财政分权、晋升激励与农村医疗卫生公共服务供给——基于我国省际面板数据的实证研究被引量：38

Fiscal Decentralization, Promotion Incentives and the Rural Public Health Services Supply: An Empirical Study Based on China's Provincial Panel Data

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摘要 2018年中央一号文件指出我国农村民生领域的欠账太多,农村公共服务供需失衡问题突出。而在乡村振兴战略的背景下,这些问题的解决具有重要意义。为此,从财政分权视角,利用我国省际面板数据,实证检验了财政分权效应假说是否适用于我国农村公共服务领域的疑问。研究结果显示,财政分权与农村医疗卫生公共服务供给存在正向影响,而晋升激励程度则存在显著的负向影响。同时,我国农村医疗卫生公共服务存在严重的区域发展不平衡不充分问题。因此,需要通过深化财事权相匹配的财政体制改革、完善政府官员绩效考核机制、建立健全农民公共需求表达机制等相关措施,进一步提高农村医疗卫生公共服务的供给效率。 The No. 1 Document in 2018 of the Central Committee of CPC points out that the government owes too much to the people’s livelihood in China’s rural areas, and the imbalance between supply and demand in rural public services is prominent. In the context of the Rural Revitalization Strategy, it is of great significance to solve these problems. To this end, this paper makes use of China’s provincial panel data to conduct an empirical test of whether the fiscal decentralization effect hypothesis is applicable to China’s rural public service field from the perspective of fiscal decentralization. The results show that fiscal decentralization has a positive impact on the rural public health care service supply, while the degree of promotion incentive has a significant negative impact. At the same time, there is a serious problem of insufficient and imbalanced regional development in China’s rural public health services. Thus, it is necessary to deepen the financial system reform that matches the financial power, improve the performance appraisal mechanism of government officials, establish and improve the public demand expression mechanism for the farmers, and further improve the supply efficiency of rural public health services.

作者胡玉杰彭徽 HU Yu-jie;PENG Hui(Northeastern University, Shenyang 110004;Shenyang Ligong University, Shenyang 110159, China)

机构地区东北大学工商管理学院沈阳理工大学经济管理学院

出处《当代财经》 CSSCI 北大核心 2019年第4期39-48,共10页 Contemporary Finance and Economics

基金中国博士后科学基金面上项目"新时代经济结构转型背景下中国经济波动的结构效应研究"(2018M631051) 海南省哲学社会科学规划项目"海南健康服务业发展的政策和体制研究"(HNSK(YB)17-77) 辽宁省教育科学"十三五"规划项目"基于毕业生外流的辽宁高等教育发展困境研究"(JG18DB415)

关键词财政分权晋升激励农村医疗卫生公共服务供给 fiscal decentralization promotion incentives rural public health services public service supply

分类号 F812.4 [经济管理—财政学]

作者简介通讯作者:拥玉杰,东北大学博士研究生,主要从事财政体制、公共服务供给研究,huyujie0810@126.com;彭徽,沈阳理工大学副教授,博士.主要从事区域经济、产业经济研究。