中國財政分權對健康的影響

彭浩然, 吳木鑾, 孟醒

Research output: Contribution to journalArticles

Abstract

健康水準是衡量一個國家經濟社會發展的重要指標。迄今為止,究竟財政分權如何影響健康還存在很大的爭議,且極少有針對中國的研究。本文選取人口死亡率作為反映健康水準的指標,並通過構造省內財政分權指標,利用1995-2009年的省級面板資料,實證檢驗中國財政分權對健康的影響。本文的主要發現是:無論是從收入還是支出方面考察,中國財政分權都不利於健康水準的提高;省份的財政依存度會部分抵消財政分權對健康的不利影響;此外,省級政府對地方政府的財政轉移支付能夠促進健康水準的提升,但這種積極作用會隨著財政支出分權程度的提高而減弱。最後,本文利用多層委託代理理論和中國式“利維坦假設”對研究發現進行合理解釋,並提出相關政策建議。
Health status is an important indicator of measuring the level of one country’s economic and social development. There has been a huge controversy over the impact of fiscal decentralization on health outcome. Though there is increasing research in this area in the English literature, few studies investigate the Chinese experience. Using mortality as health indicator and constructing provincial fiscal decentralization indicators, this paper investigates the impact of fiscal decentralization on health status drawing on China’s provincial panel dataset from 1995 to 2009. The main findings include: (1) China’s fiscal decentralization doesn’ t lead to positive health outcome, no matter from the aspect of revenue decentralization or expenditure decentralization. (2) The degree of fiscal dependence of province partly offsets the adverse effect of fiscal decentralization on health outcome. (3) The intergovernmental transfers from provincial governments to sub-provincial governments improve health outcome, but this positive effect decreases with the improvement of the degree of expenditure decentralization. Finally, this paper offers some explanations for the main findings according to Three-tier principal-supervisor-agent theory and Leviathan hypothesis in the Chinese context and generates some policy implications. Copyright © 2013 中國社會科學院財經戰略研究院.
Original languageChinese
Pages (from-to)33-44
Journal財貿經濟
Volume34
Issue number11
Publication statusPublished - Nov 2013

Citation

彭浩然、吳木鑾和孟醒(2013):中國財政分權對健康的影響,《財貿經濟》,34(11),頁33-44。

Keywords

  • 財政分權
  • 健康
  • 財政收入
  • 財政支出
  • Fiscal decentralization
  • Health
  • Fiscal revenue
  • Fiscal expenditure
  • Alt. title: The impact of Chinas fiscal decentralization on health outcomes