School of Economics, Utrecht University, The Netherlands.
Luxembourg Institute of Socio-economic Research (LISER), Esch/Belval, Luxembourg.
Health Policy. 2024 May;143:105039. doi: 10.1016/j.healthpol.2024.105039. Epub 2024 Mar 11.
The nexus between health and economic growth is a dynamic and complex relationship. This article reviews the empirical evidence that has sought to assess the causal impact of health on growth, understood as growth in GDP per capita, and focusing on cross-country and selected single country studies. The review largely provides evidence in favour of a positive effect of population health on economic growth. However, the multitude of the factors at play and the possible bidirectional relationship between health and growth pose a challenge for the quantification of the effect and for the relative importance of the underlying mechanisms. There is notable heterogeneity between studies in the magnitude and, in some cases, even in the sign of the effect. The evidence suggests that the health-growth relationship may depend on three main factors: the sample composition (i.e. a country's demographic stage or GDP per capita); the health dimension considered (e.g. health improvements at different life stages may affect productivity differently); and the model specification (e.g. whether or not initial life expectancy is controlled for in the analysis or the quality of the instrument). These findings advocate for a policy approach that integrates health considerations into economic strategies and emphasizes intersectoral collaboration to maximize the economic returns from improved health outcomes.
健康与经济增长之间的关系是一种动态而复杂的关系。本文回顾了旨在评估健康对经济增长(以人均 GDP 增长衡量)的因果影响的实证证据,重点关注跨国和选定的单一国家研究。综述主要提供了人口健康对经济增长有积极影响的证据。然而,众多相互作用的因素以及健康与增长之间可能存在的双向关系,给效应的量化和潜在机制的相对重要性带来了挑战。研究之间在效应的大小(在某些情况下甚至在符号上)存在显著差异。证据表明,健康-增长关系可能取决于三个主要因素:样本构成(即一个国家的人口阶段或人均 GDP);考虑的健康维度(例如,不同生命阶段的健康改善可能会对生产力产生不同的影响);以及模型规范(例如,分析中是否控制了初始预期寿命或工具的质量)。这些发现主张采取一种政策方法,将健康考虑因素纳入经济战略,并强调部门间的合作,以从改善健康结果中实现最大的经济回报。