, Health Expenditures, Life Expectancy, Infant Mortality, Cointegration RegressionsAbstract
This study examines the long-run relationship between health capital and economic growth in Türkiye from 2000 to 2023. We apply both Fully Modified Ordinary Least Squares (FMOLS) and Canonical Cointegrating Regression (CCR) methods to analyze how health indicators stem from government health expenditures, life expectancy, and infant mortality, interact with traditional growth determinants composed of physical capital, labor force, and human capital to influence GDP. The results reveal three key findings: First, health investments yield substantial economic returns, with 1% increases in health spending and life expectancy associated with 0.10% and 0.14–0.19% GDP growth, respectively. Second, infant mortality reductions show particularly strong growth effects, confirming the economic urgency of child health interventions. Third, conventional factors remain pivotal, with capital accumulation (0.23 elasticity) and labor expansion (0.57–0.62 elasticity) driving growth alongside human capital improvements. These findings underscore the necessity of integrated policymaking that synergizes health, education, and economic strategies. We recommend prioritizing: (1) cost-effective health expenditures with dual productivity benefits, (2) equitable healthcare access to address regional disparities, and (3) human capital development to amplify health-growth linkages. The study provides empirical support for viewing health investments as fundamental drivers of sustainable development rather than mere social expenditures.
References
Acemoglu, D., & Johnson, S. (2007). Disease and development: The effect of life expectancy on economic growth. Journal of Political Economy, 115(6), 925-985. https://doi.org/10.1086/529000
Akıncı, M., & Tuncer, D. (2016). Türkiye’de sağlık harcamaları ve ekonomik büyüme ilişkisi: 2006:Q1-2016:Q2 dönemi. Sayıştay Dergisi, (102), 71–90.
Albayrak, N., & Öztürk, H. (2021). Türkiye’de sağlık harcamaları ve ekonomik büyüme ilişkisi: ARDL sınır testi yaklaşımı. Uluslararası Ekonomi ve Yenilik Dergisi, 7(2), 279–294.
Aran, M. A., & Özçelik, E. A. (2014). Turkey - Universal health coverage for inclusive and sustainable development: Country summary report. The World Bank. http://documents.worldbank.org/curated/en/883571468172768922
Aran, M. A., Aktakke, N., Gürol-Urgancı, I., & Atun, R. A. (2015). Maternal and child health in Turkey through the Health Transformation Program (2003–2008). Development Analytics Research Paper Series No. 1501. http://dx.doi.org/10.2139/ssrn.2701839
Barro, R. J. (1996). Determinants of economic growth: A cross-country empirical study. National Bureau of Economic Research (NBER) Working Paper, No. 5698. https://doi.org/10.3386/w5698
Barro, R. J., & Sala-i-Martin, X. (2004). Economic growth (2nd ed.). MIT Press.
Bloom, D. E., Canning, D., & Sevilla, J. (2004). The effect of health on economic growth: A production function approach. World Development, 32(1), 1-13. https://doi.org/10.1016/j.worlddev.2003.07.002
Boyacıoğlu, E. Z., & Terzioğlu, M. (2022). Do health spending and economic growth matter in development? Evidence from Turkey. Journal of Research in Economics, Politics & Finance, 2022, 7(Special Issue): 19-32. DOI: https://doi.org/10.30784/epfad.1147618
Cutler, D. M., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic Perspectives, 20(3), 97-120. https://doi.org/10.1257/jep.20.3.97
Cylus, J., Figueras, J., & Normand, C. (2022). Population ageing and health financing: A method for forecasting two sides of the same coin. Health Policy, 126(12), 1226–1232. https://doi.org/10.1016/j.healthpol.2022.10.004
Çınaroğlu, S. (2018). A location of Turkey among the European Union countries in terms of inclusive growth and health outcome indicators. Ekonomik Yaklaşım, 29(109): 81-106. DOI: 10.5455/ey.16702
Deaton, A. (2003). Health, inequality, and economic development. Journal of Economic Literature, 41(1), 113-158. https://doi.org/10.1257/002205103321544710
Directorate-General for Economic and Financial Affairs. (2017). The impact of demographic changes on economic growth in Europe. European Economy Discussion Papers, No. 063. The impact of demographic change in Europe - European Commission
Eryer, A. (2024). The relationship between health expenditures and renewable energy consumption in the Turkish economy. Black Sea Journal of Public and Social Science. 8(1), 28 - 34, https://doi.org/10.52704/bssocialscience.1561102
Esen, E., & Keçili, M. Ç. (2021). Economic growth and health expenditure analysis for Turkey: Evidence from time series. Journal of the Knowledge Economy, 13, 1–15. https://doi.org/10.1007/s13132-021-00789-8
Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political Economy, 80(2), 223-255. https://doi.org/10.1086/259880
Kanberoğlu, Z., & Günsan, N. (2018). Relationship between sustainable development and health: The case of Turkey. International Journal of Contemporary Economics and Administrative Sciences, 8(2), 114–128.
Lucas, R. E. (1988). On the mechanics of economic development. Journal of Monetary Economics, 22(1), 3-42. https://doi.org/10.1016/0304-3932(88)90168-7
Mankiw, N. G., Romer, D., & Weil, D. N. (1992). A Contribution to the Empirics of Economic Growth. The Quarterly Journal of Economics, 107(2), 407-437. https://doi.org/10.2307/2118477
Mason, A. (2016). Demographic dividends, human capital, and saving. The Journal of the Economics of Ageing, 7, 14–25. https://doi.org/10.1016/j.jeoa.2016.02.004
OECD. (2021). Health at a glance 2021: OECD indicators. OECD Publishing. https://doi.org/10.1787/4dd50c09-en
Romer, P. M. (1990). Endogenous technological change. Journal of Political Economy, 98(5, Part 2), S71-S102. https://doi.org/10.1086/261725
Sağlık Bakanlığı. (2022). Türkiye sağlık istatistikleri yıllığı 2022. T.C. Sağlık Bakanlığı Yayınları.
Solow, R. M. (1956). A contribution to the theory of economic growth. The Quarterly Journal of Economics, 70(1), 65-94. https://doi.org/10.2307/1884513
Wei, H., & Hao, S. (2010). Dependency ratios and regional economic performance: Evidence from China. Journal of Asian Economics, 21(4), 374-387. https://doi.org/10.1016/j.asieco.2010.03.002
Weil, D. N. (2007). Accounting for the effect of health on economic growth. The Quarterly Journal of Economics, 122(3), 1265–1306. https://doi.org/10.1162/qjec.122.3.1265
Weil, D. N. (2014). Health and economic growth. In Aghion, P., & Durlauf, S. (Eds.), Handbook of Economic Growth (Vol. 2, pp. 623-682). Elsevier. https://doi.org/10.1016/B978-0-444-53540-5.00003-3
World Bank. (2022). World Development Indicators: Health expenditure and economic growth. World Bank Group. https://databank.worldbank.org/source/world-development-indicators
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Third Sector Social Economic Review

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.




