Abstract
Abstract. This study examines the links between public education and health expenditures, and education and health outcomes- measured by the school life expactancy and rate of child (under five) mortality, life expactancy at birth. It also investigates the role of governance on the effectiveness of public education and health expenditures. The effectiveness of public education and health expenditures is examined within education and health production function by using 2002- 2012 data. Empirical results show that effects of socioeconomic and environmental factors and demographic structure on education and health outcomes are similar to those in previous studies. The results indicate two important findings. First, public education and health expenditures remain incapable to explain outcomes when compared to other socioeconomic variables. Second, increase in public education and health expenditures is associated with improved outcomes just in countries where regulatory quality and control of corruption is high. With a general expression, public education and health expenditures become more effective in countries with high governance level.
Keywords. Public education expenditures, Public health expenditures, Child mortality rate, Life expactancy at birth, School life expactancy.
JEL. I18, I28, H51, H52.
References
Acemoglu, D., & Verdier, T. (2000). The choice between market failures and corruption. American Economic Review, 90 (1), 194–211.
Afonso, A., & Aubyn, M. (2005). Non-parametric approaches to education and health efficiency in OECD countries. Journal of Applied Economics, 227- 246.
Afonso, A., & Aubyn, M. (2006). Cross-country efficiency of secondary education provision: A semi-parametric analysis with non-discretionary inputs. Economic Modelling, 23 (3), 476-491.
Afonso, A., Schuknecht, L., & Tanzi, V. (2004). Public sector efficiency: An international comparison. Public Choice.
Afonso, A., Schuknecht, L., & Tanzi, V. (2006). Public sector efficiency: Evidence for new EU member states and emerging markets. ECB Working Papers, No.581.
Afriat, S. (1999). In the economic context: Concerning efficiency. Working Paper, Quaderni del Dipartimento di Economia Politica. Università degli Studi di Siena, No: 254.
Ajwad, M.I., & Wodon, Q. (2002). Who benefits from increased access to public services at the local level? A marginal benefit incidence analysis for education and basic infrastructure, World Bank Economists’Forum, 2, 155–175.
Albouy, V., & Lequien, L. (2009). Does compulsory education lower mortality? Journal of Health Economics, 28 (1), 155–168.
Al-Samarrai, S. (2006). Achieving education for all: how much does money matter? Journal of International Development, 18 (2), 179–206.
Amin, V., Behrman, J.R., & Spector, T.D. (2013). Does more schooling improve health outcomes and health related behaviors? Evidence from U.K. twins. Economics of Education Review, 35, 134–148.
Anand, S., & Ravallion, M. (1993). Human development in poor countries: On the role of public services. Journal of Economics Perspectives, 7 (1), 135-150.
Asteriou, D., and Hall, S.G. (2007). Applied econometrics: a modern approach using eviews and microfit. Revised edition. Palgrave Macmillan, Houndmill, Basingstoke, Hampshire and New York.
Atici, C., & Guloglu, B. (2006). Gravity model of Turkey's fresh and processed fruit and vegetable export to the EU. Journal of International Food & Agribusiness Marketing, 18 (3-4), 7-21.
Atkinson, T. (2005). Atkinson Review: Final Report. Measurement of Government Output and Productivity for the National Accounts. Palgrave Macmillan.
Aubyn , M., Garcia, F., Vaz Pais, J., & Pina, A. (2009). Study on the efficiency and effectiveness of public spending on tertiary education. European Economy - Economic Papers 390, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
Australian Government Productivity Commission. (2013). On efficiency and effectiveness: some definitions. Productivity Commission Staff Note.
Ayrangöl, Z. ve Tekdere, M. (2014). Türkiye ve OECD Ülkelerinde Yapılan Eğitim Harcamalarının Karşılaştırmalı Analizi, Lefke Avrupa Üniversitesi Sosyal Bilimler Dergisi, 5 (2).
Aytekin, S. ve Aytekin, G. (2010). Turkiye’de Saglik Hizmetleri ve Kamu Saglik Harcamalarinin Finansmaniı. Gümüshane Universitesi Sosyal Bilimler Elektronik Dergisi, (2), 163-184.
Baldacci, E. Guin-Sui, M.T., & De Mello, L. (2003). More on the effectiveness of public spending on health care and education: A covariance structure model. Journal of International Development, 15, 709-725.
Baldacci, E., Clements, B., Gupta, S., & Cui, Q. (2008). Social spending, human capital, and growth in developing countries. World Development, 36 (8), 1317–1341.
Baltagi, B. H., & Moscone, F. (2010). Health care expenditure and income in the OECD reconsidered: Evidence from panel data. Economic Modeling, 27, 804- 811.
Baltagi, B.H. (2005). Econometric Analysis of Panel Data (3.rd edition), John Wiley & Sons.
Barbazza, E., & Tello, J.E. (2014). A review of health governance: Definitions, dimensions and tools to govern. Health Policy, 116, 1–11.
Barro R. J., & Wha Lee J. (1996). International measures of schooling years and schooling quality. American Economic Review, 86 (2), 218-23.
Barsky, R. B., Juster, F. T., Kimball, M. S., & Shapiro, M. D.(1997). Preference parameters and behavioral heterogeneity: An experimental approach in the health and retirement study, Quarterly Journal of Economics, 112 (2), 537-579.
Batare, S. (2012). Efficiency of public spending on education. Public Policy and Administration. 11(2), 171-186.
Behn, R.D. (2003). Why measure performance? Different purposes require different measures. Public Administration Review, 63 (5), 586–606.
Behrman, J., & Deolalikar, A. (1988). Health and nutrition. In: Chenery, H. & Srinivasan, T.N. (Ed.), Handbook of Development Economics. Amsterdam, North-Holland.
Behrman, J., & Rosenzweig, M. (2002). Does increasing women’s schooling raise the schooling of the next generation? American Economic Review, 92 (1), 323–334.
Berger, M.C., & Messer, J. (2002). Public financing of health expenditures, ınsurance, and health outcomes. Applied Economics, 34 (17), 2105-2113.
Berument, H., & Doğan, B. (2003). Openness and the effectiveness of monetary policy: Empirical evidence from Turkey. Applied Economics Letters, 10(4), 217-221.
Bidani, B., & Ravallion, M. (1997). Decomposing social indicators using distributional data. Journal of Econometrics, 77, 125-139.
Boldrin, M. (1992). Public education and capital accumulation. Discussion Papers 1017, Northwestern University, Center for Mathematical Studies in Economics and Management Science.
Branchi, M. (March, 2016). Price and volume measures for non-market output: State of play in Europe for health and education. Retrieved March 10, 2016, from http://www.statistics.gov.hk/wsc/STS074-P4-S.pdf.
Carmichael, R. M. (2002). Measures of efficiency and effectiveness as indicators of quality: A systems approach. Journal of Institutional Research South East Asia, 1(1), 3-14.
Carrin, G., & Politi, C. (1995). Exploring the health impact of economic growth, poverty reduction, and public health expenditure. Tijdschrift voor Economie en Management, 40, 227–246.
Case, A., Lubotsky, D., & Paxson, C. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review, 92, 1308–1344.
Charnes, A., Cooper, W., & Rhodes, E. (1978). Measuring efficiency of decision-making units. European Journal of Operational Research, 3, 429-444.
Chaudhury, N., Hammer, J., Kremer, M., Muralidharan, K., & Rogers, F.H. (2005). Missing in action: Teacher and health care worker absence in developing countries. Working paper, World Bank.
Chena, Y. & Li, H. (2009). Mother’s education and child health: Is there a nurturing effect? Journal of Health Economics, 28, 413–426.
Chevalier, A., Harmon, C., O'Sullivan, V., & Walker, I. (2013). The impact of parental income and education on the schooling of their children. IZA Journal of Labor Economics, 2(1).
Chung, H., & Muntaner, C. (2006). Welfare state matters: A typological multilevel analysis of wealthy countries. Health Policy, 1-12.
Clark, B. (1961). Educating the expert society. San Francisco, CA: Chandler Publishing Co.
Codagnone, C., & Undheim, T. (2008). Government efficiency and effectiveness: The theory and practice of benchmarking and measurement. European Journal of ePractice, 1(4), 4-18.
Coleman, J. (1966). The equality of educational opportunity. Office of Education. Washington: U.S. Department of Health, Education, and Welfare.
Cornali, F. (2012). Effectiveness and efficiency of educational measures: Evaluation practices: Indicators and rhetoric. Sociology Mind, 2, 255-260.
Currie, J., & Moretti, E. (2003). Mother’s education and the intergenerational transmission of human capital: Evidence from college openings. Quarterly Journal of Economics, 118, 1495–1532.
Currie, J., & Stabile, M. (2003). Socioeconomic status and child health: Why is the relationship stronger for older children? American Economic Review, 93, 1813–1823.
Curristine, T., Lonti, Z., & Joumard I. (2007). Improving Public Sector Efficiency: Challenges and Opportunities. OECD Journal on Budgeting, 7(1).
Cutler, D. (1996). Public policy for health care. NBER Working Papers 5591, National Bureau of Economic Research, Inc.
Cutler, D. M., & Lleras-Muney, A. (2010). Understanding differences in health behavior by education. Journal of Health Economics, 29 (1), 1-28.
Cutler, D., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic Perspectives, 20(3), 97-120.
..........
UNESCO. (February 2016). Unesco Institute for Statistics. 10.02.2016, http://data.uis.unesco.org/index.aspx?queryid=147.
United Nations Economic And Social Comission Of Asia And The Pacific. (2003).The role of public expenditure in the provision of education and health, Economic And Social Survey Of Asia And The Pacific, 225-265.
United Nations. (2015). Millennium Development Goals. 10.08.2015, http://www.un.org/millenniumgoals.
Varian, H. R. (2003). Intermediate microeconomics: a modern approach (6th ed). New York: Norton.
Verdegem, P., Stragier, J., & Verleye, G. (2010). Measuring for knowledge: A data-driven research approach for eGovernment. Electronic Journal of e-Government, 8 (2), 227-236.
Verhoeven, M., Gunnarsson, V., & Carcillo, S. (2007). Education and health in G7 countries: Achieving better outcomes with less spending. IMF Working Paper, No. 07/263, Washington: International Monetary Fund.
Vlahov, D., Galea, S., Gibble, E., & Freudenberg, N. (2005). Perspectives on urban conditions and population health. Cad. Saúde Pública, 21 (3), 949-957.
Vos, R. (1996). Educational indicators: What’s to be measured? Indes Working Papers, Series I-1, Washington, DC.
Webber, D. (2005). Managing the public's money: From outputs to outcomes – and beyond. Journal on Budgeting, 4 (2).
Wenzel, H. (2008). Effectiveness, Efficiency and Equity. In L. Kovacic & L. Zaletel- Kragelj (Ed.) (pp. 68- 83), Management in health care practice. A Handbook for Teachers, Researchers and Health Professionals. Forum For Public Health In South Eastern Europe. Zagreb.
Wild, C., & Gibis, B. (2003). Evaluations of health interventions in social insurance-based countries: Germany, the Netherlands and Austria. Health Policy, 63, 187-196.
Wilkinson, R. G. (1992). Income distribution and life expectancy. British Medical Journal, No: 6820, 165-168.
Wolf, K. D. (2010). Output, outcome, impact: Focusing the analytical lens for evaluating the success of corporate contributions to peace- building and conflict prevention. PRIF Working Paper, No. 3.
World Bank. (2016). World Development Indicators. 10.01.2016, http://databank.worldbank.org/data/reports.aspx?source=world-development-indicators.
World Bank. (2016). Worldwide Governance Indicators. 08.01.2016, http://databank.worldbank.org/data/reports.aspx?source=worldwide-governance-indicators.
World Health Organization. (2015). World Health Statistics, WHO Press.
World Health Organization. Global Health Observatory Data Repository. 25.03.2016, http://apps.who.int/gho/data/node.home.
Xie, S., & Mo, T. (2014). The impact of education on health in China. China Economic Review.
Zengin, O. (2010). Verimlilik Kavramı ve Olgusu Uzerine Genel Bir Degerlendirme (Kurthan Fisek icin).Yonetim Uzerine icçinde (Ed. İ. Ozkal Sayan) (77-98), AU SBF Kamu Yonetimi Arastirma ve Uygulama Merkezi (KAYAUM) Yay. No. 7.
Zengin, O. (2011). Verimlilik: Kuramsal Bir Cözümleme Ve Kamu Yonetimi Disiplini. Ankara Universitesi Sosyal Bilimler Enstitusu Siyaset Bilimi Ve Kamu Yonetimi (Yonetim Bilimleri) Anabilim Dali Doktora Tezi.
Zhi, M. (2003). Forecasting total factor productivity growth in the construction industry using neural network modelling. PhD Thesis. Chapter 2, Productivity Concepts And Measurement: A Literature Review, 22-55, National University Of Singapore.