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Education and Health in G7 Countries


Author Info

  • Victoria Gunnarsson
  • Stéphane Carcillo
  • Marijn Verhoeven


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.

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Bibliographic Info

Paper provided by International Monetary Fund in its series IMF Working Papers with number 07/263.

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Length: 50
Date of creation: 01 Nov 2007
Date of revision:
Handle: RePEc:imf:imfwpa:07/263

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Postal: International Monetary Fund, Washington, DC USA
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Keywords: Health care; Government expenditures; health spending; public health; infant mortality; health status; maternal mortality; public health spending; public spending; health data; health services; health sector; mortality rate; private spending; pocket payments; cost of health care; child mortality; hospital beds; health systems; health expenditure; service delivery; health institutions; general practitioner; maternal mortality rates; health workers; infant mortality rate; mortality rates; medical care; maternal mortality rate; medical technology; health affairs; health policy; share of health spending; health sector reform; access to health care; private health insurance; health care expenditure; health service; health economics; competition between suppliers; health insurance; health budgets; health policies; care systems; health-care; mother; impact on health outcomes; insurance coverage; determinants of health; public health expenditures; health outcome indicators; health-care delivery; health resources; supply of health care; health expenditures; age structure; private insurance; health care spending; share of public spending; health care provision; adverse selection; service provision; medical care costs; health care costs; demand for health; demand for health services; access to health services; private expenditure on health; surgery; fertility; general practitioners; national health; health care systems; income growth;

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Cited by:
  1. Victoria Gunnarsson & Etibar Jafarov, 2008. "Government Spendingon Health Care and Education in Croatia," IMF Working Papers 08/136, International Monetary Fund.
  2. Francesco Grigoli Author-Email: Author-Name: Eduardo Ley Author-Email:, 2012. "Quality of Government and Living Standards," World Bank - Economic Premise, The World Bank, The World Bank, issue 89, pages 1-6, September.
  3. Ana Poças & Elias Soukiazis, 2010. "Health Status Determinants in the OECD Countries. A Panel Data Approach with Endogenous Regressors," GEMF Working Papers 2010-04, GEMF - Faculdade de Economia, Universidade de Coimbra.
  4. Giuseppe Coco & Raffaele Lagravinese, 2012. "Incentive Effects on Efficiency in Education Systems’ Performance," Working Papers 270, ECINEQ, Society for the Study of Economic Inequality.


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