This presentation was made by Marion DEVAUX at the 5th Meeting of the joint OECD DELSA/GOV Network on Fiscal Sustainability of Health Systems held on 4-5 February 2016 at the OECD Conference Centre in Paris.

1. INCLUSIVE GROWTH AND HEALTH
SBO-Health meeting
4-5 February 2016
Chris James, Marion Devaux,
Cedric Marechal, Franco Sassi

2. • Health and the inclusive growth agenda
• Macro-level impact of socioeconomic and
other factors on population health
• From aggregate effects to a social gradient
2
Inclusive Growth and Health

4. 1.19 1.46
0.03* (OOP)
-0.05* (OOP)
0.36
2.39
0.65
0.86
0.16
-0.76
0.42
0.07* (pollution)
0.48
-0.61
-2
-1
0
1
2
3
4
5
OECD Non-OECD
Yearsoflife
Residual
Air pollution
Alcohol
Smoking
GDP
OOP
Health expenditure
4
Importance of health spending to life expectancy in
OECD countries, and income in non-OECD countries
Contribution of factors to changes in life expectancy from 2000 to 2013
* Indicates variable did not have a statistically significant effect

5. 5
There are large health inequalities in many
OECD countries
0
5
10
15
20 CzechRep
Estonia
Hungary
Poland
Slovenia
OECD
SlovakRep
Israel
Finland
Denmark
Mexico
Norway
Netherlands
Portugal
Sweden
Italy
Turkey
Numberofyears
Difference in life expectancy by education
Women Men

6. • The nature of income trajectories matters
• Unemployment worsens mental and physical
health; working conditions also important
• Education encourages more healthy behaviours
• Low-income households are more likely to
experience inadequate living environment
Importance of a whole-of-government approach
+ need private sector involvement
6
Unpacking the mechanisms by which
socioeconomic factors affect health is crucial

7. 7
Conclusions and next steps
Inclusive
growth
policies
Health care
policies HEALTH
Next steps of analysis
• Develop policy implications
• Refine econometric modelling
• Outline health impacts on income and employment

8. Contact: Chris.James@oecd.org
Read more about our work Follow us on Twitter: @OECD_Social
Website: www.oecd.org/health
Newsletter: http://www.oecd.org/health/update
Thank you

9. ADDITIONAL SLIDES ON
ECONOMETRIC RESULTS
9

10. Variable OECD
countries
Non-OECD
countries
Income(GDP per capita net of health spending) + 0.28% + 0.46%
Health expenditure(per capita) + 0.33% + 0.15%
Out-of-pocket payments(% of THE) - 0.04% Not sig
Daily Smokers(% adult population) - 0.31% - 0.68%
Alcohol (litres per capita) - 0.29% - 0.39%
Air pollution(PM2.5 particulates per m3) - 0.27% + 0.44%
Sanitation facilities (% pop with access) Not sig Not sig
10
Health spending, income, lifestyle and the
environment all associated with life expectancy
Effect of 10%↑ of different factors on life expectancy. 41 countries, 2000-13

11. • Strong impact of education
• Unusual results for unemployment and obesity
• Greater long-term effects of environmental factors
and income
• Smaller contribution of health spending, though still
important
11
Extended analysis: main findings