Analysis of the Relationship Between Unemployment Rate and Health Expenditures: The Case of Turkiye


Abstract views: 1 / PDF downloads: 0

Authors

Keywords:

Unemployment Rate, Individual Health Expenditures, Health Economics, Granger Analysis, ARIMA Analysis

Abstract

There is a close relationship between the health expenditures of individuals in Turkey from their own budgets and unemployment rates. In order to understand this, the relationship between the total health expenditures of individuals in Turkey from their own budgets and unemployment rates needs to be analyzed. For this reason, the relationship between unemployment rates and total individual health expenditures in Turkey between 2000-2021 was analyzed using time series in the study. Augmented Dickey-Fuller unit root test, ARIMA test and Granger Causality analysis tests were applied to the obtained data set. ARIMA(1,0,0) model was found appropriate for the individual health expenditure series, but, these values did not support a significant causal relationship. As a result, it was concluded that there was no direct causal relationship between individual health expenditures and unemployment rate. Our study suggests that a more comprehensive examination should be conducted by including the effects of socioeconomic variables such as changes in unemployment insurance claim rate, income, education, population dependency rate and university graduation rate, as well as macroeconomic variables such as unemployment rate, Gross domestic product per capita and inflation.

References

Brenner, M. H., & Mooney, A. (1983). Unemployment and health in the context of economic change. Social Science & Medicine, 17(16): 1125–1138. https://doi.org/10.1016/0277-9536(83)90005-9

Brückner, M., and Pappa, E. (2012). Fıscal Expansıons, Unemployment, And Labor Force Partıcıpatıon: Theory And Evıdence*. International Economic Review, 53(4): 1205–1228. https://doi.org/10.1111/j.1468-2354.2012.00717.x

Çalışkan, Z. (2008). Sağlık Ekonomisi: Kavramsal Bir Yaklaşım. Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 26(2): 29–50.

Çelik, Y. (2019). Sağlık Ekonomisi (4. Baskı). Ankara: Siyasal Kitap.

Chen, S., and Bloom, D. E. (2019). The macroeconomic burden of noncommunicable diseases associated with air pollution in China. PLOS ONE, 14(4): e0215663. Retrieved from https://doi.org/10.1371/journal.pone.0215663

Çil Koçyiğit, S., and Çilhoroz, İ. A. (2021). Determınants Of Health Expendıtures İn The World: A Panel Data Analysıs. International Journal of Business Economics and Management Perspectives, 2(2): 772–784. https://doi.org/10.29228/ijbemp.52908

Cinaroglu, S. (2021). Poverty effects of public health reforms in Turkey: A focus on out‐of‐pocket payments. Journal of Evaluation in Clinical Practice, 27(1): 53–61. https://doi.org/10.1111/jep.13383

Cristea, M., Noja, G. G., Stefea, P., and Sala, A. L. (2020). The Impact of Population Aging and Public Health Support on EU Labor Markets. International Journal of Environmental Research and Public Health, 17(4): 1439-1466. https://doi.org/10.3390/IJERPH17041439

Dinler, Z. (2014). İktisada Giriş, 20. Bursa: Ekin Basım Yayın.

Erus, B., and Aktakke, N. (2012). Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees. European Journal of Health Economics, 13(3): 337–346. https://doi.org/10.1007/S10198-011-0306-2/TABLES/5

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

Gökçe, A. (2023). Revıew Of Unemployment Anxıety Levels Of Unıversıty Students Wıthın The Context Of Attrıbutıon Theory. H. Babacan & M. Gürsoy (Eds.), Recent Advances in Humanities and Social Sciences içinde (1–16 ss.). Lyon: Livre de Lyon.

Guinness, L. (2011). Counting Costs. L. Guinness and V. Wiseman (Eds.), Introduction to Health Economics içinde (201–216 ss.). London: McGraw-Hill. https://doi.org/10.1891/9780826172730.0010

İnce, Ö., Boz, C., Yılmaz, F., and Cengiz, E. (2020). Sağlık Düzeyi Göstergeleri Açısından Oecd Ülkelerinin Sıralaması Ve Gelir-Sağlık Harcamaları Etkisi. Sosyal Güvence Dergisi, 8(17): 245–264. https://doi.org/10.21441/sosyalguvence.823704

Kelly, S. M. (2013). Labor Force Participation Rates among Working-Age Individuals with Visual Impairments. Journal of Visual Impairment & Blindness, 107(6): 509–513.

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., and Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet. Global Health, 6(11): 1196–1252. https://doi.org/10.1016/S2214-109X(18)30386-3

Magazzino, C., and Mele, M. (2012). The Determinants of Health Expenditure in Italian Regions. International Journal of Economics and Finance, 4(3): 61-72. https://doi.org/10.5539/ijef.v4n3p61

Mathur, A. (1964). The Anatomy of Disguised Unemployment. Oxford Economic Papers, 16(2): 161–193. Retrieved from https://www.jstor.org/stable/2662266

Meskarpour Amiri, M., Kazemian, M., Motaghed, Z., and Abdi, Z. (2021). Systematic review of factors determining health care expenditures. Health Policy and Technology, 10(2): 100498 https://doi.org/10.1016/J.HLPT.2021.01.004

OECD. (2023). Health - OECD Data. Retrieved April 24, 2023, from https://data.oecd.org/health.htm#profile-Health status

Oyeyemi, A. M., and Onuoha, F. C. Impact of Disagregated Public Expenditure on Unemployment Rate of Selected African Countries: A Panel Dynamic Analysis. Journal of Economics, Management and Trade, 24(5): 1–14. Sciencedomain International.

Riley, W. J. (2012). Health disparities: gaps in access, quality and affordability of medical care. Transactions of the American Clinical and Climatological Association, 123(1): 164–167.

Sulku, S. N., and Bernard, D. M. (2012). Financial burden of health care expenditures: Turkey. Iranian Journal of Public Health, 41(3): 48–64. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23113149

Tıraş, H. H., and Özbek, S. (2021). E-7 ülkelerinde sosyo-demografik faktörlerin sağlık harcamalarına etkisinin ekonometrik analizi. Erciyes Akademi, 35(2): 407–419. https://doi.org/10.48070/erciyesakademi.901506

Tøge, A. G. (2016). Health Effects of Unemployment in Europe During the Great Recession. International Journal of Health Services, 46(4): 614–641. https://doi.org/10.1177/0020731416664688

Türkiye İstatistik Kurumu. (2023). İşgücü İstatistikleri (2014 ve Sonrası). Erişim adresi: https://data.tuik.gov.tr/Kategori/GetKategori?p=Istihdam,-Issizlik-ve-Ucret-108, Erişim tarihi (06.05.2023).

Ünsal, E. (2016). İktisada Giriş. Ankara: BB101 Yayınları.

World Bank. (2016). World Development Indicators 2016. In World Development Indicators 2016. Washington, D.C.: The World Bank. https://doi.org/10.1596/978-0-8213-6959-3

Yardim, Mahmut S, Cilingiroglu, N., and Yardim, N. (2014). Financial protection in health in Turkey: the effects of the Health Transformation Programme. Health Policy and Planning, 29(2): 177–192. https://doi.org/10.1093/heapol/czt002

Yardim, Mahmut Saadi, Cilingiroglu, N., and Yardim, N. (2010). Catastrophic health expenditure and impoverishment in Turkey. Health Policy, 94(1): 26–33. https://doi.org/10.1016/j.healthpol.2009.08.006

Yetim, B., İlgün, G., Çilhoroz, Y., Demirci, Ş., and Konca, M. (2021). The socioeconomic determinants of health expenditure in OECD: An examination on panel data. International Journal of Healthcare Management, 14(4): 1265–1269. https://doi.org/10.1080/20479700.2020.1756112

Published

2025-06-17

How to Cite

Uçar, A. M., & Yılmaz, S. (2025). Analysis of the Relationship Between Unemployment Rate and Health Expenditures: The Case of Turkiye . Journal of Academic Opinion, 5(1), 7–12. Retrieved from http://www.academicopinion.org/index.php/pub/article/view/64