生态财政转移对儿童死亡率的影响：来自中国的证据。

IF 2.4 3区医学 Q2 ECONOMICS

Health economics Pub Date : 2025-08-08 DOI:10.1002/hec.70028

Weijun Lu, Ziyi Jin

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引用次数: 0

摘要

本文利用一个县级面板数据集，研究了生态财政转移（EFT）对儿童健康的影响，并分析了EFT政策在中国实施过程中的县际差异。我们的估计表明，EFT使五岁以下儿童死亡率大幅下降0.121。值得注意的是，由于蝇纸效应，电子转账可以增加三种公共支出：环境保护、社会保障和医疗保健。它减少了空气污染，增加了农村居民的收入，改善了卫生保健服务的供应，并导致死亡率的下降。在坡度陡、财政压力大、宗族文化薄弱的县域，EFT的健康效应更为显著。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Effect of Ecological Fiscal Transfers on Child Mortality: Evidence From China.

This paper studies how ecological fiscal transfers (EFT) can affect child health by exploiting a county-level panel dataset, using variation across counties and over time in the implementation of EFT policy in China. Our estimates indicate that EFT leads to a significant decline of 0.121 in the under-five mortality rates. Notably, EFT can increase three types of public expenditures, environmental protection, social security and healthcare, due to the flypaper effect. It results in reducing air pollution, increasing rural residents' income and improving the supply of health care service, and causes the decrease of mortality rates. The health effect of EFT is more significant in counties with steep slope, high fiscal pressure and weak clan culture.

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来源期刊

Health economics 医学-卫生保健

CiteScore

3.60

自引率

4.80%

发文量

177

审稿时长

4-8 weeks

期刊介绍： This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.