Abstract

Using national dynamic panel data from 21 emerging markets between 1999 and 2020 and bidirectional fixed effect and threshold regression methods, this paper evaluated the impact of health investment on industrial structure upgrading from two aspects of economic output and economic structure. The results showed that: (1) public health investment and private health investment have a crowding out effect on the added value of primary and secondary industries, and the crowding out effect of public health investment is greater than that of private health investment; (2) Public health investment and private health investment have a spillover effect on the added value of the tertiary industry, and the spillover effect of public health investment is greater than that of private health investment; (3) Both public and private health investment contribute to the transfer of the labor force to the tertiary industry, and tests showed the baseline regression results were robust and reliable; (4) The relationship between health investment and industrial structure upgrading was non-linear. As per capital GDP increases, the inhibition effect of public health investment on industrial structure upgrading gradually weakens whilst the promotion effect of private health investment on industrial structure upgrading gradually increases. The results of this study clarify how health investment affects industrial structure, and offers new guidance for health investment policy formulation in emerging market countries.

Highlights

  • AND LITERATURE REVIEWAccording to the World Health Organization, strokes and heart attacks caused by working long hours caused ∼813,000 deaths worldwide in 2019, an increase of nearly 31 percent since 2000

  • The results showed health investment had a significant crowding out effect on primary and secondary industries and a spillover effect on the tertiary industry

  • The results showed that the model was robust and reliable

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Summary

Introduction

AND LITERATURE REVIEWAccording to the World Health Organization, strokes and heart attacks caused by working long hours caused ∼813,000 deaths worldwide in 2019, an increase of nearly 31 percent since 2000. Emerging market countries are characterized by below average per capital GDP and above average rates of disease mortality [1]. Such countries are subject to the dilemma of “disease before wealth.”. If investment in health is reduced, the health of the population deteriorates, which affects the quality of human capital and reduces labor productivity. This in turn impacts the potential for industrial structure upgrades. The nature of the relationship between public (government) and private (household) health investment on industrial structure at different per capital GDP levels is explored

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