Fiscal investment in national essential public health services:Current status and dual decomposition of interprovincial disparities
10.3969/j.issn.1674-2982.2025.11.001
- VernacularTitle:国家基本公共卫生服务财政投入:现状及省际差异双重分解
- Author:
Qing-bo WANG
1
;
Li YANG
Author Information
1. 北京大学全球健康发展研究院 北京 100871;北京大学国家发展研究院 北京 100871
- Publication Type:Journal Article
- Keywords:
Essential public health services;
Equalization;
Fiscal investment;
Central government transfer payments;
Decomposition of the Gini coefficient
- From:
Chinese Journal of Health Policy
2025;18(11):1-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the current status of fiscal investment in national essential public health services and the evolution trends and sources of interprovincial disparities.Methods:Using publicly available national and provincial-level data from 2010 to 2024,we employed region-decomposed Gini coefficients and source-decomposed Gini coefficients to conduct a dual decomposition of both the contribution rate and marginal contribution rate of relevant factors to the overall Gini coefficient.Results:The overall Gini coefficient of per capita fiscal investment in national essential public health services declined from 0.12 to 0.04.Interregional differences accounted for approximately 54.86%to 63.74%of the overall Gini coefficient.A 1%increase in central government transfer payments is associated with an approximately 0.97%to 2.09%reduction in the overall Gini coefficient.Conclusions and Suggestions While fiscal investment in national essential public health services has grown rapidly in scale,interprovincial disparities have shown a declining trend,with interregional differences contributing the most.Central government transfer payments have played an increasingly significant role in reducing interprovincial disparities.It is recommended to establish a sustainable financing system and a dynamic fiscal investment growth mechanism,to optimize the allocation structure of essential public health service expenditures to enhance equity and efficiency,to strengthen cost management for newly added public health service items,and to explore integrated funding strategies to improve coordination between essential public health budgets and other healthcare financing streams.
