摘要
强化省级政府支出责任是新时代深化财税体制改革的重要举措。通过在"中间层政府"理论基础上,对2011—2016年县级医疗救助数据实证考察发现,尽管省级筹资比重不断提升,但多数省份倾向采取"压力传导型"筹资策略,转移而非消化筹资责任。筹资责任向基层过度转移会降低省内医疗救助的均等化水平,因此需要规范并引导省级财政合理增加支出责任。
Recently,it is one of the most significant measures that enhancing the founding responsibilities of provincial governments taken by central government to promote the equalization of basic public services(EBPS)in China.However,whether the provincial governments would take more founding responsibilities as the central guideline is still not unknown.Taking the Medicaid as an example,this article devotes to figuring out the funding strategies and its equalized effect by using panel data from local governments during 2011-2016.It turns out that most provincial governments tend to transfer the adding funding responsibilities to basic-level governments instead of absorb them by enhancing their own sharing.And such"pressure transfer"funding strategy would not be helpful to promote the intraprovincial Medicaid inequality.Therefore more regulation and guidance should be made to enhance funding responsibility of provincial governments for the purpose to achieve the goals of EBPS.
作者
白晨
BAI Chen(School of Labor and Human Resources,Renmin University of China,Beijing 100872,China)
出处
《中国软科学》
CSSCI
CSCD
北大核心
2020年第1期95-103,共9页
China Soft Science
基金
科技部国家重大研发计划资助项目“主动健康与老龄化科技应对”(2018YFC2000400)
关键词
省级政府
筹资策略
压力传导
医疗救助
中间层政府
provincial government
funding strategy
pressure transfer
medicaid
intermediated government