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This paper benchmarks the efficiency of public expenditure in the social sectors in the Russian Federation relative to other countries and among the country's regions. It finds that there is substantial room for efficiency gains, particularly in health care and social protection, although less so in education. An econometric analysis of efficiency differences between the regions suggests that they are positively related to per capita income and the quality of governance and democratic control, while they are negatively related to the share of federal transfers in the respective region's government revenue and the level of spending relative to gross regional product.
Public Finance --- National Government Expenditures and Related Policies: General --- Education: General --- Health: General --- National Government Expenditures and Health --- National Government Expenditures and Education --- Public finance & taxation --- Education --- Health economics --- Expenditure --- Health --- Health care spending --- Education spending --- Expenditures, Public --- Russian Federation
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Enhancing the efficiency of education and health spending is a key policy challenge in G7 countries. The paper assesses this efficiency and seeks to establish a link between differences in efficiency across countries and policy and institutional factors. The findings suggest that reforms aimed at increasing efficiency need to take into account the nature and causes of inefficiencies. Inefficiencies in G7 countries mostly reflect lack of cost effectiveness in acquiring real resources, such as teachers and pharmaceuticals. We also find that high wage spending is associated with lower efficiency. In addition, lowering student-teacher ratios is associated with reduced efficiency in the education sector, while immunizations and doctors' consultations coincide with higher efficiency in the health sector. Greater autonomy for schools seems to raise efficiency in secondary education.
Public Finance --- Education: General --- National Government Expenditures and Health --- National Government Expenditures and Education --- Health: General --- National Government Expenditures and Related Policies: General --- Public finance & taxation --- Education --- Health economics --- Health care spending --- Education spending --- Health --- Expenditure --- Expenditures, Public --- Germany
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This paper assesses the efficiency of government expenditure on education and health in 38 countries in Africa in 1984-95, both in relation to each other and compared with countries in Asia and the Western Hemisphere. The results show that, on average, countries in Africa are less efficient than countries in Asia and the Western Hemisphere; however, education and health spending in Africa became more efficient during that period. The assessment further suggests that improvements in educational attainment and health output in African countries require more than just higher budgetary allocations.
Public Finance --- National Government Expenditures and Health --- National Government Expenditures and Education --- National Government Expenditures and Related Policies: General --- Education: General --- Health: General --- Public finance & taxation --- Education --- Health economics --- Expenditure --- Education spending --- Health care spending --- Health --- Expenditures, Public --- Burkina Faso
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Consumption in China is unusually low and has continued to decline as a share of GDP over the past decade. A key policy question is how to reverse this trend, and rebalance growth away from reliance on exports and investment and toward consumption. This paper investigates whether the sizable increase in government social spending in recent years lowered precautionary saving and increased consumption. The main findings are that spending on health, but not education, had an impact on household behavior. The impact, moreover, is large. A one yuan increase in government health spending is associated with a two yuan increase in urban household consumption.
Consumption (Economics) --- Economics --- Macroeconomics --- Public Finance --- National Government Expenditures and Health --- National Government Expenditures and Related Policies: General --- Macroeconomics: Consumption --- Saving --- Wealth --- Aggregate Factor Income Distribution --- National Government Expenditures and Education --- Public finance & taxation --- Health care spending --- Expenditure --- Consumption --- Income --- Education spending --- Expenditures, Public --- China, People's Republic of
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This paper studies the evolution of worldwide military spending during 1970-2018. It finds that military spending in relation to GDP is converging, but into three separate groups of countries. In the largest group, responsible for 90 percent of worldwide spending, outlays have remained stubbornly high. Military spending in developing economies reacts to improvements in security conditions and military spending in neighboring countries, suggesting that further increases in the peace dividend are possible. In developing economies, rising social spending tends to crowd out military outlays, but this is not the case in advanced economies. With social outlays projected to rise as developing countries look to achieve the Sustainable Development Goals (SDGs), military spending could come under pressure to fall further.
Expenditures, Public. --- Appropriations and expenditures --- Government appropriations --- Government expenditures --- Government spending --- Public expenditures --- Public spending --- Spending, Government --- Finance, Public --- Public administration --- Government spending policy --- Public Finance --- National Government Expenditures and Related Policies: General --- National Government Expenditures and Health --- National Government Expenditures and Education --- National Security and War --- Public finance & taxation --- Defense spending --- Expenditure --- Health care spending --- Total expenditures --- Education spending --- Expenditures, Public --- United Kingdom
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This paper uses a dynamic general equilibrium model calibrated to Ugandan data to examine the welfare effects of alternative scenarios of government expenditure and tax financing. Two expenditure types are considered: social spending that affects human capital, and infrastructure expenditures that affect productivity. The paper finds that social expenditures lead to higher economic growth depending on the form of financing; young generations benefit most from social spending financed by consumption taxes; agents do not substitute between human and physical capital as a result of changes in expenditure composition; and improving the productivity of fiscal expenditure is both growth and welfare enhancing.
Labor --- Public Finance --- Taxation --- Fiscal Policy --- National Government Expenditures and Welfare Programs --- National Government Expenditures and Related Policies: General --- Human Capital --- Skills --- Occupational Choice --- Labor Productivity --- National Government Expenditures and Health --- Business Taxes and Subsidies --- National Government Expenditures and Education --- Public finance & taxation --- Labour --- income economics --- Expenditure --- Human capital --- Health care spending --- Consumption taxes --- Education spending --- Taxes --- Expenditures, Public --- Spendings tax --- Uganda
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In Italy, health care budget ceilings are not effective. The poor control by the central government results in excessive use of expensive inputs, in long waiting lines for medical procedures, and in the emergence of large arrears to suppliers and commercial banks. To fully gain the benefits of its decentralized structure, Italy needs to clarify the rules of the game and strengthen controls on local health authorities. Full fiscal responsibility should be extended to local governments on both the expenditure and revenue sides. The central government should be involved neither in decisions on the services that local governments should supply, nor in their planning and management.
Exports and Imports --- Public Finance --- Health Policy --- National Government Expenditures and Health --- Analysis of Health Care Markets --- National Government Expenditures and Related Policies: General --- Health: General --- International Lending and Debt Problems --- Public finance & taxation --- Health systems & services --- Health economics --- International economics --- Health care spending --- Health care --- Expenditure --- Health --- Arrears --- External debt --- Expenditures, Public --- Medical care --- Debts, External --- Italy
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This paper examines the relationship between health aid and infant mortality, using data from 118 countries between 1973 and 2004. Health aid has a statistically significant effect on infant mortality: doubling per capita health aid is associated with a 2 percent reduction in the infant mortality rate. For the average country, this implies that increasing per capita health aid by US$1.60 per year is associated with 1.5 fewer infant deaths per thousand births. The estimated effect is small, relative to the targets envisioned by the Millennium Development Goals.
Econometrics --- Public Finance --- Health Policy --- Health: General --- National Government Expenditures and Health --- National Government Expenditures and Related Policies: General --- Estimation --- Analysis of Health Care Markets --- Health economics --- Public finance & taxation --- Econometrics & economic statistics --- Health systems & services --- Health --- Health care spending --- Public expenditure review --- Estimation techniques --- Health care --- Expenditures, Public --- Econometric models --- Medical care --- India
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There is little empirical evidence to support the claim that public spending improves education and health indicators. This paper uses cross-sectional data for 50 developing and transition countries to show that expenditure allocations within the two social sectors improve both access to and attainment in schools and reduce mortality rates for infants and children. The size and efficiency of these allocations are important for promoting equity and furthering second-generation reforms.
Public Finance --- Health Behavior --- Health: Government Policy --- Regulation --- Public Health --- General Welfare --- National Government Expenditures and Health --- National Government Expenditures and Education --- Education: General --- Health: General --- National Government Expenditures and Related Policies: General --- Public finance & taxation --- Education --- Health economics --- Health care spending --- Education spending --- Health --- Expenditure --- Expenditures, Public
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This paper assesses the relative efficiency and flexibility of public spending in Slovenia compared to the advanced and new EU member states. Spending on health care, education, and social protection is relatively high in Slovenia without achieving correspondingly better outcomes. Inefficiencies appear to stem from the financing mechanisms for social services, institutional arrangements, and the weak targeting of social benefits. In addition, the composition of spending appears to be strongly tilted towards nondiscretionary items that reduce the fiscal room for maneuver. Greater flexibility is needed to facilitate the reallocation of relatively inefficient expenditure into higher priorities. In this manner, medium-term expenditure rationalization can focus on reducing inefficient outlays rather than restraining traditionally flexible components of the budget, such as public investment.
Labor --- Public Finance --- National Government Expenditures and Related Policies: General --- National Government Expenditures and Health --- Education: General --- National Government Expenditures and Education --- Wages, Compensation, and Labor Costs: General --- Public finance & taxation --- Education --- Labour --- income economics --- Expenditure --- Health care spending --- Education spending --- Wages --- Expenditures, Public --- Slovenia, Republic of
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