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Fiscal Decentralization, Chinese Style: Good for Health Outcomes?
| Content Provider | Semantic Scholar |
|---|---|
| Author | Uchimura, Hiroko Jütting, Johannes P. |
| Copyright Year | 2007 |
| Abstract | This paper analyses the effect of fiscal decentralisation on health outcomes in China using a panel data set with nationwide county-level data. We find that counties in more fiscally decentralised provinces have lower infant mortality rates than counties where the provincial government remains the main spending authority, if certain conditions are met. Spending responsibilities at the local level need to be matched with county governments' own fiscal capacity. For county governments that have only limited revenues, the ability to spend on local public goods such as health care depends crucially upon intergovernmental transfers. The findings of this paper, therefore, support the common assertion that fiscal decentralisation can lead to more efficient production of local public goods, while also highlighting the conditions required for this result to be obtained. Ce papier analyse l'effet de la decentralisation fiscale sur la sante en Chine, a partir d'une analyse de panel avec des donnees de district recueilli au niveau national. Les auteurs trouvent que, sous certaines conditions, les districts aux systemes plus decentralises ont des taux de mortalite infantiles moins eleves que ceux ou le gouvernement provincial reste la principale autorite. Les responsabilites pour les depenses au niveau local doivent toutefois etre accompagnees de capacites fiscales adequates. Pour les gouvernements de districts a bas revenus, la capacite a investir dans des biens publics comme les services de sante, depend principalement des transferts intergouvernementaux. Les analyses confirment l'argument selon lequel la decentralisation fiscale peut mener a une plus grande efficacite des biens publics, en soulignant les conditions necessaires pour atteindre ce resultat. |
| Starting Page | 1926 |
| Ending Page | 1934 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| DOI | 10.1016/j.worlddev.2009.06.007 |
| Volume Number | 37 |
| Alternate Webpage(s) | http://isiarticles.com/bundles/Article/pre/pdf/3135.pdf |
| Alternate Webpage(s) | https://www.econstor.eu/bitstream/10419/19872/1/Juetting.pdf |
| Alternate Webpage(s) | https://ir.ide.go.jp/?action=repository_action_common_download&attribute_id=22&file_no=1&item_id=38056&item_no=1 |
| Alternate Webpage(s) | https://core.ac.uk/download/pdf/10844470.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
