Health capital accumulation and effective utilisation: a theoretical framework based on an extended Cobb – Douglas production function

Authors

  • Oksana V. Mashevskaya Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus
  • Zhang Yuting Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

Keywords:

health capital, health capital accumulation, utilisation efficiency, health expenditure, healthcare, initiative «Healthy China», Cobb – Douglas production function, health human capital index, HHCI
Supporting Agencies
The research was carried out with the financial support of the China Scholarship Council (project LIUJINOU [2020] 565).

Abstract

Against the backdrop of the initiative «Healthy China» and the transformation of the demographic dividend, health capital has emerged as a critical determinant of national competitiveness and the long-term sustainability of economic development. Based on data from the China Statistical Yearbook, the National Health Commission of the People’s Republic of China, and United Nations World Population Prospects, this article analyses current trends in the formation of China’s health capital and the structural challenges associated with this process. Building on an extended Cobb – Douglas production function, we propose a theoretical framework that integrates health capital into macroeconomic output analysis and introduce a comprehensive multidimensional health human capital index (HHCI) encompassing four key dimensions. Furthermore, we present an integrated policy framework grounded in a life-course approach to health capital and multi-stakeholder engagement, offering practical strategies to promote its accumulation and improve its utilisation efficiency. The findings provide a solid theoretical and methodological basis for fostering high-quality, sustainable economic growth amid China’s ongoing demographic and institutional transformations. 

Author Biographies

  • Oksana V. Mashevskaya, Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

    PhD (economics), docent; head of the department of financial control, analysis and audit, faculty of economics

  • Zhang Yuting, Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

    postgraduate student at the department of banking and financial technologies, faculty of economics

References

  1. Marmot M. Achieving health equity: from root causes to fair outcomes. Lancet. 2007;370(9593):1153–1163. DOI: 10.1016/S0140-6736(07)61385-3.
  2. Bloom DE, Canning D. The health and wealth of nations. Science. 2000;287(5456):1207–1209. DOI: 10.1126/science.287.5456.1207.
  3. Grossman M. On the concept of health capital and the demand for health. Journal of Political Economy. 1972;80(2):223–255.
  4. Becker GS. Human capital: a theoretical and empirical analysis with special reference to education. New York: Columbia University Press; 1975. 390 p.
  5. Heckman JJ. The economics, technology, and neuroscience of human capability formation. PNAS. 2007;104(33):13250–13255. DOI: 10.1073/pnas.0701362104.
  6. Well DN. Accounting for the effect of health on economic growth. Quarterly Journal of Economics. 2007;122(3):1265–1306. DOI: 10.1162/qjec.122.3.1265.
  7. Cutler DM, Lleras-Muney A. Education and health: evaluating theories and evidence. In: House JS, Schoeni RF, Kaplan GA, Pollack H, editors. Making Americans healthier: social and economic policy as health policy. New York: Russell Sage Foundation; 2006. p. 29–60. DOI: 10.3386/w12352.
  8. Becker GS. Human capital: a theoretical and empirical analysis with special reference to education. New York: National Bureau of Economic Research; 1964. 187 p. DOI: 10.1177/000271626536000153.
  9. Mushkin SJ. Health as an investment. Journal of Political Economy. 1962;70(5):129–157. DOI: 10.1086/258730.
  10. Fuchs VR. Economic aspects of health. Chicago: University of Chicago Press; 1982. 344 p. (NBER conference report).
  11. Schultz TP, Tansel A. Measurement of returns to adult health: morbidity effects on wage rates in Côte d’Ivoire and Ghana. New Haven: Yale University; 1992. 56 p.
  12. Bhargava A, Jamison DT, Lau LJ, Murray CJL. Modeling the effects of health on economic growth. Journal of Health Economics. 2001;20(3):423–440. DOI: 10.1016/S0167-6296(01)00073-X.
  13. Bloom DE, Canning D, Sevilla JP. The effect of health on economic growth: theory and evidence. Cambridge: National Bureau of Economic Research; 2001. 29 p. (NBER working paper; no. 8587). DOI: 10.3386/w8587.
  14. Aguayo-Rico A, Guerra-Turrubiates IA, de Oca-Hernández RM. Empirical evidence of the impact of health on economic growth [Internet]. Issues in Political Economy. 2005;14 [cited 2025 February 12]. Avalaible from: https://blogs.elon.edu/wp-content/blogs.dir/456/files/2021/02/v14-aguayorico-final.pdf.
  15. Gong L, Li H, Wang D. Health investment, physical capital accumulation, and economic growth. China Economic Review. 2012;23(4):1104–1119. DOI: 10.1016/j.chieco.2012.07.002.
  16. Strauss J, Thomas D. Health, nutrition, and economic development. Journal of Economic Literature. 1998;36(2):766–817.
  17. Smith JP. The impact of childhood health on adult labor market outcomes. Review of Economics and Statistics. 2009;91(3):478–489. DOI: 10.1162/rest.91.3.478.
  18. Balaj M, McNamara CL, Eikemo TA, Bambra C. The social determinants of inequalities in self-reported health in Europe: findings from the European Social Survey (2014) special module on the social determinants of health. European Journal of Public Health. 2017;27(1):107–114. DOI: 10.1093/eurpub/ckw217.
  19. Wang D, Li X, Huang L. How does health investment affect economic growth? Based on a cross country panel data analysis. Economic Science. 2019;1:5–17. Chinese.
  20. Hao F, Zhang Y. Measuring health capital of Chinese residents: from the perspective of «Healthy China». Population and Economy. 2019;1:14–30. Chinese.
  21. Xie Z, Yang J. Government health care expenditures, healthy human capital, and China’s rural economic growth. Statistics and Decision. 2020;36(7):41–45. DOI: 10. 13546/j.cnki.tjyjc.2020.07.009. Chinese.
  22. Wang H, Zhang J, Wu Z, Li H. Research on health human capital index system. Shanghai Management Science. 2017;39(4):30–34. Chinese.
  23. Zhang H. Study of impact of health on China’s economic growth [dissertation]. Beijing: Capital University of Economics and Business; 2018. 138 p. Chinese.
  24. Wang H, Zhu X. The influencing factors on health inequality on the middle-aged and elderly. Chinese Journal of Population Science. 2018;3:109–120. Chinese.
  25. Liu Y. Does the lifestyle affect the health of the elderly? Evidence from older people in China. Population and Development. 2018;24(4):77–86. Chinese.
  26. Bian H, Cui J, Tang D. Health status and policy implications for left-behind children in underdeveloped rural areas of China. Social Science Research. 2018;2:114–124. Chinese.
  27. Bai X, Zhu Y, Qu B. Application of the Nottingham Health Profile in evaluating life quality of medical students. Chinese Journal of Health Statistics. 2019;36(1):103–105. Chinese.
  28. Xiao J. Health human capital. Concept, measurement, and its impact on job performance and well-being [dissertation]. Chengdu: Southwestern University of Finance and Economics; 2020. 218 p. Chinese.

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Published

2025-12-31

Issue

Section

I. Health, Education, and Welfare

How to Cite

[1]
Mashevskaya, O.V. and Yuting, Z. 2025. Health capital accumulation and effective utilisation: a theoretical framework based on an extended Cobb – Douglas production function. Journal of the Belarusian State University. Economics. 2 (Dec. 2025), 15–29.