The impact of immigration on public and out-of-pocket health expenditure in OECD countries

Rana, Rezwanul Hasan and Alam, Khorshed ORCID: and Gow, Jeff ORCID: (2020) The impact of immigration on public and out-of-pocket health expenditure in OECD countries. Journal of International Migration and Integration, 21. pp. 485-508. ISSN 1488-3473

Text (Accepted Version)
Rezwanul Rana_ITD .pdf

Download (297kB) | Preview


This paper examined the impact of the inflow of new immigrants on public and out-of-pocket health expenditure in 33 Organisation for Economic Cooperation and Developments (OECD) countries over the period of 2000–2015. Dynamic panel data analysis is carried out using the one-step system ‘Generalised Method of Moments’ and the instrumental variable (IV) estimation approach whilst controlling for potential endogeneity. The inflow of new immigrants is modelled as a determinant of health expenditure. The results are robust to both static and dynamic models. The results show that an increasing inflow of immigrants is significantly related to out-of-pocket, but, surprisingly, not with public health expenditure. Moreover, the findings are similar for countries that primarily have publicly funded healthcare systems or those more dominated by private financing of healthcare. It can be concluded that new immigrants do not seek publicly funded healthcare at least at the initial years of their relocation and that their arrival does not trigger a significant rise in public healthcare expenditure in the OECD countries.

Statistics for USQ ePrint 37533
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Historic - Faculty of Business, Education, Law and Arts - School of Commerce (1 Jul 2013 - 17 Jan 2021)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 29 Jan 2020 06:17
Last Modified: 20 Jul 2022 00:48
Uncontrolled Keywords: Immigrants; Healthcare expenditure; System GMM; Instrumental variable; OECD countries
Fields of Research (2008): 14 Economics > 1402 Applied Economics > 140208 Health Economics
14 Economics > 1403 Econometrics > 140304 Panel Data Analysis
Fields of Research (2020): 38 ECONOMICS > 3801 Applied economics > 380108 Health economics
38 ECONOMICS > 3802 Econometrics > 380204 Panel data analysis
Socio-Economic Objectives (2008): C Society > 92 Health > 9299 Other Health > 929999 Health not elsewhere classified
C Society > 92 Health > 9202 Health and Support Services > 920206 Health Inequalities
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified
Identification Number or DOI:

Actions (login required)

View Item Archive Repository Staff Only