地方政府财政分权程度对卫生支出效率的影响:基于面板数据的Tobit模型分析  

The Impact of Local Government Fiscal Decentralization Degree on Health Expenditure Efficiency: Analysis on Tobit Model Based on Panel Data

作　　者：汪小勤[1] 曾瑜[1] 

机构地区：[1]华中科技大学经济学院,武汉430074

出　　处：《中国卫生经济》2016年第6期40-42,共3页Chinese Health Economics

基　　金：华中科技大学自主创新研究基金项目(2014AA045)

摘　　要：目的:探讨我国地方政府的财政分权程度对于该地方卫生支出效率的影响。方法:运用我国省际层面的面板数据,采用DEA方法测度地方政府的卫生支出效率,设定面板数据Tobit模型,并通过固定效应方法对模型参数进行估计。结果:地方政府的财政分权程度对地方政府卫生支出效率有显著的负向影响,过度分权不利于地方政府卫生支出效率的提高。结论:财政分权程度过高容易造成各级政府为经济增长而竞争,从而忽视了对公共卫生的供给效率,造成地方政府卫生支出效率较低。Objective：To discuss the effect of local government＇s fiscal decentralization on the efficiency of health expenditure inChina.Methods：Based on the panel data of inter-provincial level, DEA method was applied to measure the health expenditure effi-ciency of local government, set the Tobit model of panel data and estimate the model parameter through fixed efficiency method.Results：The degree of local government＇s fiscal decentralization had significant negative effect on health expenditure efficiency of localgovernment. Excessive decentralization could be unfavorable for the improvement of health expenditure efficiency of local government.Conclusion：Excessive decentralization of government finance could easily stimulate the competition for economic growth in differentlevels of governments, which resulted the ignoring the efficiency of public health supply and low efficiency of local government healthexpenditure.

关 键 词：财政分权 卫生支出效率 地方政府 

分 类 号：R1[医药卫生—公共卫生与预防医学]