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Trang chủ Giáo dục - Đào tạo Cao đẳng - Đại học Khoa học xã hội Giáo dục, y tế và ảnh hưởng tương tác của chúng lên tăng trưởng kinh tế việt nam...

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1 2 SUMMARY OF THE THESIS effect of education or health on economic growth, how to examine the interaction of these two factors on economic growth is still a question. reply. Therefore, it is necessary to systematically study the effects of education and health on Vietnam's economic growth process, for a period long enough by quantitative models, the results will allow assessment. correctly and fully the role of health and education in economic growth in Vietnam. An in-depth look at the constituents and indicators used as a measure in the field of health and education will allow the author to make specific proposals that are highly feasible. Therefore, the topic that the PhD candidate will propose in this research plan is "Examining the effect of education and health along with the interaction between these two factors on the process of economic growth in Vietnam with The data was collected in the period from 2011 to 2016 ”. 2. Research objectives The main objective of the thesis is to study the influence of two main factors that make up human capital: education and health; their interaction effects on Vietnam's economic growth, thereby making recommendations on education and health policy to help drive growth. To accomplish this goal, the thesis answers the following research questions: (1) How does education affect economic growth, the difference between the effect of public expenditures on education on economic growth and the effect of private expenditures on education on economic growth? (2) How does health affect economic growth, the difference between the effect of public expenditures on health on economic growth and the effect of private expenditures on health on economic growth? (3) What is the effect of education-health interaction on economic growth? 3. Research subject and scope Research subjects: The effect of education, health and their interaction on economic growth. Research scope: Research space: Provinces / cities throughout Vietnam. Study period: From 2011 to 2016 4. Research Methodology - Method of document review: Inheriting existing documents, including legal documents and policies; Published books, documents, analysis reports, domestic and foreign research related to the research topic. - Methods of synthesis, comparison, statistics and description: to assess the reality of education, health, economic growth, and at the same time clarify the reality of the relationship between private expenditures and expenditure Public expenditures on education and health expenditures on economic growth. - Quantitative analysis method: The thesis uses a number of econometric models to analyze the effect of education, health and their interaction on Vietnam's economic growth; using quantitative models to clarify the difference between private expenditures and public expenditures on education and health on economic growth. The effectiveness of expenditures is measured by the sign and magnitude of the estimated coefficients of health and education expenditures in the private and public expenditure models. The coefficients of the model are estimated as follows: 1. Reason to choose a topic Maintaining a reasonable economic growth rate for the country's prosperity and prosperity is something that every country in the world pursues. Economic growth is expressed by the country's actual income rate. Economic growth has spurred job creation, improved income and rapid poverty reduction. However, not all economic growth is effective for the country, if the economic growth is excessive or too high, the people will be rich, but its dark side will lead to inflation, rich and poor division. in society increased. Experiencing changes in the renovation process since 1986, Vietnam has achieved remarkable achievements, the average annual economic growth rate in the period of 20042016 is 6.35%; GDP at current prices in 2014 was 5.5 times more than in 2004; Vietnam has been a low-middle-income country since 2010. But Vietnam still faces challenges and difficulties, recent research results show many signs of economic growth. However, the competitiveness and efficiency of investment in the economy have decreased. Therefore, the country is required in each period to find positive measures to achieve rational and sustainable growth. In particular, researchers and policy makers recognize that, after a period of rapid growth based on physical capital accumulation, the country needs to start looking for other economic growth models and modes, more emphasis on capital accumulation, labor and people. Gross domestic product (GDP) in 2012 grew by only 5.03%, at the same time many businesses dissolved, stopped operating, growing sharply, much more serious than the number of unemployed workers. The growth rate is low, showing that the business environment in Vietnam is getting worse and the quality of factors affecting economic growth needs to be revised. In fact, the economic development process of many countries in the world has shown the importance of human capital. Japan is a country that is poor in mineral resources, which was devastated by nature and war, but the rise and development of Japan was a storm, or the rapid economic recovery of the nations. Western Europe relies on high quality human resources, not resources. Although developing countries have many resources but lack quality labor, the economic growth process is very slow (Waines, 1963). There are many factors that directly affect a country's growth, but recent studies have shown that "education and health are the two key factors." Evidence from the development of East Asian tigers shows that a strong education and a modern health system is an important driving force for the nation's economic growth and prosperity. (World Bank, 1993). Besides health and education, a country's growth process is influenced by many other factors and the interaction between these factors in an institution. Factors such as political and institutional factors, environmental and geographical factors, culture, history, the degree of openness of the economy to foreign investment, employers' policies to improve productivity, macroeconomic management policies and external environmental effects. In Vietnam, there have been many studies on the growth process and the factors affecting the growth process. These studies often focus more on economic factors but have not yet considered social factors. In this study, the author will focus on two factors: health and education along with the interaction of these two factors to the process of economic growth in Vietnam from 2011 to 2016. Wearing Although these studies have shown the 3 4 Cross-data regression (OLS): Expenditures on education or health in a year may not create human capital immediately to effect economic growth, so the cross-sectional data model is aimed at look at the average of factors that create human capital in the period of 2011-2016 affecting Vietnam's economic growth. Panel data model: use the Generalized Method of Moment (GMM) to solve endogenous variables for panel data model. Data sources - The data used in the study includes data collected from the General Statistics Office and the Statistics Departments of provinces and cities from 2011-2016 in statistics by 63 provinces. - Other macro data of Vietnam for the period of 2011-2016 are provided by the General Statistics Office. - The figures for public education and health expenditures are extracted from the Ministry of Finance - Survey data on provincial competitiveness (PCI) provided by Vietnam Chamber of Commerce and Industry (VCCI); Data on Provincial Governance and Public Administration Performance Index (PAPI) - Data on the living standard survey (VHLSS) 2010-2016 5. Scientific and practical significance The thesis uses mainly quantitative research methods, with econometric models that are fully tested to ensure high reliability to solve a number of important scientific issues of theory. and practical as follows: Theoretically: The thesis combines estimation methods to analyze the effect of private expenditures (on health and education) and public expenditures on economic growth. In practice: - Clearly distinguish the effect of private expenditures on health and education on economic growth compared to the efficiency of public expenditures on health and education on economic growth. - Clarify the ineffectiveness of public expenditures on health and education compared to the corresponding expenditures of households on economic growth. - Assess the effect of the interaction of education and health on economic growth at public and private expenditures, through interaction coefficients - Research results of the thesis is the basis for proposing a number of policy recommendations to improve the efficiency of public expenditures on education and health as well as encourage the development of private human resources in the direction of promoting economic growth in Vietnam. 6. The structure of the thesis: The layout of the thesis consists of 4 chapters: Chapter 1: Rationale and research overview Chapter 2: Current situation of education, health and economic growth in Vietnam for the period of 2011-2016 Chapter 3: The model analyzes the effect of education, health and their interaction on Vietnam's economic growth Chapter 4: Conclusions and Recommendations. CHAPTER 1 RATIONALE AND RESEARCH OVERVIEW 1.1. Theoretical basis of the role of human capital in economic growth The thesis is researched on the basis of economic growth theory, in which human capital plays an important role for economic growth. 1.1.1 Classic growth model Economic growth was discussed by classical economists Adam Smith and David Ricardo from the late 17th and early 18th centuries, but it was not until the mid-20th century that economic growth was studied by scientists. basically. Along with that process, economic growth theories have also been increasingly improved to clarify the theoretical and practical issues posed in economic life. Studying the origin of economic growth, the scientists divided growth factors into two groups: exogenous and endogenous. 1.1.2 Neoclassical growth model In the 1960s, growth theory consisted mainly of neoclassical models, such as Ramsey (1928), Solow (1956), Swan (1956), Cass (1965). One characteristic of this model is that the property is convergent. The lower the starting level of GDP per capita (GDP), the higher the forecast growth rate. Education has been the focus of interest for economists in studying economic growth since the endogenous growth tissues were introduced. In the 1950s, the Solow-Swan growth model included labor as an incremental production factor and technological progress as exogenous variable over time, the determinants of growth. in the long run (Solow 1957), increasing human capital will increase labor productivity, leading to higher income levels (Schultz 1961). This problem was supported by economists who concurred with Schultz's theory of human capital theory (Blaug 1976). 1.1.3. Endogenous growth theory In the 1980s, the endogenous growth theory was introduced by Romer to overcome the constraints identified in the neoclassical Swan-Solow growth tissue (Romer 1986). This theoretical framework highlights the important role of human resource research and development, including education, as a mechanism for the accumulation of technological knowledge. 1.2 Concepts and measurement of education, health, economic growth 1.2.1 Definition and measurement of Education 1.2.1.1 Concept of Education Since its inception, education has become one of the basic factors promoting socioeconomic development through the implementation of the social function of education. The concepts of education can be understood as follows: According to Dewey, John (1944) Education is understood as a form of learning whereby the knowledge, skills, and habits of a group of people are transferred from generation to generation through teaching, training, or research. Education usually takes place under the guidance of others, but can also be through self-study 1.2.1.2 Education Measurement Many researchers have measured education in different ways, but the most common is indirect indirect measurement. According to the direct measure, Education is measured by the enrollment rate, the average number of years of schooling, the enrollment rate at all levels, the percentage of university graduates, the rate of vocational training ... On the indirect measure, Education is measured by expenditures on education 5 6 Educational expenditures cover all financial resources used to mobilize the human and material resources necessary for the operation of the educational system, Education expenditures include: - Public expenditures (government) for the human and material inputs needed to provide educational services - Private expenditures from students and families - Social expenditures from the whole community 1.2.2 Definition and measurement of Health 1.2.2.1 Definition of Health According to the World Health Organization (WHO): health or health care is the diagnosis, treatment and prevention of diseases, illnesses, injuries, and other physical and mental impairments in humans. . Health care varies among countries, groups and individuals, largely influenced by social and economic conditions as well as on-site health policies. Health care systems are organizations that are established to meet the health needs of the population. Household health expenditure is the total amount of money a household has to spend on all health-related items, including disease prevention, health promotion and medical examination and treatment. Household expenditures may be payments made before illness (for example, purchase of health insurance) or out-of-pocket payments when using the service. 1.2.2.2 Health Measurement As with education, health is also measured in a direct and indirect way. According to direct measurement, Health is measured by: birth rate, death rate, average life expectancy, quality of health care ... In an indirect measure, Health is measured by Health expenditures, the total national health expenditure represents the total social expenditure for health, which is made up of two main expenditure categories: public expenditure and public expenditure. private for health. Total national health expenditure = Public expenditure on health + Private expenditure on health Public Health Expenditure: Put simply: when a service is paid for by tax revenues from the state, or from the social health insurance fund, or from ODA (publicly coordinated), That expenditure is called the public expenditure. Public expenditures = state budget expenditures on health (excluding state budget allocations through health insurance) + social health insurance fund + ODA Private expenditures on Health Expenditures: paid by individuals or households directly to the service provider when they are sick and use the service, when they buy medicines and health-related supplies and equipment. With such a concept, hospital fees and co-payments (when medical care is covered by health insurance) are paid directly out-of-pocket by patients, whether collected in public or private hospitals, which are private expenditures. Private expenditure = direct expenditure of households + expenditures by charities and enterprises (excluding corporate contributions to social health insurance) + private health insurance Direct out-of-pocket expenditures on health 1.2.3. Concept and measurement of economic growth 1.2.3.1 Definition of economic growth The concept of economic growth first appeared in Adam Smith's Wealth of Nations, published in 1776, and in 1956 in the article A contribution to the theory of economic growth. Robert Solow's economics has fully explained this concept. Until now, the concept of economic growth has been developed and increasingly improved, most economists have agreed that: economic growth is the increase of gross national product in a period of time. This is the result of all production activities and services created by the economy, regardless of whether those activities are performed domestically or abroad. 1.2.3.2 Measurement of economic growth The average annual growth of a Country is usually measured as follows: ggdpt = GDPt / GDPt-1, where: GDP is the average income per capita, t is the time of year to be surveyed However, this calculation only shows the growth rate of the following year compared to the previous year. Therefore, many countries in the world measure economic growth through GDP, a measure of annual social production, used to compare internationally in terms of the volume of economic development levels among countries, Countries with market economies still often use two types of aggregate economic indicators: Gross National Product (Gross National Product, abbreviated to GNP), Gross Domestic Product (Gross Domestic Product, abbreviated as GDP). Methods of measuring GDP Currently in Vietnam, the General Statistics Office calculates GDP according to three methods: expenditure method, income method and production method. Expenditure method: This method measures GDP by collecting data on consumption expenditure (C), investment (I), government expenditures on goods and services (G), and exports. net (NX). Income method: This method calculates GDP according to the cost of production inputs that businesses must pay, interest payments, factory rentals, assets, wages, salaries and profits earned when participating in business, collected to compensate for the value of machinery, equipment and fixed assets worn down during the production process. Production method (value-added method): According to the value-added method, GDP is gathered all the added values of enterprises in the production process, usually one year. Value added is the difference between the output value of an enterprise and the purchase of raw materials purchased from other businesses that are used up in the production process of that product. 1.3. Several factors affect economic growth 1.3.1. The effect of education on economic growth The importance of education to economic growth through increasing labor productivity 1.3.2 The effect of health on economic growth Health is a solid foundation for economic development, one of the keys to economic efficiency determinants at both micro and macro levels, contributing to the process of economic growth. This is also derived from studies of Blomm & Canning (2003), Grossman (1972) that health is a direct component of human life and a form of increasing personal development, communication thereby affecting socio-economic growth. Some researchers have the same opinion 7 8 Lucas (1988), Rebelo (1991), Caballe and Santos (1993), Mulligan and Sala-i-Martin (1993), and Barro and Salai-Martin (1995a, Pikbest), Nelson and Phelps (1966), Benhabib and Spiegel (1994)), Robert J. Barro (2013) effectively analyzed to expand the neoclassical growth model - to incorporate the capital concept of health. A key point of this analysis is a two-way combination of health and economy. 1.3.3 The interaction effect of education and health on economic growth Regarding the channel of the effect of good health on education, Schultz (1961), education and health are the two main components of the human capital component that have a direct effect on labor quality and economic growth. In addition, theoretical channels suggest that improving health leads to raising awareness of education throughout the life of every human being. Romer (1986), Lucas (1988), Squire (1993), Schultz (1999), Bassanini and Scarpetta (2001), Churchill et al (2015). Bloom (2005), Yin-Chi Wang (2011) suggest that besides expenditures on education and health are two complementary factors, the increase in health expenditures can contribute to improving the effect on growth. economic, leading to increased educational efficiency and improved human capital; Therefore, public expenditures on education and health should be combined to positively effect human resources and economic growth. 1.3.4 Several other factors affecting economic growth Neoclassical models have shown the important role of human capital in economic growth, but the models also show that some other factors also have direct effects on individual workers. and economic growth. The effect of wages and income on economic growth The effect of investment capital on economic growth The effect of employment on economic growth The influence of the institutional environment on economic growth 1.4. Research overview on the effect of education, health and their interaction on economic growth 1.4.1. Research overview of the effect of education on economic growth According to the first school direct measures of education variables can be measured by the enrollment rate, the average number of years of schooling, the enrollment rate at all levels, the percentage of university graduates, the rate of vocational training of some studies namely: Mankiw et al (1992, Lee (2000), Lin (2004), Kwach and Lee (2006), Cooray (2012), Khattak and Khan (2012a), Omojimite and Ben (2010), Sawami Matsushita and et al (2006) According to the second school Indirect measure, education variable is measured by expenditures on education, in education expenditures includes 2 component variables: public expenditure on education, household expenditure on education, some researchers Research has demonstrated such as: Yousra Mekdad et al (2014), Kouton and Jeffrey (2018), Salwa Trabelsi (2017), Mallick et al (2016), Elumah Lucas O and Shobayo Peter B. (2017), Barro and Sala-i-Martin (1995), Mankiw et al (1992), Barro (1991), Zeynep Karaçor et al (2017) In addition to the direct effect, education also indirectly effects on economic growth through its additions to other growth factors. Notably, there are studies that affect economic growth through its addition to transparency: Kwack and Lee (2006), Pyo (1995); Kang (2006). In recent years in Vietnam: there has also been some empirical research analyzing the role of education in growth. The studies focus on explaining Vietnam's growth experience in recent years, based on socio-economic variables including human capital (Scott and Truong Thi Kim Chuyen (2004), Klump and Nguyen Thi Tue Anh (2004)), Moock et al (1998), Nguyen Nguyet Nga (2002), Nguyen Duc Thanh (2004), Wolff (2000), Bils and Klenow (2000), Tran Tho Dat and Do Tuyet Nhung (2008) ), Nguyen Ngoc Hung and Tong Thi Loc (2017), Ngo Thai Hung (2015), Bui Quang Binh (2012) 1.4.2. Overview of research on the effect of health on economic growth According to the school of direct measurement Health The direct measure of medical variables is measured by: birth rate, death rate, average life expectancy, quality of health care, a number of studies including Bloom et al. (2004), Daron Acemoglu and Simon Johnson (2007), Naeem akram et al (2008), Usman et al (2015) Follow the school of indirect measurement Health Indirect measure, health variable is measured by health expenditure, total national health expenditure represents the total social expenditure for health, which is made up of two component variables: public expenditure on health However, some studies such as Piabuo and Tieguhong (2017), Eugene Kouassi et al. (2018), Zahramila Elmi and Somaye. Sadeghi (2012), Marta (2011), Ozturk and Topçu (2014), Atılgan, Kılıç and Ertuğrul (2017) However, there are some studies that conclude that public expenditures on human resources has no significant effect on growth such as Maku (2009), Cetin and Ecevit (2010), Juste Somé et al (2019). ) In Vietnam, there have been very few studies on the effects of health and health care on the process of economic growth. Often, health and health issues affecting economic growth are studied through indirect effects channels or interaction effects with other factors. This can be considered as a research gap that in this study the author wants to delve into by using quantitative models with array data sets. Some specific studies on the effect of health on economic growth: Vu Trinh The Quan (2015), Nguyen Quang Trung and Tran Pham Khanh Toan (2014), Nguyen Dinh Tuan (2013) Nguyen Dinh Tuan (2013) , Nguyen Thi Thu Huong (2009), Dam Viet Cuong (2006) 1.4.3. Overview of the interaction effects of education and health on economic growth Measuring the interaction effect of Education and Health includes 2 variables: Public expenditure on education and Household expenditure on education; Public expenditures on health and household expenditures on health A number of studies can be mentioned such as: Hongyi Li and Huang Liang (2010), Sergio Beraldo (2003), Azam and Ahmed (2010), Tang & Lai (2011), Bloom et al (2001), Jude Eggoh et al (2015), Awaworyi et al (2015), Hüseyin en et al (2015), Selsah Pasali (2019), Yin-Chi Wang (2011) ), Bloom (2005), Isola and Alani (2005), However Grossman (1972), Hassan and Kalim (2012) In Vietnam, there are a number of simultaneous studies on the two factors Education and Health on economic growth, however, the studies are not separated and in depth, and these two factors, often only consider it in relation to System to increase the 9 10 quality of human resources such as Nguyen Quang Trung and Tran Pham Khanh Toan (2014), Nguyen Ngoc Hung (2016) 1.5. Analytical framework of the thesis Postgraduate proposed the following research model: expenditure represents the total social expenditure of health, which is made up of two component variables: public expenditure on health, expenditure household for health - Interactive variable, including 2 variables: Public expenditure on education and Household expenditure on education; Public expenditures on health and household expenditures on health - Control variables: Capital, Employment, Institutional Environment (Participation of people at grassroots level; Control of corruption in public sector; Supply of public services - Public administrative procedures; Legal conditions ) The thesis presents the research hypotheses: H1: Education has a positive effect on economic growth H2: There is a difference in the effect of private expenditures on education on economic growth and the effect of public expenditures on education on economic growth. H3: Health has a positive effect on economic growth H4: There is a difference in the effects of private expenditures on health on economic growth and the effects of public expenditures on health on economic growth. H5: The effect of health on growth depends on the level of education (Education and Health Interactions have an effect on economic growth) and vice versa This model is only a general model, reflecting the effect of independent variables on the dependent variable in general. The specific effect relationship over time will be shown by the specific research models in chapter 3: empirical research model. Comment Chapter 1, the author has introduced the theoretical basis and overview of studies on: (i) the theory of the effects of education on economic growth; (ii) the theory of health effects on economic growth; (iii) The theory that affects the interaction of education and health on economic growth. There are many studies showing that education, health and interaction affect economic growth in the short and long term, but some studies have found no evidence of the influence of these factors. to economic growth. Through the review, studies on the interactive effect of education and health on economic growth in Vietnam are also limited and inadequate, and most studies emphasize the view that human capital people are a function of total expenditures on education and health and define public expenditures as a determinant of human capital, or to consider one of two factors for health or education. Most of the domestic studies use qualitative analysis methods or if a model is stopped, there is no in-depth study of the interaction of these two factors on economic growth. Differences in that approach, so in this thesis, the author considers both health and education expenditures affecting economic growth. The author has chosen to use quantitative methods, and a number of methods to estimate variables: methods to estimate array data; General GMM moment estimation methodology, select variables that are suitable for the scope of the study and collected macroeconomic data, variables that can be used to measure such as: public expenditure on education ; private expenditures on education; rate of trained labor; the rate of labor with certificate, public expenditures on health; Private expenditures on health; average life expectancy, a number of control factors: capital; labor; job; institutional environment CHAPTER 2 CURRENT SITUATION OF EDUCATION, HEALTH AND ECONOMIC GROWTH IN VIETNAM FOR THE PERIOD 2011-2016 Edu (He) Cap (K) Economic growth (GDP) Influence educational and Labor (employment) medical interactions Health (Hh) Institutional environment: - Participation of people at grassroots level; - Control corruption in the public sector - Public service delivery - Public administrative procedures - Legal conditions - PCI Figure 1.1: Official research model Source: Author's proposal Research models General model: Inside: tangtruongkinhte = β 0 + β1 giaoduc + β 2 yte + β 3 giaoduc * yte + β 4bienkiemsoat + ε - Tangtruongkinhte: Income per capita (GDP); giaoduc: Education; yte: Health; bienkiemsoat: other factors affecting economic growth; - β 0 ; β1 ; β 2 ; β3 ; β 4 ; ε are constants Variables of the model: - Dependent variable: Economic growth, measured in per capita income (GDP) - Education variable consists of 2 measures, (i) direct measure of educational variable that can be measured by the enrollment rate, the average number of years attending school, the enrollment rate at all levels, the percentage of graduates university, vocational training rate ... (ii) Indirect measure, education variable is measured by expenditures on education, in expenditures on education includes 2 component variables: public expenditure on education, expenditure Household consumption for education - Medical variables include 2 measures, (i) direct measures of medical variables are measured by: birth rate, death rate, average life expectancy, quality of health care ... (ii) Indirect measure , health variable is measured by health expenditure, total national health 11 12 2.1. Some policies on Education and Health 2.1.1 A number of education and training policies in Vietnam took effect between 2011 and 2016 - The policy on multi-dimensional view of perception of the role of education - Policies to ensure balanced development of the education system from the State: - Investment policies for education and training. 2.1.2 A number of policies related to medical examination and treatment in Vietnam take effect between 2011 and 2016 - Financial policy - Policies on medical examination and treatment for the poor (Decision 139/2002 / QDTTg amended in 2012) - Expanded policy on payment of health insurance costs for people living with HIV / AIDS - Policy on professional support - Policies related to medical examination and treatment with health insurance (HI) - Budget allocation policy 2.1.3. Policies to allocate state budget recurrent expenditures on Education and Health 2.2. The reality of education period 2011-2016 2.2.1. The reality of general education The education sector in general, especially general education, is increasingly deeply concerned by the whole society, especially the viewpoint of universal education in our country today. Therefore, investment in the education sector in terms of facilities, schools, and teachers has been improved. - Regarding the number of schools: According to the General Statistics Office, between 2011 and 2017, the number of universal schools - Regarding the number of teachers and students: +) Number of teachers: +) Number of high school students 2.2.2. The reality of higher education Higher education, especially college and university education, is still a major concern of the entire society, especially for seniors and their parents. The following table shows the school size; teachers and students study over the years. About school number: Regarding the number of teachers and students: 2.2.3. The reality of vocational education Vocational education activities can only be highly effective when the state management of vocational training institutions is referred to one focal point, ensuring consistency and uniformity. Therefore, in the Resolution No. 76 / NQ-CP of September 3, 2016, the Government agreed to assign the Ministry of Labor, War Invalids and Social Affairs to be the state management agency of vocational education. The Ministry of Education and Training is the state management agency for pedagogical schools. - By type of vocational education institution - By socio-economic area - In the form of ownership The Law on Vocational Education stipulates that there are 3 types of ownership of vocational training institutions including: public vocational education institutions, private vocational education institutions and invested capital vocational training institutions. foreign investment. - Vocational education institutions of enterprises - Actual situation of pupils and apprentices +) The enrollment of vocational colleges, secondary vocational schools, primary vocational and vocational training less than 3 months increased compared to 2015 +) Graduation information +) Graduation results of vocational colleges, secondary vocational schools, vocational secondary schools and vocational training less than 3 months divided by socio-economic region 2.3. Current situation of expenditures on education 2.3.1. Situation of public expenditures on education In general, average public expenditure on education tends to increase year by year between 2011 and 2015 in all economic growth groups. In particular, there is the greatest increase in the two lowest growth groups and the highest growth. Accordingly, the average public expenditure on education in the lowest growth group increased steadily from 0.45 million VND / person / year in 2011 to 0.60 million VND / person / year in 2015. Meanwhile , a stronger increase in the highest growth group, from VND 0.35 million / person / year in 2011 to VND 0.60 million / person / year in the following year and reaching 0 , 85 million VND / person / year in 2015. It shows that there is a significant difference between the average public expenditure on education among the provinces with the highest GDP growth rates and those with the highest growth is among the lowest. However, the difference in the average level of public expenditure on education is not clear in the provinces of intermediate growth groups such as low growth group, medium growth group and high growth group. From this, it can be hypothesized that a positive correlation exists between average public expenditure on education and economic growth over the years in the survey period. 2.3.2 Current state of private expenditures on education By income quintile, the richer the household is, the higher the level of education expenditures, as of 2016, the average expenditure per person per month was 1.14 million, while per capita expenditure on education the richest (2.2 million dong / person / month) is 4 times higher than the poorest group (0.49 million dong / person / year) and more than 2 times the average rate. However, the proportion of expenditure on education in total household expenditure is very low, only about 2% of total household expenditure. 2.4. Health situation in the period of 2011-2016 2.5. Situation of expenditures on health 2.5.1. Situation of public expenditures on health Two major public financial flows to provide financing for health in Vietnam are the state budget capital and the social health insurance fund. Because private investment is often profit-driven, the Government has affirmed that it will continue to increase the budget for health in order to achieve equity and efficiency in the health sector. 2.5.2. Situation of private expenditures on health 13 14 A study from the 2012 Vietnam Living Standards Survey shows that expenditures on health care per capita increased significantly in 2016 compared to 2010, and it took place fairly evenly across all income groups. Most people in the poorest quintile are households in rural areas and the average expenditure on health of this group increased rapidly in the period of 2010-2016. The average health care is VND 253.6 thousand / person / year and by 2016, this figure is VND 835.8 thousand / person / month, more than tripling compared to 2010. By 2016, the expenditures level The average health expenditure per person per month is VND 1.36 million, while per capita expenditure on education in the richest quintile (VND 1.9 million / person / month) is more than 2 times higher than in the poorest quintile. (VND 0.83 million / person / year) and more than 1.5 times the average rate. 2.6. Status of economic growth Period of 2011-2016: Vietnam's economy faced many difficulties due to internal problems of the economy and was significantly affected by the global economic recession. During the two years 2011-2012, economic growth continued to decline, from 6.42% in 2010 to 6.24% in 2011 and 5.25% in 2012. From 2013 up to now, with efforts to manage policies, remove difficulties for the economy and thanks to the positive effects of the world economic recovery, the domestic economy has started to improve. especially recorded a breakthrough growth in 2015, estimated at 6.68%, exceeding 0.48 percentage points compared to the plan. 2.7 The reality of economic growth expenditures on health and education From year to year, the average household expenditure on health and education appears to be fluctuating in a narrow range with economic growth. Specifically, the data points for these relationships are centered around the moving average parallel to the economic growth axis. That means, a sharp fluctuation of the average expenditures on education and health of the household only makes a small change in the GDP growth rate of the country. Similarly, according to the economic growth quintile, the scatter plot of public expenditure as well as average household expenditure on health and education with economic growth shows a spherical distribution, whether or not there exists a linear distribution of the relationship between expenditures levels on economic growth in the 5 economic growth groups during the survey period. As a whole, for the data set during the survey period, a positive linear relationship exists between household expenditures on health and education on economic growth. Comment In chapter 2, through a comprehensive analysis and comparison of the current situation of education and training, health, the author has found a number of factors such as average life expectancy, percentage of trained workers, Student ratio, university / population ratio, number of doctors per ten thousand people are factors related to labor productivity, so how do these factors affect economic growth? In addition, through the data set compiled from GSO in the survey period from 2011 to 2015, it is initially possible to determine a positive correlation between public expenditures as well as average household expenditure for health, education with economic growth. However, this correlation is relatively small. Statistical results through graphs show a clear pattern of educational expenditures year by year and between economic growth groups. These issues will be clarified in turn in chapter 3. CHAPTER 3 ANALYSIS MODEL AFFECTING THE EFFECTS OF EDUCATION, HEALTH AND THE INTERACTION OF THEIR ECONOMIC GROWTH IN VIETNAM 3.1. Data, variables used in the model 3.1.1 Usage data Data used in the study include data collected from the General Statistics Office and the Ministry of Finance for the years 2011-2016, statistic based on 63 provinces and cities including information on: GDP, capital, labor, expenditure expenditures on teachers, expenditures on health. There are also some other data used in the model as a control variable including: data on provincial competitiveness index made by Vietnam Chamber of Commerce and Industry; Data on Provincial Governance and Public Administration Performance Index in Vietnam, Viet Nam Living Standards Survey (VHLSS) 2011-2016 3.1.2. Variables From the research review and analysis of the current situation of education and health, the author has selected the variables used in econometric models to measure for education and health, economic growth, including Two groups: dependent variables and independent variables. First, the dependent variable (GDP) is the province's annual gross product. The independent variables are divided into 3 groups of factors: (i) education variables, (ii) health variables, (iii) control variables. Specifically: (i) Variable groups for education include the variables: - Public expenditures on education - Private expenditures on education is the sum of private expenditures on education in a year by province - Percentage of the population with university level / population in the year i - Percentage of trained workers in the province i The public expenditure variables for education, the private expenditures for education are logified before being included in the model to ensure these variables will be properly distributed. (ii) Variants expressed for health include: - Public expenditures on health is the government's recurrent expenditure on health. - Private expenditure on health is the total expenditure of households on health in a year by province - Average life expectancy - Number of doctors per ten thousand people. - Public expenditure variables for health and private expenditures on health are also logarized before being included in the model to ensure that these variables will be distributed correctly. (iii) Group of other control variables: including variables: province employment, provincial development investment capital, average wage. In addition, the model also has other control factors that demonstrate the competitiveness of the province or the Index of Governance and Public Administration Performance of the province. Here the capital variable is calculated as the total development investment capital of the locality. Local education and health expenditure is taken from the province's recurrent expenditure, so these expenditures are not related to local development investment. 3.2. Paradigm 15 16 Theoretical basis for selecting models In the Mankiw-Romer-Weil (1992) model, human capital is mentioned. An important difference in the model is how to handle human capital variables. Mankiw, Romer, and Weil assume that the accumulated human capital is like physical capital, and therefore it is measured in terms of output units rather than years. Assume that the production function has the form: Y = KαHβ(AL)1-α-β, where α and β are constants with values in (0,1) and their sums are also in (0,1). Human capital is accumulated like physical capital:. In which sH is the proportion of output invested in human capital and it is constant. In addition, the role of human capital is also developed and mentioned in the theory of endogenous growth: Squire (1993), Schultz (1999), Romer (1986), Lucas (1988), Bassanini & Scarpetta ( 2001) identified human resources as a determinant of economic growth and poverty reduction. Experimental research model The process of selecting variables based on previous theoretical and empirical studies, the thesis to propose regression models is specifically studied as follows: Model 1: The effect of education on economic growth. See Education as a major component of the receiving power LnGDPit = α 0 + α1 LnKit + α 2 LnLit + α 3eduit + β k X kt + uit (3.1) Model 2: Effect of health on economic growth. See health as a major component of human capital (3.2) LnGDPit = α 0 + α1 LnKit + α 2 LnLit + α 3 healthit + β k X kt + uit Model 3: The interactive effect of education and health on economic growth. See education and health as the two main components of human capital. LnGDPit = α 0 + α1 LnK it + α 2 LnLit + α 4 educvit + α 5 healthvit + α 6 educvit * healthvit + β k X kt + uit (3.3) Model 3: The interactive effect of education and health on economic growth. See education and health as the two main components of human capital. In the models (3.1) and (3.2), the coefficient of α1 is the effect of education and health on economic growth. However, in the model (3.3) to determine the effect of education and health expenditure on economic growth, derivative equation (3.3) follows education and health: 3.3.3. Process estimation The process of carrying out the quantities is as follows: With the panel data model • REM estimation, verification of the existence or not of µi the model by xttest0 test, if not exist µi , can return to the conventional OLS estimation procedure for array data. • If it exists µi , then it is necessary to choose between FEM and REM using the Hausman test • Then perform the corresponding tests for the model selected in the previous step With GMM method • Verification of endogeneity of explanatory variables, if there is no problem of endogenous variables, use the REM or FEM method mentioned above, if so, move to the next step • Estimated using GMM • Verification of the validity of the instrument variable 3.4. Research results 3.4.1 Results of cross-estimation of education and health expenditure and their imaginative influence on economic growth The results show that there is a difference in the meaning of the effect of health expenditures on economic growth between public and private expenditures. Specifically, private health expenditures contributes to GDP growth. Accordingly, every increase in private expenditures on health will contribute to a 0.2 percentage point increase in economic growth. Although public expenditures on health also increases economic growth, the coefficient is much smaller than household expenditure. This result underscores the inefficiency of public expenditures on health in relation to economic growth. Similar to health expenditures, the estimation results for the period of 2011 - 2016 also show the difference in the meaning between education expenditures on economic growth between two sources of household and public expenditure. . The results also reflect the fact that both public and private expenditures sectors have positive signs and positively effect on economic growth. 3.4.2 Results of estimating the array data of education and health expenditure and their imaginative influence on economic growth 3.4.2.1 The results of regression data analyze the effects of education on economic growth Study the effect of health expenditures on economic growth through the equation: (3.1) LnGDPit = α 0 + α1 LnKit + α 2 LnLit + α 3eduit + β k X kt + uit The results show that private expenditures on education is positively associated with economic growth. Accordingly, in the context of other factors constant, every% of the increase in the share of private education expenditures will increase by 0.027% points in economic growth. This suggests that increasing household expenditures on education will raise the education level of household members, thereby improving the qualifications of workers and increasing labor productivity, leading to increased higher economic growth. Similar to the estimated results of public expenditures on education, public expenditures on Education also has a positive effect on economic growth. However, the effect level is smaller than the effect of private expenditures. Specifically, every increase in private ∂G D P = α 4 + α 6 h e a lt h v it , ∂ ed u cv i t (3 .4 ) ∂G D P = α 5 + α 6 ed u cv i t , ∂ h ea lth v it (3 .5) Thus, the coefficient of α6 is the additional effect coefficient of the marginal effect of education and health on growth, when assessing the marginal effect of the Education factor on economic growth, this factor is also dependency and amount of α6healthvit (and vice versa for Health), precisely because the coefficients of the interaction variables are important when expressing the intimate relationship between these two factors in the role that human capital affects increasing economic growth. Testing endogenous variables in the model 3.3. Estimation method 3.3.1 regression method for panel data (FE, RE) 3.3.2 General torque estimation method (GMM) 17 18 health expenditures will contribute to an increase of 0,00038 percentage points in GDP growth. Both results show the effective contribution of household expenditures on education to economic growth in each locality during the survey period. 3.4.2.2 The data regression model analyzes the effect of health on economic growth Study the effect of health expenditures on economic growth through the equation: LnGDPit = α 0 + α1 LnK it + α 2 LnLit + α 3healthit + β k X kt + uit (3.2) Public expenditures on health and private expenditures have once again shown the positive effect of these two expenditures on economic growth. One-step GMM estimation results show that public expenditures on health and private expenditures on average both reduce economic growth in each province (statistically significant by 5%), whereby increasing private expenditures The increase in the number of public employees by 1% increases by 0.037 points in GDP, while an increase of 1% in public expenditures on health will increase by 0.015 points in economic growth. Although, there is no clear evidence of the effect of public expenditures on health on economic growth. However, this is also an important hypothesis about the effectiveness of public expenditures on health on local economic growth. 3.4.2.3 Data regression model analyzes an interactive effect (marginal effect) of Education and Health on economic growth The marginal effect of public expenditures on education and health on economic growth Through the equation: LnGDPit = α 0 + α1 LnK it + α 2 LnLit + α 4educvit + α 5 healthvit + α 6educvit * healthvit + β k X kt + uit (3.3) The estimation results show the following implications for public expenditures on education and health: If 0 < ln (public expenditure on health) < 13.13, the marginal effect of public expenditure on education (Tgd ) has a positive effect on GDP, whereas if ln (public expenditure on health) outside that range (Tgd ) reduces average GDP. If 0 < ln (public expenditure on education) <14, the marginal effect of Public Health expenditures on Tyt has a positive effect on GDP in contrast if ln (public expenditure on education) is outside that range. Tyt reduces average GDP The marginal effect of private expenditures on education and health on economic growth Thus, we can see the following effects of private expenditures on education and health: If 0 < ln (private expenditures on health) < 1.4, then the marginal effect of private expenditures on education ( T’gd ) has a positive effect on GDP growth, whereas if ln (private expenditures on health) outside that range will reduce GDP If 0 < ln (private expenditures on education) < 0.98 then the marginal effect of private expenditures on health T’yt has a positive effect on GDP, whereas if ln (private expenditure for education) outside that range will reduce GDP COMMENT Chapter 3 The thesis introduces 3 econometric models to consider the effect of education, health and their interaction on economic growth in Vietnam. The regression models based on cross-section and array data all aim to test the influence of education and health factors and their interaction on economic growth in provinces in Vietnam. However, due to limited data, only the study in the period of 2011-2016, the models did not evaluate the effect on time factor, only the trend and the influence of the above factors on the increase. Vietnam's economic growth during the survey period. The study clearly differentiated the effect of private and public health and education expenditures. Accordingly, private health and education expenditures have all contributed to the economic growth during the observation period. In contrast, public expenditures on health and education has not been effective. This shows that the expenditures efficiency of the public sector is not high. The results of the marginal effect analysis also show that in private expenditures, education and health are complementary goods in the role of promoting economic growth. This means that it is necessary to simultaneously increase private expenditures on health and education to expect a positive outcome for economic growth. In the public sector, the inefficiency of public expenditures on health is higher than education and the coefficient of education expenditure contributes more to economic growth than health expenditure variables. CHAPTER 4. CONCLUSIONS AND RECOMMENDATIONS 4.1. CONCLUDE 4.1.1. General conclusions From an overview of research and analysis of the situation of education, health, Vietnam's economic growth in the period of 2011-2016 - The review process shows that researches on the interaction of education and health on economic growth in Vietnam are not many and in depth, most of the studies emphasize the views. that human capital is a function of total expenditures on education and health and determines public expenditures as a determinant of human capital, or to consider one of two factors for health or education. . Most studies use qualitative analysis methods. Differences in that approach, so in this thesis, the author considers both health and education expenditures affecting economic growth. The author has chosen to use quantitative methods, and methods of measuring variables: estimating array data; General GMM moment estimation methodology, select variables suitable to the scope of research and collected macroeconomic data From empirical research results - Clearly distinguish the effect of household expenditures on health and education on economic growth compared to the efficiency of public expenditures on health and education on economic growth. - Clarify the ineffectiveness of public expenditures on health and education compared to the corresponding expenditures of households on economic growth. - Assess the interaction of two educational and health factors on economic growth at public and private expenditures, through the interaction coefficient 4.1.2 Main results The thesis: "Education, health and their interactive effects on economic growth" used modern quantitative research methods to answer the research questions presented in the preamble. , that is: (i) How education affects economic growth, the difference between the effect of public expenditure on education on economic growth and the effect of household expenditures on education on growth economy? (ii) How does health affect economic growth, the difference between the effect of public expenditure on health on economic growth and the effect of household expenditures on health on economic growth? (iii) How 19 20 does the effect of education-health interact on economic growth? By using a variety of new approaches in research, the thesis has achieved the following specific results: The relationships of public and household expenditures on health and education on economic growth are estimated in turn through the cross-section regression model and the regression model. These estimation results help the thesis clarify the effects of public and private expenditures on education and health on economic growth. Specifically: In a cross-sectional regression model, private education expenditures contributes to GDP growth. Accordingly, every increase in private expenditures on education will contribute to a 0.2 percentage point increase in economic growth in the long run. Similarly, public expenditures on education also increases economic growth. However, the salary coefficient is very small, 0.087. This result emphasizes that the inefficiency of public expenditures on education compared to private expenditures in relation to economic growth. In addition, private expenditures on health also contributes to economic growth. Accordingly, every increase in private expenditures on health will contribute to a 0.27 percentage point increase in long-term economic growth. This implies that private expenditures on education and health contributes to long-term economic growth. In contrast, in the public sector, public expenditures on education and health shows inefficiencies in economic growth. This can be evidenced by the inefficiency of the efficient use of human capital. This inefficiency is due to structural and institutional factors (such as public-private mix of health facilities and corruption), different market structures, health care services, etc. , the negative effect of human capital has therefore had no significant effect on economic growth. In the panel model, private expenditures on education shows a positive effect on economic growth, every increase in private education expenditures will contribute to an increase of 0.027 percentage points. in GDP growth. The level of private education expenditures on economic growth is somewhat higher than public expenditures. This implies that increasing private education expenditures will raise the educational attainment of household members, thereby raising the level of workers and increasing labor productivity. resulting in higher economic growth. Similarly, private health expenditure is positively related to economic growth. However, the level of effect is greater than the effect of public expenditures on health. Specifically, every increase in human health expenditures will contribute to a 0.037 percentage point increase in GDP growth. Both results show the effective contribution of private expenditures on education and health to economic growth in each locality during the survey period. In contrast, public expenditures on health and education has once again shown inefficiencies on economic growth. There is no clear evidence of the positive effect of public expenditures on education and health on economic growth. Finally, to assess the complementarity and importance of expenditures on economic growth, the variable analysis for variables with the addition of interaction (nonlinear) components between variables. to further illustrate the degree of interaction between health and education expenditures at the household and public sector levels on economic growth. The results show that, at both the private and public sector expenditures scales, education and health are two complementary goods in the role of input to economic growth. However, to complement each other effectively, when increasing these factors, it is necessary to consider within the allowable threshold (conditional increase), then the remaining factor will have a positive effect on new high economic growth. 4.1.3 New points of the thesis Regarding the research model: the thesis clearly separates the effect of private and public expenditures on two important factors of human resource quality, namely education and health, tissue construction. Figure assessing the interaction effect of two educational and health factors on economic growth Methodological: the topic uses many different methods simultaneously to clarify the effects of the relationship between public expenditures, private expenditures on health and education. The method of cross-data regression during the observation period was used to estimate the relationship between the factors during the 1-year observation period. The General Moment Method (GMM) is used to estimate the array data relationships during the period 2011-2016, when the models contain endogenous variables, solving the problem of bias due to internal variables. Birth is the expenditure on education, private health and public sector in the model. All estimation results of the model are tested, ensuring satisfaction of the model's assumptions before use in the analysis. Therefore, the results guarantee reliable analysis. In terms of significance: the topic has found inefficiencies in public expenditures on health and education in relation to economic growth compared to private expenditures. The topic also shows that the inefficiency of public expenditures on education is higher than that of health, and the coefficient of education expenditures contributes less to economic growth than the health expenditure variables. In particular, the topic has found an interaction between education and health factors and economic growth. On the other hand, this is the condition for the active support of two health expenditures and private education and public sector expenditures on economic growth. This will be an important basis in making appropriate policies for developing human resources, contributing to local economic development. 4.2. RECOMMENDATIONS 4.2.1. Government policy on public expenditures on Education and Health About education (1) Although the past years of socialization of education has also brought inadequacies, but the State should: Socialize education (2) The State should: adjust the investment structure for education and training in the direction of increasing development investment expenditures and reducing recurrent expenditure. (3) The State should: adjust the expenditures structure between levels and disciplines. It is necessary to prioritize the development of harmonious proportions between training disciplines, implementation of standardization and modernization of education. (4) The State directly supports tuition fees for a number of policy beneficiaries; preferential credit loans for students of poor and near-poor families. (5) Increase expenditures on vocational training. (6) There should be a policy: Developing an open, flexible and diversified vocational education system in the direction of standardization, modernization, democratization, 21 22 socialization and international integration, inter-process vocational education degree and articulation with other training levels. (7) The State should have a policy of dividing students from lower secondary and upper secondary schools into vocational education suitable to each stage of socio-economic development. (8) The State should implement bidding, training orders for specific industries and trades; sectors and trades of spearhead economic branches; sectors and trades in which labor market is in demand but difficult to conduct socialization. Any vocational training institution, regardless of its type, may participate in the bidding and ordering mechanism. (9) Local governments need to promote policies on vocational education and training in the region in order to increase expenditures through a positive awareness of the role of education from the people. About health: (1) The State should have policies to allocate budget appropriately based on current irrationalities. (2) The State needs to have more favorable policies to reform the procedures for purchasing, issuing health insurance cards and paying health insurance to create favorable conditions for people with health insurance in the process of using health services to proceed to implement. roadmap for universal health insurance 4.2.2. Government policy on private expenditures on Education and Health About education: (1) Although the socialization of education has also brought inadequacies in recent years, the State should: Socialize education and special training in higher education in the field of technology and technology. and vocational training, this will increase the households' choice of investing in education. (2) The State should have favorable policies: encourage foreign policy banks in localities to prioritize budget expenditures on education. (3) The State should continue to develop the preferential credit program for students (4) The State should implement the principle: step by step increase revenues from learners to offset training costs according to the price and fee adjustment roadmap specified in the Government's Decree No. 16/2015 / ND-CP. (5) The State should adopt policies to support credit, production support, tax reduction, and on the other hand, with the comparative advantage of regions in each locality, economic development policies are needed to increase. craft villages to create more labor jobs as well as vocational training programs for households out of poverty. About Health (1) The State should strengthen a team of highly qualified doctors and nurses at grassroots clinics such as Ward (commune) so that people can actively visit and treat simple diseases, reduce the load on diseases. upfront hospital (2) Local authorities should regularly disseminate new policies on health care and insurance so that people can update in time, avoiding ignorance and loss of benefits when seeking medical treatment. in big hospitals 4.2.3 Policies related to life expectancy Life expectancy is a representative of the quality of life as well as the health care system of society, so: (1) The State should well implement the pension regime, the health care system should be further improved in order to bring about good health for people to work and contribute to the country in the most optimal way. (2) The State needs to promote jobs after retirement but still needs to contribute to society, so that at the end of the working age, they still create the maximum contribution resources for economic growth, because with an increased life expectancy (73 years) while the gap to the retirement age is quite far (women 55 years, men 60 years). 4.2.4 Policies regarding local doctors (1) There are policies to allocate the appropriate number of physicians with nurses and nurses to suit each local area; (2) Limit the increase in number of doctors 4.2.5 Labor and employment policies Localities need to properly handle the increase in labor each year to exploit land resources firstly in their provinces. Establish new economic projects to selectively receive new human resources. Focusing on and expanding the fostering of labor skills and vocational training for unskilled labor sources 4.2.6 Policy on institutional environment The State should have policies to promote and improve transparency indicators, control corruption, and index of public administrative procedures in localities, thereby creating a stable institutional environment to attract investment. from outside the province to create jobs for local labor sources. 4.3.2. Limit The thesis "The effect of education, health and their interaction on Vietnam's economic growth" has achieved the research objectives set out, but the author realized some following limitations: Firstly, the project only conducted a short-term study from 2011 to 2016 of Vietnam's economic growth with aggregated data for 63 provinces / cities, so it could not cover the long-term effect. of private and public health and education expenditures on economic growth. Moreover, further analysis to suggest appropriate selection of subsidy beneficiaries has not been clarified. For example, questions such as which areas to focus on, the areas to improve the efficiency of public expenditures on health, or the priority to encourage investment in education at what level and where have not been explained. in this topic. Secondly, limited access and verification of real data for each province's macro indicators. The data are highly fragmented in the macroeconomic indicators such as GDP, investment capital, wages and private health and education expenditures. This difference is also reflected in different aggregated data sets such as macro index data set, GSO Vietnam Living Standards Survey (VHLSS) data set. Thirdly, due to data limitations, the regression models only stopped at factors affecting economic growth, not going into depth to assess the factors that affect economic growth. However, there are some important variables mentioned in the research overview, such as the measurement variable of education affecting economic growth (dropout rate; number of primary pupils). and high school, the percentage of students participating in vocational and distance education; the percentage of students going to school at all levels; the quality of teaching and efforts of the learners; the number of demographics; the rate of trained labor ). Regarding the salary measure of Health affecting economic growth (Health 23 expenditure by age and gender; inpatient health expenditures; family health expenditure by urban and rural areas; medical services and quality coverage of health facilities, infant mortality rate; death rate of survivors; birth rate) Fourth, the econometric models in the thesis use aggregated data from the sources of GSO statistical data, the statistics of the Ministry of Finance's budget settlement and statistics, the survey data on the living standards of the population from paragraphs 2011-2016 for provincial calculations. However, it is not possible to calculate or estimate for lower levels such as sectoral, household or individual. If these research models can be applied to datasets with different levels of observation such as sectoral, household, and individual levels, it is expected that new discoveries may be made depending on the unit of analysis. Although the econometric models in the thesis have diversified approach, considering the interaction between variables over time, by space and by groups, but they can still be considered in more depth and open. broader interaction between variables or research updating appropriate methods to provide more evidence for the purpose of the study.
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