Fiscal Decentralisation, Chinese Style: Good for Health Outcomes?
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 m...
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Format: | Elektronisch E-Book |
Sprache: | English |
Veröffentlicht: |
Paris
OECD Publishing
2007
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Schriftenreihe: | OECD Development Centre Working Papers
no.264 |
Schlagworte: | |
Online-Zugang: | Volltext |
Zusammenfassung: | 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. |
Beschreibung: | 1 Online-Ressource (31 p.) 21 x 29.7cm. |
DOI: | 10.1787/025220500726 |
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spelling | Uchimura, Hiroko VerfasserIn aut Fiscal Decentralisation, Chinese Style Good for Health Outcomes? Hiroko, Uchimura and Johannes, Jütting Paris OECD Publishing 2007 1 Online-Ressource (31 p.) 21 x 29.7cm. Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OECD Development Centre Working Papers no.264 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. Development Jütting, Johannes MitwirkendeR ctb FWS01 ZDB-13-SOC FWS_PDA_SOC https://doi.org/10.1787/025220500726 Volltext |
spellingShingle | Uchimura, Hiroko Fiscal Decentralisation, Chinese Style Good for Health Outcomes? Development |
title | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? |
title_auth | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? |
title_exact_search | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? |
title_full | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? Hiroko, Uchimura and Johannes, Jütting |
title_fullStr | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? Hiroko, Uchimura and Johannes, Jütting |
title_full_unstemmed | Fiscal Decentralisation, Chinese Style Good for Health Outcomes? Hiroko, Uchimura and Johannes, Jütting |
title_short | Fiscal Decentralisation, Chinese Style |
title_sort | fiscal decentralisation chinese style good for health outcomes |
title_sub | Good for Health Outcomes? |
topic | Development |
topic_facet | Development |
url | https://doi.org/10.1787/025220500726 |
work_keys_str_mv | AT uchimurahiroko fiscaldecentralisationchinesestylegoodforhealthoutcomes AT juttingjohannes fiscaldecentralisationchinesestylegoodforhealthoutcomes |