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目的:探讨财政分权对于我国基本公共卫生支出的影响。方法:通过运用我国省际层面的面板数据,设定面板数据计量经济学模型,并通过固定效应方法对模型参数进行估计。结果:财政分权度每增加1%将会导致公共卫生支出占比下降7.25%,而财政自给度和人均转移支付对公共卫生支出占比具有正向影响,它们可以减缓财政分权对公共卫生支出消极影响。结论:财政分权是造成我们国家目前公共卫生支出不足的重要制度性原因,而且财政分权重塑了地方政府的行为,各级政府为增长而竞争忽视了对公共卫生的供给。
Objective: To explore the impact of fiscal decentralization on China’s basic public health expenditure. Methods: By using panel data at the provincial level in China, we set the econometric model of panel data and estimate the model parameters by the fixed effect method. Results: For every 1% increase in fiscal decentralization, the proportion of public health expenditure will decrease by 7.25%. While the financial self-sufficiency and per capita transfer payment have a positive impact on the proportion of public health expenditure, they can reduce the impact of fiscal decentralization on public health Expenditure negatively affected. Conclusion: Fiscal decentralization is an important institutional reason for the current public health expenditure in our country. Moreover, fiscal decentralization remodels the behaviors of local governments. All levels of government ignore competition for growth and supply of public health.