Understanding Dividend Decisions in ASEAN Healthcare Firms: A Policy-Driven Empirical Perspective
Articles
Jyoti Rani
Guru Jambheshwar University of Science and Technology image/svg+xml
Sangeeta Mittal
Guru Jambheshwar University of Science and Technology image/svg+xml
Published 2026-06-29
https://doi.org/10.15388/omee.2026.17.3
PDF
HTML

Keywords

dividend policy
firm-specific
macroeconomic
random-effects model
fixed-effects model
ASEAN nations

How to Cite

Rani, J. and Mittal, S. (2026) “Understanding Dividend Decisions in ASEAN Healthcare Firms: A Policy-Driven Empirical Perspective”, Organizations and Markets in Emerging Economies, 17(1 (34), pp. 61–80. doi:10.15388/omee.2026.17.3.

Abstract

ASEAN nations’ healthcare sectors have grown as a result of rising healthcare demand, demographic shifts and increased government participation in health finance. In this context, dividend policy is an important financial choice since it signals stability of a company and success to investors while balancing reinvestment demands in a capital-intensive industry. Looking at the importance of the healthcare sector, the present research empirically examines the dividend policy decisions of publicly listed healthcare firms across ASEAN countries from 2019 to 2023 and sees how firm-specific characteristics and important macroeconomic variables, i.e., government healthcare expenditure, GDP and inflation, affect them. The study uses Pooled OLS on the panel data from selected ASEAN nations, with the random effects model chosen using the Hausman test. The result of overall ASEAN countries exhibits that all firm-specific and macro-economic variables, except inflation, exert a significant impact on the dividend payout ratio. Further, the present study uses the Generalised Method of Moment of the Arellano-Bond to address the issue of endogeneity and support the findings that we draw. Overall, the initial panel regression results are substantially supported by the GMM estimate results. In the context of ASEAN healthcare firms, this study fills the theoretical and contextual gap by examining the combined impact of macroeconomic variables (i.e., government healthcare expenditure, GDP and inflation) and firm-specific variables on dividend payout ratio. From the policy standpoint, the results show that continuous and predictable government healthcare funding might influence corporate payment behavior and minimize uncertainty in financial planning of the healthcare sector.

PDF
HTML

References

Adeel, U. (2019). Analyzing the impact of government expenditure on the health sector: Evidence from Pakistan. Journal of Business and Economic Options, 2, 54-66.

Ajanthan, A. (2013). The Relationship between Dividend Payout and Firm Profitability: A Study of Listed Hotels and Restaurant Companies in Sri Lanka. International Journal of Scientific and Research Publications, 3(6), 1-6. https://doi.org/10.5281/zenodo.1312180

Al‐Najjar, B. (2011). The inter‐relationship between capital structure and dividend policy: empirical evidence from Jordanian data. International Review of Applied Economics, 25(2), 209-224. https://doi.org/10.1080/02692171.2010.483464

Аkolor, М., & Gujral, Т. (2024). Analyzing the Dynamics of Firm Size and Investment on Dividend Policy of Quoted Firms in Ghana. Financial and credit activity problems of theory and practice, 5(58), 199-206.

http://dx.doi.org /10.55643/fcaptp.5.58.2024.4497

Akpan, D. C. (2024). Cash flow Practices and Dividend Policy of Listed Health Care Firms in Nigeria. Direct Research Journal of Management and Strategic Studies, 5(3), 1-8.

Amidu, M., & Abor, J. (2006). Determinants of dividend payout ratios in Ghana. The Journal of Risk Finance, 7(2), 136-145. https://doi.org/10.1108/15265940610648580

Angelia, N., & Toni, N. (2020). The Analysis of Factors Affecting Dividend Policy in Food and Beverage Sector Manufacturing Companies Listed in Indonesia Stock Exchange in 2015-2017. Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 3(2), 902-910. https://doi.org/10.33258/birci.v3i2.918

Aritago, A. M., Saputra, M., Hakim, L., & Djalil, M. A. (2020). The Effect of Company Growth, Profitability, Liquidity, Leverage and Company Size on Payout Ratio Dividends With Business Risk As Moderating Variables (Case Study of Company of Lq-45 Index for the Period of 2013-2017, Indonesia). Cross Current International Journal of Economics, Management and Media Studies, 2(3), 45-55. https://doi.org/10.36344/ccijemms.2020.v02i03.001

Asimakopoulos, S., Malley, J., & Philippopoulos, A. (2025). The Firm-Level and Aggregate Effects of Corporate Payout Policy. Journal of International Money and Finance, 157, 1-44. https://doi.org/10.1016/j.jimonfin.2025.103373

Atmaja, L. S. (2017). The impact of family control on dividend policy: Evidence from Indonesia. International Research Journal of Business Studies, 9(3), 147-156.

Baker, H. K., Dewasiri, N. J., Yatiwelle Koralalage, W. B., & Azeez, A. A. (2019). Dividend policy determinants of Sri Lankan firms: a triangulation approach. Managerial Finance, 45(1), 2-20. https://doi.org/10.1108/MF-03-2018-0096

Bergeron, C. (2024). Inflation, risk, and dividend growth. SN Business & Economics, 4(7), 1-27. https://doi.org/10.1007/s43546-024-00674-x

Bhalla, V. K. (2014). Financial Management (1st). S.Chand & Company Pvt. Ltd.

Bhattacharya, S. (1980), “Non-dissipative signaling structures and dividend policy”, Quarterly Journal of Economics, 95(1), 1-24.

Bostanci, F., Kadioglu, E., & Sayilgan, G. (2018). Determinants of Dividend Payout Decisions: A Dynamic Panel Data Analysis of Turkish Stock Market. International Journal of Financial Studies, 6(4), 1-16. https://doi.org/10.3390/ijfs6040093

Brahmaiah, B., Srinivasan, P., & Sangeetha, R. (2018). Determinants of Corporate Dividend Policy in India: A Dynamic Panel Data Analysis. Academy of Accounting and Financial Studies Journal, 22(2), 1-13.

Chaniago, Y. F., & Ekadjaja, A. (2022). Determinant of dividend payout ratios in consumer goods company. Jurnal Ekonomi, 27(3), 100-118. https://doi.org/10.24912/je.v27i03.868

DeAngelo, H., DeAngelo, L., & Stulz, R. M. (2006). Dividend policy and the earned/contributed capital mix: a test of the life-cycle theory. Journal of Financial economics, 81(2), 227-254.

Delossantos, C. (2023). From Hype to Bust: Investigating the Underlying Factors of the Dot-Com Bubble and Developing Regression Models for Future Market Predictions. Open Journal of Business and Management, 11(5), 2161-2174. https://doi.org/10.4236/ojbm.2023.115119

Dewasiri, N.J., Yatiwelle Koralalage, W.B., Abdul Azeez, A., Jayarathne, P.G.S.A., Kuruppuarachchi, D. and Weerasinghe, V.A. (2019), "Determinants of dividend policy: evidence from an emerging and developing market", Managerial Finance, 45(3), 413-429. https://doi.org/10.1108/MF-09-2017-0331

D’Souza, J. (1999), “Agency cost, market risk, investment opportunities and dividend policy – an international perspective”, Managerial Finance, 25(6), 35-43. https://doi.org/10.1108/03074359910765993

Easterbrook, F. H. (1984). Two agency-cost explanations of dividends. The American economic review, 74(4), 650-659.

Ebiringa, O. T., & Charles-Anyaogu, N. (2012). Impact of government sectorial expenditure on the economic growth of Nigeria. International Journal of Economic Research, 3(6), 82-92.

Fajaria, A. Z. (2017). The Effect of Investment Decision, Funding Decision and Dividend Policy on Company Value. Advances in Economics, Business and Management Research (AEBMR), 35, 25-32. https://doi.org/10.2991/miceb-17.2018.5

Fama, E.F. and French, K.R. (2001), Disappearing dividends: changing firm characteristics or lower propensity to pay? Journal of Financial Economics, 60(1), 3-43. https://doi.org/10.1016/S0304-405X(01)00038-1

Farooq, M., Al-Jabri, Q., Khan, M. T., Ali Ansari, M. A., & Tariq, R. B. (2024). The impact of corporate governance and firm-specific characteristics on dividend policy: an emerging market case. Asia-Pacific Journal of Business Administration, 16(3), 504-529. https://doi.org/10.1108/APJBA-01-2022-0007

Feldstein, M., & Green, J. (1983). Why Do Companies Pay Dividends? American Economic Review, 73(1), pp. 17–30. https://doi.org/10.3386/w0413

Fölster, S., & Henrekson, M. (2001). Growth effects of government expenditure and taxation in rich countries. European Economic Review, 4(8), 1501-1520.

Gelderblom, O., De Jong, A., & Jonker, J. (2013). The formative years of the modern corporation: The Dutch East India Company VOC, 1602–1623. The journal of economic history, 73(4), 1050-1076. https://doi.org/10.1017/S0022050713000879

Ghafoor, A., Khan, M., Shah, S., Khan, H. (2014), Inflation and dividend behavior of Pakistani firms: An empirical investigation using ARDL. International Journal of Business and Management, 9(9), 86-95. https://doi.org/10.5539/ijbm.v9n9p86

Ghani, E. K., Hye, Q. M. A., Rehan, R., & Salahuddin, S. (2023). Examining capital structure determinants for ASEAN energy firms. International Journal of Energy Economics and Policy, 13(3), 129-140. https://doi.org/10.32479/ijeep.14070

Gill, A., Biger, N., & Tibrewala, R. (2010). Determinants of Dividend Payout Ratios: Evidence from United States. The Open Business Journal, 3(1), 8-14. https://doi.org/10.2174/1874915101003010008

Goel, S. (2019). Macro-economic factors and capital structure decisions of listed companies: An empirical study for the Indian economy. Corporate Governance, 19(1), 1-11.

Gul, S., Khan, M. B., Ahmad, B., Rehman, S. U., & Shah, M. (2012). Taxes and dividend policy (The case of Pakistan). Research Journal of Finance and Accounting, 3(10), 115-121.

Hafeez, M. M., Shahbaz, S., Iftikhar, I., & Butt, H. A. (2018). Impact of Dividend Policy on Firm Performance. International Journal of Advanced Study and Research Work, 1(4), 1-5. https://doi.org/10.5281/zenodo.1312180

Higgins, R. C. (1972). The corporate dividend-saving decision. Journal of Financial and Quantitative Analysis, 7(2), 527–1541. https://doi.org/10.2307/2329932

Hutagaol-Martowidjojo, Y., Joachim, H., & Anggraeni, D. (2019). The role of earnings and tax on dividend policy of Indonesian listed firms. Jurnal Keuangan Dan Perbankan, 23(1), 31-44.

Jensen, M.C. and Meckling, W. (1976), “Theory of the firm: managerial behavior, agency costs and capital structure”, Journal of Financial Economics, 3, 305-60.

Khan, A. (2021). Ownership structure, board characteristics and dividend policy: evidence from Turkey. Corporate Governance, 22(2), 340-363. https://doi.org/10.1108/CG-04-2021-0129

Khan, M. N., Naeem, M. U., Rizwan, M., & Salman, M. (2016). Factors affecting the firm dividend policy: An empirical evidence from textile sector of Pakistan. International Journal of Advanced Scientific Research and Management, 1(5), 144-149.

Khan, M. Y., & Jain, P. K. (2019). Financial Management (8th). Mc Graw Hill Education Private Limited.

Koman, J. and Bratimasrene, T. (2007): The relationship Government expenditure between and Economic Growth in Thailand. International Journal of Economic Research, 3(6), 82-92.

Kreinin, H., & Aigner, E. (2022). From “Decent work and economic growth” to “Sustainable work and economic degrowth”: a new framework for SDG 8. Empirica, Vol. 49 No. 2, pp. 281-311. https://doi.org/10.1007/s10663-021-09526-5

Kuzucu, N. (2015). Determinants of dividend policy: a panel data analysis for Turkish listed Firms. International Journal of Business and Management, Forthcoming. 10(11), pp. 149-160. https://doi.org/10.5539/ijbm.v10n11p149

Le, T. T. H., Nguyen, X. H., & Tran, M. D. (2019). Determinants of dividend payout policy in emerging markets: Evidence from the ASEAN region. Asian Economic and Financial Review, 9(4), 531-546. https://doi.org/10.18488/journal.aefr.2019.94.531.546

Lestari, N. A., Sudarma, A., & Antony, A. (2021). The Determinants of Dividend Policy (an Empirical Study on Manufacturing Companies Listed on the Indonesia Stock Exchange 2016-2019 Period). JBTI: Jurnal Bisnis: Teori Dan Implementasi, 12(1), 23-36. https://doi.org/10.18196/jbti.v12i1.11761

Lestari, P. A. (2025). The Impact of Government Expenditure and Labor Force on Regional Economic Growth: Evidence from Kendari, Indonesia. Sinergi International Journal of Economics, 3(2), 119-131.

Lotto, J. (2020). On an ongoing corporate dividend dialogue: Do external influences also matter in dividend decision? Cogent Business & Management, 7(1), 1-13. https://doi.org/10.1080/23311975.2020.1787734

Mahendra, P. W. (2023). The effect of leverage, profitability, earnings per share, and price earning ratio on dividend policy ratio. Journal of Management and Business Insight, 1(1), 82-92. https://doi.org/10.12928/jombi.v1i1.570

Malik, F., Gul, S., Khan, M. T., Rehman, S. U., & Khan, M. (2013). Factors Influencing Corporate Dividend Payout Decisions of Financial and Non-Financial Firms. Research Journal of Finance and Accounting, 4(1), 35-46.

Muhammad, S., & Kurniasari, A. (2022). Analysis of the Effect of Growth, Profitability, Interest Rates, Inflation and Asset Structure on Firm Value with Dividend Policy as an Intervening Variable. Iqtisad: Reconstruction of Justice and Welfare for Indonesia, 9(2), 255-270. https://doi.org/10.31942/iq.v9i2.7537

Myers, S. C., & Majluf, N. S. (1984). Corporate financing and investment decisions when firms have information that investors do not have. Journal of Financial Economics, 13(2), 187–221. https://doi.org/10.1016/0304-405X(84)90023-0

Nadeem, N., Bashir, A., & Usman, M. (2018). Determinants of dividend policy of Banks: Evidence from Pakistan. The Pakistan Journal of Social Issues, 9, 19-27.

Nerviana, R. (2015). The effect of financial ratios and company size on dividend policy. The Indonesian Accounting Review, 5(1), 23-32. https://doi.org/10.14414/tiar.v5i1.486

Rani, N., Yadav, S. S., & Tripathy, N. (2020). Capital Structure Dynamics of Indian Corporates. Journal of Advances in Management Research, 17(2), 212-225. https://doi.org/10.1108/JAMR-12-2017-0125

Rahman, M. M. (2011). Causal relationship among education expenditure, health expenditure and GDP: A case study for Bangladesh. International Journal of Economics and Finance, 3, 149-159.

Rinanda, Y. (2022). The Influence of Macroeconomic Factors and Financial Performance on Dividend Policy during Pandemic (Manufacturing Company Listed on the IDX). Dinasti International Journal of Economics, Finance & Accounting, 2(6), 637-646. https://doi.org/10.38035/dijefa.v2i6

Romus, M., Anita, R., Abdillah, M. R., & Zakaria, N. B. (2020). Selected Firms Environmental Variables: Macroeconomic Variables, Performance and Dividend Policy Analysis. In IOP Conference Series: Earth and Environmental Science, 469(1), 1-6. https://doi.org/1088/1755-1315/469/1/012047

Rozeff, M. S. (1982). Growth, Beta and Agency Costs as Determinants of Dividend Payout Ratios. Journal of Financial Research, 5(3), 249-259. https://doi.org/10.1111/j.1475-6803.1982.tb00299.x

Saini, D., & Sharma, P (2022). A Systematic Literature Review of Factors Influencing the Dividend Policy. 7(1), 45-63. https://doi.org/10.52283/NSWRCA.AJBMR.20220701A04

Salvatori, E. G., Robiyanto, R., & Harijono, H. (2020). An analysis of the relationship between earnings and corporate taxes on dividend policy of companies in Sri-Kehati index. Journal of Management and Entrepreneurship Research, 1(1), 1-12. https://doi.org/10.34001/jmer.2020.6.01.1-1

Sari, W. R. (2018). Dividend policy of Indonesian state-owned enterprises. Telaah Bisnis, 18(1), 33-44. http://dx.doi.org/10.35917/tb.v18i1.92

Sharma, R. K., & Bakshi, A. (2019). An evident prescience of determinants of dividend policy of Indian real estate companies: An empirical analysis using co-integration regression and generalised method of moments. Journal of Financial Management of Property and Construction, 24(3), 358-384. https://doi.org/10.1108/JFMPC-02-2019-0012

Silalahi, A. S., Fachrudin, K. A., Sianipar, A. S., & Effendi, K. A. (2021). Analysis of the bank specific factors, macroeconomics and oil price on dividend policy. International Journal of Energy Economics and Policy, 11(2), 165-171. https://doi.org/10.32479/ijeep.10676

Singh, S., Bala, M. M., & Kumar, N. (2022). The dynamics of public and private health expenditure on health outcome in Southeast Asia. Health & Social Care in the Community, 30(5), 2549-2558. https://doi.org/10.1111/hsc.13698

Tahir, S. H., Ullah, M. R., & Mahmood, S. (2015). Banks Dividend Policy and Investment Decision as Determinants of Financing Decision: Evidence from Pakistan. American Journal of Industrial and Business Management, 5(5), 311-323. https://doi.org/10.4236/ajibm.2015.55032

Wijayantini, B., Darmawan, M. R., & Arif, A. (2022). Relevance of Free Cash Flow, Profitability, Liquidity, Leverage, Firm Size, and Price Earnings Ratio to Dividend Policy. In ICBAE 2022: Proceedings of the 3rd International Conference of Business, Accounting, and Economics, ICBAE, Purwokerto, Central Java, Indonesia, 209-213. http://dx.doi.org/10.4108/eai.10-8-2022.2320897

Winarsari, A. D., & Handini, S. (2020). The Influence of Internal and External Factors of the Company on Dividend Policy and Firm Value (Study on LQ45 Companies in Indonesia Stock Exchange 2015-2017). Ekspektra: Jurnal Bisnis Dan Manajemen, 4(1), 22-34. http://dx.doi.org/10.25139/ekt.v4i1.2658

Yakubu, I. N. (2019). Revisiting the factors influencing corporate dividend policy decisions: Evidence from listed banks in Ghana. Management & Accounting Review (MAR), 18(3), 31-50.

Yun, W. S., & Yusoff, R. (2015). An empirical study of education expenditure, health care expenditure and economic growth in Malaysia using Granger causality approach. Malaysian Journal of Business and Economics, 2, 59-68.

https://investasean.asean.org/healthcare - :~:text=Healthcare%20spending,and%20US%24%201%2C449%2C%20respectively.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Downloads

Download data is not yet available.