Socioeconomic Factors Affecting Healthcare Expenditures in Selected Asian Countries DOI: https://doi.org/10.33093/ijomfa.2024.5.2.8

Main Article Content

Nurin Amni Aqilah Cek Ahmad Azam
Mazlynda Md Yusuf

Abstract

The rising cost of healthcare in Asian countries has become a matter of concern, reflecting an extensive influence of socioeconomic factors. This study highlighted that the financial burden on healthcare systems is crucial for ensuring sustainable and equitable access to medical services. However, the impact of socioeconomic factors on healthcare expenditures varies across countries and regions. Therefore, this study seeks to determine socioeconomic factors affecting healthcare expenditures in 10 Asian countries, utilising annual data starting from 2006 to 2020. By employing panel data analysis and the model of fixed effect with a feasible generalised least squares method, the finding shows that the impact of variations in factors such as life expectancy and urbanisation are positive and significant towards healthcare expenditures. Meanwhile, the gross domestic product (GDP) and unemployment rate adversely affect healthcare expenditures, and the findings indicate significant relationships between these variables and healthcare spending. Hence, the finding suggests that the government should look into the substantial healthcare costs and increase investments and funds to reduce the financial load on the country’s healthcare sectors and ensure that the healthcare industry is well-equipped to handle rising demand and deliver high-quality services to the public.

Article Details

Section
Management, Finance and Accounting

References

Asnidar Hanim Yusuf, & Idris Oyewale Oyelakin. (2022). Impact of COVID-19 on Malaysian Economy: A Study of Consumer Product Manufacturing Firms. Journal of Hunan University Natural Sciences, 49(1), 314-321. https://doi.org/10.55463/issn.1674-2974.49.1.37

Atalay, M., & Bakirtas, I. (2019). Does Urbanisation Induce The Health Expenditures? A Dynamic Macro-Panel Analysis For Developing Countries. Dumlupinar Universitesi Sosyal Bilimler Dergisi, 61, 208–222. https://dergipark.org.tr/tr/download/article-file/762975

Boungnarasy, M. (2011). Health care expenditures in Asia countries: Panel data analysis. Economics Bulletin, 31(4), 3169–3178. http://www.accessecon.com/Pubs/EB/2011/Volume31/EB-11-V31-I4-P287.pdf

Chetty, P. (2017). How to conduct generalised least squares test? Knowledge Tank. https://www.projectguru.in/conduct-generalized-least-squares-test/

Chireshe, J., & Ocran, M. K. (2020). Health care expenditure and health outcomes in sub-Saharan African countries. African Development Review. https://doi.org/10.1111/1467-8268.12444

Faramarzi, A., Javad Javan-Noughabi, Sadeghi, A., & Aziz Rezapour. (2019). Impact of the economic crisis on healthcare resources: A panel data analysis in Eastern Mediterranean countries during 2005 to 2013. 7(1), 98–101. https://doi.org/10.1016/j.cegh.2018.02.004

Fazal, F., Saleem, T., Ebad, M., Haider, T., Abdul Nasir Khalid, Tanveer, U., Mustafa, H., Tanveer, J., & Noor, A. (2022). The rising cost of healthcare and its contribution to the worsening disease burden in developing countries. 82. https://doi.org/10.1016/j.amsu.2022.104683

Internal Labour Organization. (2023). Employment and unemployment in Asia-Pacific: Trends and projections. https://www.ilo.org/global/about-the-ilo/multimedia/maps-and-charts/enhanced/WCMS_650035/lang--en/index.html

International Monetary Fund. (2019). Gross Domestic Product: An Economy’s All. https://www.imf.org/en/Publications/fandd/issues/Series/Back-to-Basics/gross-domestic-product-GDP

International Trade Administration. (2021). Malaysia - Healthcare. https://www.trade.gov/country-commercial-guides/malaysia-healthcare#:~:text=Malaysia's%20healthcare%20expenditures%20are%20expected,for%20operating%20and%20development%20expenditures.

Isfahani P, Corani Babador R, Afshari M, Taherimirghaed M (2020). Impact of unemployment on health in Iran: A scoping review of 15 years of research. Journal of Advanced Biomedical Sciences, 10(1), 1986–1997. http://jabs.fums.ac.ir/article-1-1874-en.html

Jaba, E., Balan, C. B., & Robu, I.-B. (2014). The Relationship between Life Expectancy at Birth and Health Expenditures Estimated by a Cross-country and Time-series Analysis. Procedia Economics and Finance, 15, 108–114. https://doi.org/10.1016/S2212-5671(14)00454-7

Jakovljevic, M., Timofeyev, Y., Ranabhat, C. L., Fernandes, P. O., Teixeira, J. P., Rancic, N., & Reshetnikov, V. (2020). Real GDP growth rates and healthcare spending – comparison between the G7 and the EM7 countries. 16(1). https://doi.org/10.1186/s12992-020-00590-3

Jose Oscar Olmedo-Aguirre, Josimar Reyes-Campos, Giner Alor-Hernandez, Machorro-Cano, I., Rodriguez-Mazahua, L., & Jose Luis Sanchez-Cervantes. (2022). Remote Healthcare for Elderly People Using Wearables: A Review. 12(2), 73–73. https://doi.org/10.3390/bios12020073

Li, Z.-Z., Liu, G., Tao, R., & Oana-Ramona Lobont. (2021). Do Health Expenditures Converge Among ASEAN Countries. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.699821

Menon, G. R., Yadav, J., & John, D. (2022). Burden of non-communicable diseases and its associated economic costs in India. 5(1), 100256–100256. https://doi.org/10.1016/j.ssaho.2022.100256

MESYUARAT JAWATANKUASA PEMANDU MNHA 2021 Seksyen Malaysia National Health Accounts (MNHA). https://moh.gov.my/moh/resources/Penerbitan/Penerbitan%20Utama/MNHA/3_NOVEMBER_2021_-_SLAID_PEMBENTANGAN_MESYUARAT_JAWATANKUASA_PEMANDU_MNHA_2021_(COVID-19_EXPENDITURE_2020).pdf

Ministry of Health Malaysia (2021). Malaysia National Health Accounts, Health Expenditure Report 1997-2019. https://www.moh.gov.my/moh/resources/Penerbitan/Penerbitan%20Utama/MNHA/MNHA_Health_Expenditure_Report_1997-2019_02092021.pdf

Ministry of Health Malaysia. (2019). Direct healthcare cost of non-communicable diseases in Malaysia. https://www.moh.gov.my/moh/resources/Penerbitan/Rujukan/NCD/NCD_Laporan/HEALTH-COST_of_NCDs-7a-WEB.pdf

Mitkova, Z.; Doneva, M.; Gerasimov, N.; Tachkov, K.; Dimitrova, M.; Kamusheva, M.; Petrova. (2022). Analysis of Healthcare Expenditures in Bulgaria. 10(2), 274–274. https://doi.org/10.3390/healthcare10020274

Munic Boungnarasy. (2011). Health care expenditures in Asia countries: Panel data analysis. Economics Bulletin, 31(4), 3169–3178. https://ideas.repec.org/a/ebl/ecbull/eb-10-00578.html

Organisation for Economic Co-operation and Development(OECD). Economic Outlook for Southeast (2023). https://www.oecd.org/dev/asia-pacific/economic-outlook/Overview-Economic-Outlook-Southeast-Asia-China-India.pdf

Roslan, N.S., Yusoff, M.S.B., Asrenee, A.R., Morgan, K. (2021). Burnout Prevalence and Its Associated Factors among Malaysian Healthcare Workers during COVID-19 Pandemic: An Embedded Mixed-Method Study. 9(1), 90–90.

https://doi.org/10.3390/healthcare9010090

Ruscin, J. M. & Linnebur, S. A. (2021, July). Aging and Medications. MSD Manual Consumer Version; MSD Manuals. https://www.msdmanuals.com/home/older-people%E2%80%99s-health-issues/aging-and-medications/aging-and-medications

Shao Q, Tao R, Luca MM. (2022). The Effect of Urbanisation on Health Care Expenditure: Evidence From China. Front Public Health. https://doi.org/10.3389/fpubh.2022.850872

Sojib Bin Zaman, Hossain, N., Mehta, V., Shuchita Sharmin, & Mahmood, S. (2017). An Association of Total Health Expenditure with GDP and Life Expectancy. 1(2), AU7–AU12. https://doi.org/10.15419/jmri.72

Standing, G. (2000). Unemployment and Income Security Geneva International Labour Organization. https://ilo.org/public/english/protection/ses/download/docs/unemploy.pdf

Tandon, A., Valeria Oliveira Cruz, Bhatnagar, A., & Manoj Jhalani. (2021). Financing health care in the WHO Southeast Asia Region: time for a reset. https://www.researchgate.net/publication/349671580_Financing_health_care_in_the_WHO_South-East_Asia_Region_time_for_a_reset

Viera Ivankova, Gavurova, B., & Khouri, S. (2022). Understanding the relationships between health spending, treatable mortality and economic productivity in OECD countries. 10. https://doi.org/10.3389/fpubh.2022.1036058

World Bank Open Data. (2024). World Bank Open Data. https://data.worldbank.org/?cid=ECR_GA_worldbank_EN_EXTP_search&s_kwcid=AL!18468!3!665425039372!b!!g!!world%20bank%20projects&gad_source=1&gclid=CjwKCAjwgdayBhBQEiwAXhMxtlchH7Tre7oBHdGWY7ywksoMohsGJ2Z1FAZVsKO04McZZuGQFU7weBoCBI0QAvD_BwE

World Health Organization: WHO. (2022). Non-communicable diseases.; https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

World Health Organization: WHO. (2022). The annual healthcare cost of cardiovascular diseases, diabetes and cancer in Malaysia exceeds RM 9.65 billion. https://www.who.int/malaysia/news/detail/09-08-2022-the-annual-health-care-cost-of-cardiovascular-diseases--diabetes-and-cancer-in-malaysia-exceeds-rm-9.65-billion