Main Article Content
Abstract
Purpose — The study explores the effects of greenhouse gas emissions, renewable energy, and economic growth on health expenditures across Southeast Asia while comparing the performance of different econometric models for accuracy in analysis.
Method — To analyze the relationships among variables, the study employs three econometric models, the Autoregressive Distributed Lag Model, the co-integration Model, and the Quantile Regression Model, using annual data from 2000 to 2020.
Findings — The results reveal that greenhouse gas emissions and GDP significantly influence health expenditure in all three models. However, the significance of renewable energy consumption varies, with only the quantile regression model indicating a significant relationship with health expenditure. Model comparison based on Mean Squared Error (MSE) suggests that the autoregressive distributed lag (ARDL) model provides the most accurate predictions. Also, it found that there is a short-run and long-run causal effect of GHG and GDP on health expenditure, as well as health spending on GDP.
Implication — This study helps to understand how economic growth, environmental factors, and healthcare spending interact to develop sustainable policies to address health and environmental problems in Southeast Asia.
Originality — This research contributes to the body of knowledge examining the impact of economic and environmental factors on health expenditures in Southeast Asia through a comparative analysis of different econometric models.
Keywords
Article Details
Copyright (c) 2024 Resa Mae R. Sangco
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References
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- Alhassan, H., & Kwakwa, P. A. (2023). The effect of natural resources extraction and public debt on environmental sustainability. Management of Environmental Quality: An International Journal, 34(3), 605–623. https://doi.org/10.1108/MEQ-07-2022-0192
- Apergis, N., Gupta, R., Lau, C. K. M., & Mukherjee, Z. (2018). U.S. state-level carbon dioxide emissions: Does it affect health care expenditure? Renewable and Sustainable Energy Reviews, 91, 521–530. https://doi.org/10.1016/j.rser.2018.03.035
- Arı, Y. (2021). Engle-granger cointegration analysis between GARCH-type volatilities of gold and silver returns. Alanya Academic Review, 5(2), pp.589-618.
- Atuahene, S. A., Yusheng, K., Bentum-Micah, G. (2020). Health expenditure, CO2 emissions, and economic growth: China vs. India. Preprints 2020, 2020090384. https://doi.org/10.20944/preprints202009.0384.v1
- Behera, D. K., & Dash, U. (2020). Is health expenditure effective for achieving healthcare goals? Empirical evidence from South-East Asia Region. Asia-Pacific Journal of Regional Science, 4(2), 593–618. https://doi.org/10.1007/s41685-020-00158-4
- Belaïd, F., Youssef, A. Ben, & Lazaric, N. (2020). Scrutinizing the direct rebound effect for French households using quantile regression and data from an original survey. Ecological Economics, 176, 106755. https://doi.org/10.1016/j.ecolecon.2020.106755
- Bilgili, F., Kuşkaya, S., Khan, M., Awan, A., & Türker, O. (2021). The roles of economic growth and health expenditure on CO2 emissions in selected Asian countries: a quantile regression model approach. Environmental Science and Pollution Research, 28(33), 44949–44972. https://doi.org/10.1007/s11356-021-13639-6
- Camba Jr, A. C., & Camba, A. L. (2021). An Engle-granger and Johansen cointegration approach in testing the validity of Fisher hypothesis in the Philippines. The Journal of Asian Finance, Economics and Business, 8(12), 31-38.
- Chernozhukov, V., Fernández-Val, I., & Melly, B. (2022). Fast algorithms for the quantile regression process. Empirical Economics, 62(1), 7–33. https://doi.org/10.1007/s00181-020-01898-0
- Çobanoğulları, G. (2024). Exploring the link between CO2 emissions, health expenditure, and economic growth in Türkiye: evidence from the ARDL model. Environment, Development and Sustainability. https://doi.org/10.1007/s10668-024-04835-8
- Dorbonova, İ., & Sugözü, İ. H. (2024). Analyzing the relationship between health expenditure, renewable energy and life expectancy: evidence from Asian countries. ESAM Ekonomik ve Sosyal Araştırmalar Dergisi, 5(1), 111–134. https://doi.org/10.53662/esamdergisi.1459607
- Ebi, K. L., & Hess, J. J. (2020). Health risks due to climate change: Inequity in causes and consequences. Health Affairs, 39(12), 2056–2062. https://doi.org/10.1377/hlthaff.2020.01125
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- Gillingham, K., & Stock, J. H. (2018). The cost of reducing greenhouse gas emissions. Journal of Economic Perspectives, 32(4), 53–72. https://doi.org/10.1257/jep.32.4.53
- Haseeb, M., Kot, S., Hussain, H. I., & Jermsittiparsert, K. (2019). Impact of economic growth, environmental pollution, and energy consumption on health expenditure and R&D expenditure of ASEAN countries. Energies, 12(19), 3598. https://doi.org/10.3390/en12193598
- Ibukun, C. O., & Osinubi, T. T. (2020). Environmental quality, economic growth, and health expenditure: Empirical evidence from a panel of African countries. African Journal of Economic Review, 8(2). https://www.ajol.info/index.php/ajer/article/view/197206
- Jian, J., Fan, X., He, P., Xiong, H., & Shen, H. (2019). The Effects of Energy Consumption, Economic Growth and Financial Development on CO2 Emissions in China: A VECM Approach. Sustainability, 11(18), 4850. https://doi.org/10.3390/su11184850
- Kong, Y.-C., Kimman, M., Subramaniam, S., Yip, C.-H., Jan, S., Aung, S., Khoa, M. T., Ngelangel, C. A., Nyein, H. L., Sangrajrang, S., Tanabodee, J., Bhoo-Pathy, N., Arounlangsy, P., Aung, S., Balete, S. L., Bhoo-Pathy, N., Bounxouei, B., Bui, D., Datukan, J., … Woodward, M. (2022). Out-of-pocket payments for complementary medicine following cancer and the effect on financial outcomes in middle-income countries in southeast Asia: a prospective cohort study. The Lancet Global Health, 10(3), e416–e428. https://doi.org/10.1016/S2214-109X(21)00595-7
- Lamb, W. F., Wiedmann, T., Pongratz, J., Andrew, R., Crippa, M., Olivier, J. G. J., Wiedenhofer, D., Mattioli, G., Khourdajie, A. Al, House, J., Pachauri, S., Figueroa, M., Saheb, Y., Slade, R., Hubacek, K., Sun, L., Ribeiro, S. K., Khennas, S., de la Rue du Can, S., … Minx, J. (2021). A review of trends and drivers of greenhouse gas emissions by sector from 1990 to 2018. Environmental Research Letters, 16(7), 073005. https://doi.org/10.1088/1748-9326/abee4e
- Li, F., Chang, T., Wang, M.-C., & Zhou, J. (2022). The relationship between health expenditure, CO2 emissions, and economic growth in the BRICS countries—based on the Fourier ARDL model. Environmental Science and Pollution Research, 29(8), 10908–10927. https://doi.org/10.1007/s11356-021-17900-w
- Lim, M. Y., Kamaruzaman, H. F., Wu, O., & Geue, C. (2023). Health financing challenges in Southeast Asian countries for universal health coverage: a systematic review. Archives of Public Health, 81(1), 148. https://doi.org/10.1186/s13690-023-01159-3
- Loucks, D. P. (2021). Impacts of climate change on economies, ecosystems, energy, environments, and human equity: A systems perspective. In The Impacts of Climate Change (pp. 19–50). Elsevier. https://doi.org/10.1016/B978-0-12-822373-4.00016-1
- Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and health impacts of air pollution: A review. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00014
- McNown, R., Sam, C. Y., & Goh, S. K. (2018). Bootstrapping the autoregressive distributed lag test for cointegration. Applied Economics, 50(13), 1509–1521. https://doi.org/10.1080/00036846.2017.1366643
- Mentes, M. (2023). Sustainable development economy and the development of green economy in the European Union. Energy, Sustainability and Society, 13(1). https://doi.org/10.1186/s13705-023-00410-7
- Mujtaba, G., & Shahzad, S. J. H. (2021). Air pollutants, economic growth and public health: implications for sustainable development in OECD countries. Environmental Science and Pollution Research, 28(10), 12686–12698. https://doi.org/10.1007/s11356-020-11212-1
- Shahzad, K., Jianqiu, Z., Hashim, M., Nazam, M., & Wang, L. (2020). Impact of using information and communication technology and renewable energy on health expenditure: A case study from Pakistan. Energy, 204, 117956. https://doi.org/10.1016/j.energy.2020.117956
- Slathia, P., Vashishtha, A., Jena, P. K., & Sahu, P. K. (2024). Examining the dynamic impact of carbon emissions, renewable energy and economic growth on healthcare expenditure in Asian countries. Heliyon, 10(9), e30136. https://doi.org/10.1016/j.heliyon.2024.e30136
- Vo, A., Vo, D., & Le, Q. (2019). CO2 Emissions, Energy Consumption, and Economic Growth: New Evidence in the ASEAN Countries. Journal of Risk and Financial Management, 12(3), 145. https://doi.org/10.3390/jrfm12030145
- Wang, C.-M., Chang, C.-Y., Yuan, C.-C., Wang, J., & Feng, Y. (2020). Examining CO 2 Emissions, Health Expenditure, and Economic Growth Nexus for China: A Co-integration Approach. IOP Conference Series: Earth and Environmental Science, 555(1), 012020. https://doi.org/10.1088/1755-1315/555/1/012020
- WHO. (2020). Operational Framework for Primary Health Care. In World Health Organization. https://www.who.int/publications/i/item/9789240017832
- Xie, S.-P. (2024). Global Warming. In Coupled Atmosphere-Ocean Dynamics (pp. 339–366). Elsevier. https://doi.org/10.1016/B978-0-323-95490-7.00013-8
- Zaidi, S., & Saidi, K. (2018). Environmental pollution, health expenditure and economic growth in the Sub-Saharan Africa countries: Panel ARDL approach. Sustainable Cities and Society, 41, 833–840. https://doi.org/10.1016/j.scs.2018.04.034
- Zhang, Z., Huang, J., Wagner, P. D., & Fohrer, N. (2022). A method for detecting the non-stationarity during high flows under global change. Science of The Total Environment, 851, 158341. https://doi.org/10.1016/j.scitotenv.2022.158341
References
Adom, P. K., & Bekoe, W. (2012). Conditional dynamic forecast of electrical energy consumption requirements in Ghana by 2020: A comparison of ARDL and PAM. Energy, 44(1), 367–380. https://doi.org/10.1016/j.energy.2012.06.020
Alhassan, H., & Kwakwa, P. A. (2023). The effect of natural resources extraction and public debt on environmental sustainability. Management of Environmental Quality: An International Journal, 34(3), 605–623. https://doi.org/10.1108/MEQ-07-2022-0192
Apergis, N., Gupta, R., Lau, C. K. M., & Mukherjee, Z. (2018). U.S. state-level carbon dioxide emissions: Does it affect health care expenditure? Renewable and Sustainable Energy Reviews, 91, 521–530. https://doi.org/10.1016/j.rser.2018.03.035
Arı, Y. (2021). Engle-granger cointegration analysis between GARCH-type volatilities of gold and silver returns. Alanya Academic Review, 5(2), pp.589-618.
Atuahene, S. A., Yusheng, K., Bentum-Micah, G. (2020). Health expenditure, CO2 emissions, and economic growth: China vs. India. Preprints 2020, 2020090384. https://doi.org/10.20944/preprints202009.0384.v1
Behera, D. K., & Dash, U. (2020). Is health expenditure effective for achieving healthcare goals? Empirical evidence from South-East Asia Region. Asia-Pacific Journal of Regional Science, 4(2), 593–618. https://doi.org/10.1007/s41685-020-00158-4
Belaïd, F., Youssef, A. Ben, & Lazaric, N. (2020). Scrutinizing the direct rebound effect for French households using quantile regression and data from an original survey. Ecological Economics, 176, 106755. https://doi.org/10.1016/j.ecolecon.2020.106755
Bilgili, F., Kuşkaya, S., Khan, M., Awan, A., & Türker, O. (2021). The roles of economic growth and health expenditure on CO2 emissions in selected Asian countries: a quantile regression model approach. Environmental Science and Pollution Research, 28(33), 44949–44972. https://doi.org/10.1007/s11356-021-13639-6
Camba Jr, A. C., & Camba, A. L. (2021). An Engle-granger and Johansen cointegration approach in testing the validity of Fisher hypothesis in the Philippines. The Journal of Asian Finance, Economics and Business, 8(12), 31-38.
Chernozhukov, V., Fernández-Val, I., & Melly, B. (2022). Fast algorithms for the quantile regression process. Empirical Economics, 62(1), 7–33. https://doi.org/10.1007/s00181-020-01898-0
Çobanoğulları, G. (2024). Exploring the link between CO2 emissions, health expenditure, and economic growth in Türkiye: evidence from the ARDL model. Environment, Development and Sustainability. https://doi.org/10.1007/s10668-024-04835-8
Dorbonova, İ., & Sugözü, İ. H. (2024). Analyzing the relationship between health expenditure, renewable energy and life expectancy: evidence from Asian countries. ESAM Ekonomik ve Sosyal Araştırmalar Dergisi, 5(1), 111–134. https://doi.org/10.53662/esamdergisi.1459607
Ebi, K. L., & Hess, J. J. (2020). Health risks due to climate change: Inequity in causes and consequences. Health Affairs, 39(12), 2056–2062. https://doi.org/10.1377/hlthaff.2020.01125
European Commission. (2023). Emission Database for Global Atmospheric Research (EDGAR) – Report. https://edgar.jrc.ec.europa.eu/report_2023
Farooq, M. U., Shahzad, U., Sarwar, S., & ZaiJun, L. (2019). The impact of carbon emission and forest activities on health outcomes: Empirical evidence from China. Environmental Science and Pollution Research, 26(13), 12894–12906. https://doi.org/10.1007/s11356-019-04779-x
Gillingham, K., & Stock, J. H. (2018). The cost of reducing greenhouse gas emissions. Journal of Economic Perspectives, 32(4), 53–72. https://doi.org/10.1257/jep.32.4.53
Haseeb, M., Kot, S., Hussain, H. I., & Jermsittiparsert, K. (2019). Impact of economic growth, environmental pollution, and energy consumption on health expenditure and R&D expenditure of ASEAN countries. Energies, 12(19), 3598. https://doi.org/10.3390/en12193598
Ibukun, C. O., & Osinubi, T. T. (2020). Environmental quality, economic growth, and health expenditure: Empirical evidence from a panel of African countries. African Journal of Economic Review, 8(2). https://www.ajol.info/index.php/ajer/article/view/197206
Jian, J., Fan, X., He, P., Xiong, H., & Shen, H. (2019). The Effects of Energy Consumption, Economic Growth and Financial Development on CO2 Emissions in China: A VECM Approach. Sustainability, 11(18), 4850. https://doi.org/10.3390/su11184850
Kong, Y.-C., Kimman, M., Subramaniam, S., Yip, C.-H., Jan, S., Aung, S., Khoa, M. T., Ngelangel, C. A., Nyein, H. L., Sangrajrang, S., Tanabodee, J., Bhoo-Pathy, N., Arounlangsy, P., Aung, S., Balete, S. L., Bhoo-Pathy, N., Bounxouei, B., Bui, D., Datukan, J., … Woodward, M. (2022). Out-of-pocket payments for complementary medicine following cancer and the effect on financial outcomes in middle-income countries in southeast Asia: a prospective cohort study. The Lancet Global Health, 10(3), e416–e428. https://doi.org/10.1016/S2214-109X(21)00595-7
Lamb, W. F., Wiedmann, T., Pongratz, J., Andrew, R., Crippa, M., Olivier, J. G. J., Wiedenhofer, D., Mattioli, G., Khourdajie, A. Al, House, J., Pachauri, S., Figueroa, M., Saheb, Y., Slade, R., Hubacek, K., Sun, L., Ribeiro, S. K., Khennas, S., de la Rue du Can, S., … Minx, J. (2021). A review of trends and drivers of greenhouse gas emissions by sector from 1990 to 2018. Environmental Research Letters, 16(7), 073005. https://doi.org/10.1088/1748-9326/abee4e
Li, F., Chang, T., Wang, M.-C., & Zhou, J. (2022). The relationship between health expenditure, CO2 emissions, and economic growth in the BRICS countries—based on the Fourier ARDL model. Environmental Science and Pollution Research, 29(8), 10908–10927. https://doi.org/10.1007/s11356-021-17900-w
Lim, M. Y., Kamaruzaman, H. F., Wu, O., & Geue, C. (2023). Health financing challenges in Southeast Asian countries for universal health coverage: a systematic review. Archives of Public Health, 81(1), 148. https://doi.org/10.1186/s13690-023-01159-3
Loucks, D. P. (2021). Impacts of climate change on economies, ecosystems, energy, environments, and human equity: A systems perspective. In The Impacts of Climate Change (pp. 19–50). Elsevier. https://doi.org/10.1016/B978-0-12-822373-4.00016-1
Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and health impacts of air pollution: A review. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00014
McNown, R., Sam, C. Y., & Goh, S. K. (2018). Bootstrapping the autoregressive distributed lag test for cointegration. Applied Economics, 50(13), 1509–1521. https://doi.org/10.1080/00036846.2017.1366643
Mentes, M. (2023). Sustainable development economy and the development of green economy in the European Union. Energy, Sustainability and Society, 13(1). https://doi.org/10.1186/s13705-023-00410-7
Mujtaba, G., & Shahzad, S. J. H. (2021). Air pollutants, economic growth and public health: implications for sustainable development in OECD countries. Environmental Science and Pollution Research, 28(10), 12686–12698. https://doi.org/10.1007/s11356-020-11212-1
Shahzad, K., Jianqiu, Z., Hashim, M., Nazam, M., & Wang, L. (2020). Impact of using information and communication technology and renewable energy on health expenditure: A case study from Pakistan. Energy, 204, 117956. https://doi.org/10.1016/j.energy.2020.117956
Slathia, P., Vashishtha, A., Jena, P. K., & Sahu, P. K. (2024). Examining the dynamic impact of carbon emissions, renewable energy and economic growth on healthcare expenditure in Asian countries. Heliyon, 10(9), e30136. https://doi.org/10.1016/j.heliyon.2024.e30136
Vo, A., Vo, D., & Le, Q. (2019). CO2 Emissions, Energy Consumption, and Economic Growth: New Evidence in the ASEAN Countries. Journal of Risk and Financial Management, 12(3), 145. https://doi.org/10.3390/jrfm12030145
Wang, C.-M., Chang, C.-Y., Yuan, C.-C., Wang, J., & Feng, Y. (2020). Examining CO 2 Emissions, Health Expenditure, and Economic Growth Nexus for China: A Co-integration Approach. IOP Conference Series: Earth and Environmental Science, 555(1), 012020. https://doi.org/10.1088/1755-1315/555/1/012020
WHO. (2020). Operational Framework for Primary Health Care. In World Health Organization. https://www.who.int/publications/i/item/9789240017832
Xie, S.-P. (2024). Global Warming. In Coupled Atmosphere-Ocean Dynamics (pp. 339–366). Elsevier. https://doi.org/10.1016/B978-0-323-95490-7.00013-8
Zaidi, S., & Saidi, K. (2018). Environmental pollution, health expenditure and economic growth in the Sub-Saharan Africa countries: Panel ARDL approach. Sustainable Cities and Society, 41, 833–840. https://doi.org/10.1016/j.scs.2018.04.034
Zhang, Z., Huang, J., Wagner, P. D., & Fohrer, N. (2022). A method for detecting the non-stationarity during high flows under global change. Science of The Total Environment, 851, 158341. https://doi.org/10.1016/j.scitotenv.2022.158341