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目的:研究财政分权制度对公共卫生支出的影响。方法:利用2000-2013年中国31个省市的面板数据,构建计量模型,进行回归分析,实证检验财政分权制度对公共卫生支出的影响。结果:财政支出分权与公共医疗卫生支出存在正相关关系,财政收入分权与公共医疗卫生支出存在负相关关系,财政支出压力、政府竞争弱化了支出分权对公共医疗卫生支出的正向影响,强化了收入分权对公共医疗卫生支出的负向影响。结论:应当在不断完善政府主导的医疗卫生投入机制基础上,要更进一步地明确政府、社会与个人在医疗卫生投入中各自承担的角色和责任,建立财权与事权相匹配的财政体制,将更多的资金投入到公共卫生等公共产品服务上来,让百姓更多分享发展带来的成果。
Objective: To study the impact of fiscal decentralization on public health expenditure. Methods: Using the panel data of 31 provinces and cities in China from 2000 to 2013, the econometric model was constructed and the regression analysis was conducted to empirically test the impact of fiscal decentralization on public health expenditure. Results: There was a positive correlation between fiscal expenditure decentralization and public health expenditure, the negative correlation between fiscal decentralization and public health expenditure, the fiscal expenditure pressure and the government competition weakening the positive impact of expenditure decentralization on public health expenditure , Intensifying the negative impact of decentralization on public health expenditure. Conclusion: On the basis of continuously improving the mechanism of government-led investment in health care, it is necessary to further clarify the respective roles and responsibilities of the government, society and individuals in the investment in health care, and to establish a fiscal system that matches the fiscal power with the power of attorney. Much of the money goes to public goods and services such as public health so that people can share more about the fruits of development.