L’évolution des dépenses de santé au Maroc : une analyse des déterminants démographiques et macro-économiques

Y. TAMSAMANI, Yasser (2017): L’évolution des dépenses de santé au Maroc : une analyse des déterminants démographiques et macro-économiques.

Abstract

Morocco’s healthcare expenditures regime growth has been in decline since 2010. The average annual growth rate went from 7.9% over the period of 1996 to 2009 to 4.4% in the recent years. The objective of this paper is to identify the demographic and macroeconomic determinants that shape healthcare expenditures behavior in Morocco, and to evaluate their respective contributions to the shift observed in the trajectory of healthcare expenditures growth. On the one hand, results show that the combined demographic factors of population growth and demographic transition account for a 14% growth rate decline in healthcare expenditures. On the other hand, the evaluation of macroeconomic determinants based on econometric modeling, shows that the income elasticity of healthcare expenditures is less than a unit ranging from 0.5 to 0.8. It also yields a positive price semi-elasticity with an estimated value of 0.02, and a 0.01 (-0.01) sensitivity coefficient to the variation of the weight of public (versus private) funding in total healthcare expenditures. Therefore, as of 2010 the contributing factors to the slowing down in healthcare expenditures growth can be presented as follows: 45% is due to declining healthcare relative prices, 20 % is due to a shrinking share of public funding, and 11% is due to a decelerating economic growth. The estimated models’ residual contains the remainder (10%) shares of contributions.

• Item Type: MPRA Paper
• English Title: The Evolution of the Health Expenditures in Morocco: A Demographics and Macroeconomics Determinants Analysis
• Language: French
• Keywords: Healthcare expenditures, demography, macroeconomic determinants, elasticities, Morocco
• Subjects: H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health; I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior; I - Health, Education, and Welfare > I1 - Health > I15 - Health and Economic Development; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health

References

Albouy, V., E. Bretin, N. Carnot, M. Deprez. (2009). Les dépenses de santé en France : déterminants et impact du vieillissement à l’horizon 2050. Les Cahiers de la DGTPE(2009/11).

Angrist D. J. et A. B. Krueger,. (2001). Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments. Journal of Economic Perspectives, 15(4).

Bac, C. et G., Cornilleau. (2002). Comparaison internationale des dépenses de santé : une analyse des évolutions dans sept pays depuis 1970. Etudes et Résultats, Drees(175).

Baumol, W. J. et W. G. Bowen. (1965). On The Performing Arts : The Anatomy Of Their Economic Problems. The Amirecan Economic Review, 55(1/2).

Clarenc, P. et Al. (2014). Les indices notaires-INSEE de prix des logements anciens. INSEE Méthodes(128).

Cornilleau, G. (2012). Crise et dépenses de santé : financement et politiques à court-moyen terme. Notes de l'OFCE(12).

Dreger C. et H.E. Reimers. (2005). Health Care Expenditures in OECD Countries:A Panel Unit Root and Cointegration Analysis. IZA Discussion Paper(1469 ).

Elmi Z.M. et Sadeghi S. . (2012). Health care expenditures and economic growth in developing countries: panel co-integration and causality. Middle-East Journal of Scientific Research, 1(12).

Erixon, F. et E. V. D. Marel. (2011). What Is Driving The Rise In Health Care Expenditure? An Inquiry into the Nature and Causes of the Cost Disease. ECIPE WORKING PAPER(5).

Gerdtham, U.G. et Lothgren, M. (2000). On stationarity and cointegration of international health expenditure and GDP. Journal of Health Economics, 19(4).

Grossman, M. (1972). On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 80(2).

Hartwig, J. (2008). What drives health care expenditure? Baumol's model of ‘unbalanced growth’ revisited. Journal of Health Economics, 27(3).

Haut conseil pour l’avenir de l’assurance maladie. (2010). Vieillissement, longévité et assurance maladie. Note.

L'Horty Y., A. Quinet et F. Rupprecht. (1997). Expliquer la croissance des dépenses de santé: le rôle du niveau de vie et du progrès technique. Économie et Prévision, 3-4(129-130).

Lin, J. Y. (2012). New Structural Economics: A Framework for Rethinking Development. Washington DC: The World Bank.

Mahieu, R. (2002). Les déterminants des dépenses de santé : une approche macroéconomique économique. Santé, Société et Solidarité(1).

Martins, J. O. et C. De La Maisonneuve. (2006). Les détérminants des dépenses publiques de santé et de soins de longue durée: une méthode de projection intégrée. Revue économique de l'OCDE(43).

Ministère de la santé. (2012). Etat de santé de la population marocaine.

Murthya, V. N. R. et A. A. Okunadeb. (2009). The core determinants of health expenditure in the African context : Some econometric evidence for policy. Health Policy, 91.

Omotor, D. (2009). Determinants of Federal Government Health Expenditures in Nigeria. International Journal of Economic Perspectives, 3(1).

Piabuo, S. M. et J. C., Tieguhong. (2017). Health expenditure and economic growth - a review of the literature and an analysis between the economic community for central African states (CEMAC) and selected African countries. Health Economics Review(7).

Pichetti S., D. Raynaud et G. Vidal. (2009). Les déterminants individuels des dépenses de santé. (P. d. (P.F.N.S.P.), Éd.) Paris.

Productivity Commission. (2005). Economic Implications of an Ageing Australia. Research Report, Canberra.

Réynès, F. et Y. Y. Tamsamani. (2009). Substituabilité des facteurs et rendements d’échelle sectoriels en France : une estimation par une fonction de coût flexible. Document du travail de l'OFCE(37).

Seshamani, M. et A.M. Gray. (2004). A Longitudinal Study of the Effects of Age and Time to Death on Hospital Costs. Journal of Health Economics, 23(2).

Tamsamani, Y. Y. (2016, Décembre). Les énergies renouvelables au Maroc : un choix discutable? . Revue Afrique Défense.

Tchoe, B. et S. Nam. (2010). Aging Risk and Health Care Expenditure in Korea. International Journal of Environmental Research and Public Health(7).

Wagstaff, A. (2009). Social Health Insurance vs. Tax-Financed : Health Systems—Evidence from the OECD. Policy Research Working Paper, The World Bank(4821).

Xu, K., P. Saksena et A. Holly. (2011). The determinants of health expenditure. Results For Developement Working Paper.