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No. 3 / 2026 — Autumn

Peer-reviewed articles in economics, finance, public policy, and sustainable development.

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Theoretical and Applied Economics
No. 3 / 2022 (632), Autumn

Health expenditure, life expectancy, fertility rate, CO2 emissions and economic growth Do public, private and external health expenditure matter?

Mahmoud M. SABRA
Al Azhar University Gaza, Palestine

Abstract. This article aims to detect empirically, the nexus dynamic interrelationships between health expenditure, totally and disaggregated, economic growth, fertility rate, life expectancy and CO2 emissions in selected middle-income MENA countries. Article results show a significant and robust positive association between health expenditure and economic growth, in one hand, and negative associations between economic growth and all which of, fertility rate, life expectancy and CO2 emissions, on the other hand. Moreover, a negative nexus between fertility rate and life expectancy has been detected. Public, private and external health expenditure affect economic growth positively and significantly, meanwhile affect fertility rate negatively, except health public expenditure, which seems to encourage fertility rate. This indicates that disaggregated health expenditure matters for examination. Furthermore, negative impact of CO2 emissions on growth and life expectancy can crowd out health expenditure positive impacts on both growth and life expectancy. A series of recommendations have been introduced such as increasing health share in public spending, and for more effective government health expenditure and control pollution and CO2 emissions. Furthermore, health spending, policies and system has to function as well to mitigate impacts of high fertility, in marginalized, rural and fungible population and areas.

Keywords: health expenditure, economic growth, fertility rate, life expectancy, CO2 emissions.

Contents

1

Financial development and public debt. Estimating the role of institutional quality

Qamar ABBAS · Muhammad RAMZAN · Sumbal FATIMA

2

An econometric approach to analyse the perceived cartel behaviour of OPEC

C.R. BISHNOI · Apeksha SHARMA

3

Global Competitiveness Index 4.0 and export performances of the European economies

Alem MERDIĆ · Kadrija HODŽIĆ

4

Multifractal analysis of equities. Evidence from the emerging and frontier banking sectors

Akash P. POOJARI · Siva Kiran GUPTHA · G Raghavender RAJU

5

Using automated systems to run a modern state and benchmarking the solution with advanced indicators

Dumitru Alexandru BODISLAV

6

Health expenditure, life expectancy, fertility rate, CO2 emissions and economic growth Do public, private and external health expenditure matter?

Mahmoud M. SABRA

7

The economic effects of working remotely: causes and implications

Silvia-Elena IACOB · Rareș-Mihai NIȚU · Radu-Alexandru BUDU

8

Cash conversion cycle and its relationship with profitability as a cash management tool in companies: An application on companies trading in Borsa Istanbul

Bilgehan TEKİN · Yusuf GÖR

9

Measuring financial inclusion and its present status in South Asian countries. Evidence from a multidimensional Financial Inclusion Index

Susanta Kumar SETHY · Phanindra GOYARI

10

Stock market linkages in Asia. Revisiting Granger causality evidences

T.G. SAJI

11

The effects of exchange rate changes on the bilateral trade balances between the MENA country group and France: empirical evidences based on non-linear ARDL approach

Hande Aksoz YILMAZ

12

Postmodernism and communication in education. European funds for combatting school dropout in Romania

Elvira Alexandra GHERASIM

13

Fiscal and monetary policy effects on economic growth in Romania (1990-2020)

Ismail AMANI · Brahim BOUYACOUB

14

Economic growth at the expense of technology

Constantin ANGHELACHE · Mădălina-Gabriela ANGHEL · Stefan Virgil IACOB · Dana Luiza GRIGORESCU

15

Inflation seriously affects the standard of living of the population

Constantin ANGHELACHE · Mădălina-Gabriela ANGHEL · Stefan Virgil IACOB · Cristian Marius RĂDUT · Denis-Arthur STRIJEK