[1]朱 坤.公共卫生体系中央和地方事权责任划分研究[J].卫生经济研究,2024,41(10):1-5.
　ZHU Kun.Study on the Division of Central and Local Fiscal Powers and Responsibilities in Public Health System[J].Journal Press of Health Economics Research,2024,41(10):1-5.
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公共卫生体系中央和地方事权责任划分研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年10期
页码:
1-5
栏目:
理论视野
出版日期:
2024-09-30

文章信息/Info

Title:
Study on the Division of Central and Local Fiscal Powers and Responsibilities in Public Health System
作者:
朱 坤1
1.中国财政科学研究院，北京 100142
Author(s):
ZHU Kun
Chinese Academy of Fiscal Sciences, Beijing 100142, China
关键词:
公共卫生; 财政投入; 事权与支出责任; 外部性
Keywords:
public health;  fiscal investment;  fiscal powers and expenditure responsibility;  externality
分类号:
R19
文献标志码:
A
摘要:
本文从公共卫生服务的产品属性和财政分权理论出发，对我国公共卫生体系中的事权与支出责任进行分析，重点分析了2010—2020年的公共卫生支出情况，并以疾控中心为例，分析中央和地方事权与支出责任划分中的问题，提出优化我国公共卫生中央和地方事权与支出责任划分的政策建议：将公共卫生服务体系建设明确为中央和地方共同事权，促进公共卫生服务体系均衡发展；调整公共卫生服务投入路径，增加公共卫生服务供给；优化公共卫生服务投入方式，完善专业公共卫生人员激励机制。
Abstract:
Based on attributes of public health services and the theory of fiscal decentralization, this paper analyzes the fiscal powers and responsibilities in China's public health system，with a focus on analyzing the public health expenditure situation from 2010 to 2020. Problems were identified in the division of fiscal powers and responsibilities between the central and local governments based on the centers for disease prevention and control, and policy recommendations were given as below：optimizing the division of fiscal powers and responsibilities between the central and local governments in China's public health, clarifying the construction of the public health service system as a joint fiscal power between the central and local governments, and promoting the balanced development of the public health service system; Adjusting the investment path of public health services and increasing the supply of public health services; Optimize the investment mode of public health services and improve the incentive mechanism for professional public health personnel.

参考文献/References:

[1] [美]保罗·萨缪尔森，[美]威廉·诺德豪斯.经济学（19版）[M].萧琛（译）.北京：商务印书馆，2017.
[2] 刘晓路.财政分权与经济增长：第二代财政分权理论[J]. 财贸经济，2007（03）：47-54.
[3] 胡善联.卫生经济学[M].上海：复旦大学出版社，2003.
[4] 楼继伟.中国政府间财政关系再思考[M].北京：中国财政经济出版社，2013.

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更新日期/Last Update: 2024-09-30