Fiscal Decentralization, Public Health Expenditure and Public Health–Evidence From China

Xu, Wangzi; Lin, Jenshan

doi:10.3389/fpubh.2022.773728

Cited by 19 publications

(23 citation statements)

References 52 publications

(52 reference statements)

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“…(2) Institutional environment ( Market ). We apply the Marketization Index to measure the institutional environment, which is widely used in existing literature ( 17 , 36 ). The larger the Marketization Index , the better the institutional environment.…”

Section: Methods and Datamentioning

confidence: 99%

“…(2) Industry structure ( Indus ). Industry structure affects the quality and level of healthcare services ( 17 ), which may further have an impact on residents' medical expenses. Based on this consideration, we incorporate industrial structure as a control variable, which is expressed by the ratio of the added value of the secondary and tertiary industries to GDP.…”

Section: Methods and Datamentioning

confidence: 99%

“…Some studies believed that serious air pollution is not conducive to residents' health, which may increase residents' medical expenses ( 10 – 14 ), while strict environmental regulations can alleviate this adverse effect to a certain extent ( 15 , 16 ). Other studies explained residents' high medical expenses from the perspectives of fiscal decentralization ( 17 ) and energy use ( 18 ).…”

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Nie

Yuan

2023

Front. Public Health

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Residents' high medical expenses is the core challenge that needs to be solved urgently in China's medical reform for a long time. Based on the panel data of 30 provinces in Chinese Mainland during 2011–2019, we evaluate the impact of China's national comprehensive medical reform pilot policy on residents' medical expenses by using the difference-in-differences model. The results show that the pilot policy was generally conducive to reducing residents' medical expenses, resulting in a reduction of 2.13% in per capita medical expenses for inpatients, but the effect on per capita medical expenses for outpatients was insignificant. Mechanism analysis shows that hospital competition and institutional environment played a moderating role in the effect of the pilot policy on residents' medical expenses reduction. The more intense the hospital competition and the better the institutional environment, the more significant of the reduction effect. In addition, the reduction effect of the pilot policy was greater in the central provinces, the provinces with poor medical infrastructure, and the provinces with strong financial strength. This study provides useful policy insights for deepening medical reform and reducing residents' medical expenses.

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Section: Methods and Datamentioning

confidence: 99%

Section: Methods and Datamentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Nie

Yuan

2023

Front. Public Health

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“…Nowadays, when China vigorously develops public health, protects the environment, implements the "Healthy China 2030 Strategy", it is clear that the solution of energy poverty is imminent. Chinese president Xi Jinping attaches great importance to the health of the people, and also pays great attention to environmental protection (Xu and Lin, 2022). This paper believes that solving energy poverty is an inescapable issue to achieve a healthy China and the doublecarbon plan.…”

Section: Conclusion and Policy Implicationmentioning

confidence: 99%

Assessing the effect of energy poverty on the mental and physical health in China—Evidence from China family panel studies

Xie

Lou

et al. 2022

Front. Energy Res.

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Energy poverty is a crucial issue faced by countries all around the world, as the largest developing country in the world, China is also experiencing energy poverty problems. In order to explore the health effect of energy poverty in China, this paper first uses the principal component analysis (PCA) to construct a comprehensive index to measure energy poverty, and then adopts the ordinary least square method (OLS), fixed effect model (FE), instrumental variable two-stage least squares (IV-2SLS) regression to study the impact of energy poverty on the physical and mental health of Chinese people based on China Family Panel Studies 2018 (CFPS 2018). The study discovers that energy poverty significantly hampers the mental and physical health of Chinese people, an increase in energy poverty might cause 28.74%、18.69% decrease in mental and physical health respectively. Moreover, this paper further explores the influencing paths of energy poverty by intermediary effect and regulatory effect. It is revealed that in addition to directly affecting physical and mental health, energy poverty also have a negative impact on physical and mental health by affecting the accessibility of a series of resources, such as water and food, reducing the opportunities for physical exercise and increasing medical expenses. However, the impact is restricted by age and family income. Finally, under the national strategy of China, this paper further discusses how to give consideration to the joint implementation of heath and emission reduction strategies, then gives specific policy suggestions based on the results.

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“…Scientifically measuring fiscal decentralization is also a challenging task. To reflect the degree of fiscal decentralization, most of the empirical literature uses the proportion of expenditure and revenue of different levels of government [ 20 , 21 , 22 , 23 , 24 , 30 , 31 , 32 ]. However, the applicability of this measure is very limited because it ignores the complexities of central and local fiscal relations in fiscal decentralization, and is likely to cause serious distortions in the empirical findings [ 33 ].…”

Section: Literature Reviewmentioning

confidence: 99%

The Interaction Mechanism of Fiscal Pressure, Local Government Behavioral Preferences and Environmental Governance Efficiency: Evidence from the Yangtze River Delta Region of China

Wang

et al. 2022

IJERPH

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In environmental governance, local governments are the main actors, and their behavioral preferences between economic growth competition (EGC) and environmental regulation (ER) affect the inputs and outputs of environmental governance. Most studies discuss the relationship between government behaviors and the environment from the fiscal decentralization perspective, with few studies from the fiscal pressure (FP) perspective. Importantly, the bidirectional interaction mechanism is easily ignored. This study measured local government FP, EGC, ER, and environmental governance efficiency (EGE) in China’s Yangtze River Delta (YRD) region from 2000 to 2020. Moran’s I index was used to identify the change characteristics of local government behavioral preferences. The interaction mechanism was analyzed by a panel vector autoregression (PVAR) model. The results show that (1) from 2000 to 2020, FP was generally strengthened. EGE generally showed fluctuating and rising change characteristics, with more obvious fluctuating and rising characteristics before 2012 and after 2012, respectively. Local governments shifted from a strong alternative preference to a weak synergistic preference. (2) FP had a self-reinforcing effect. EGC and ER had a self-weakening effect. EGE had not only a self-weakening effect but also a weak self-dependence. (3) There is a double negative interaction mechanism between FP and local government behavioral preferences. FP made local governments prefer to reduce EGC and relax ER, but in fact, EGC and ER were conducive to alleviating FP. (4) There is a negative transitive influence mechanism between FP, local government behavioral preferences and EGE. The negative effect of FP on EGE can be transmitted by reducing EGC and ER. This paper provides a scientific basis for improving EGE in the YRD region and understanding the behavioral logic of local governments’ environmental governance and a reference for other rapidly industrializing and urbanizing regions.

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Fiscal Decentralization, Public Health Expenditure and Public Health–Evidence From China

Cited by 19 publications

References 52 publications

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Assessing the effect of energy poverty on the mental and physical health in China—Evidence from China family panel studies

The Interaction Mechanism of Fiscal Pressure, Local Government Behavioral Preferences and Environmental Governance Efficiency: Evidence from the Yangtze River Delta Region of China

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