我国的财政分权对公共卫生投入的影响研究

发布时间：2018-06-06 13:58

本文选题：财政分权 + 公共卫生投入总量水平　；参考：《苏州大学》2014年硕士论文

【摘要】：对于财政分权对公共卫生投入的影响，前人进行了大量的研究，本文在对前人研究的成果进行梳理后，发现由于取样、取样的时间、公共卫生投入角度的不同，得到的结果也不相同，这是促使本文在全国范围内研究2000年以来财政分权对公共卫生投入影响的重要原因。本文以地方政府支出自主度来衡量财政分权的，先着重分析了财政分权的现状以及东中西部的情况，再从公共卫生的投入量、公共卫生的投入结构、公共卫生投入的努力程度、公共卫生的投入效率四个方面对公共卫生投入现状进行了详细分析，最后本文在研究财政分权对公共卫生的影响时，打破了以往学者们只针对一项指标研究的格局，，从三个角度来研究了财政分权对公共卫生投入的影响，分别是财政分权对公共卫生的总量水平（人均政府卫生支出）的影响，财政分权对公共卫生投入的努力程度的影响、财政分权对公共卫生投入效率的影响，并对他们进行了理论分析与实证研究。通过实证发现，我国的财政分权对公共卫生的总量水平无论是东中西还是全国，都是呈现正效应的；财政分权对公共卫生投入的努力程度的影响则要分情况，全国、东、中部是呈现正效应，而西部则呈现负效应；财政分权对公共卫生投入的效率全部呈现负效应。文章的最后针对出现负效应结论的公共卫生投入的努力程度、公共卫生投入的效率，从合理划分支出责任、建立科学的地方政府绩效评价体系、完善转移支付制度、健全全民偏好机制、调整、精简政府行政机构以及超出财政分权体制范围的其他建议的几个方面，提出了相关的政策建议。
[Abstract]:As for the influence of fiscal decentralization on public health investment, the predecessors have carried out a large number of studies. After combing the results of previous studies, this paper finds that because of sampling, sampling time, public health investment angle is different. The results obtained are also different, which is an important reason for this paper to study the influence of fiscal decentralization on public health investment in the whole country since 2000. This paper measures fiscal decentralization by the degree of autonomy of local government expenditure, first analyzes the current situation of fiscal decentralization and the situation of east, west and west, and then from the input amount of public health, the structure of public health investment, the degree of effort of public health investment. Four aspects of public health investment efficiency are analyzed in detail. Finally, this paper breaks the pattern that scholars only focus on one index when studying the influence of fiscal decentralization on public health. This paper studies the influence of fiscal decentralization on public health input from three angles, namely, the influence of fiscal decentralization on the total level of public health (per capita government health expenditure), and the influence of fiscal decentralization on the efforts of public health investment. The influence of fiscal decentralization on the efficiency of public health investment is analyzed theoretically and empirically. It is found that the fiscal decentralization in China has positive effects on the total level of public health, whether eastern, western or national, and that the influence of fiscal decentralization on the efforts of public health investment is divided into two categories, the whole country, the east, and the whole country. The central part has positive effect, while the west has negative effect, and the fiscal decentralization has negative effect on the efficiency of public health investment. At the end of the article, aiming at the degree of public health investment and the efficiency of public health investment, the author establishes a scientific evaluation system of local government performance, and consummates the transfer payment system from the rational division of expenditure responsibility, the establishment of a scientific evaluation system of local government performance, and the improvement of the transfer payment system. This paper puts forward some policy suggestions on perfecting the popular preference mechanism, adjusting, streamlining the government administrative organs and other suggestions beyond the scope of the fiscal decentralization system.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F812;R1

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