Community health care integration and fiscal expenditures: evidence from a synthetic control approach
文献类型： 外文期刊
作者： Xiang, Yi 1 ; Zhong, Guangjing 1 ; Lei, Xiaofeng 2 ; Liu, Longqing 3 ;
作者机构： 1.Hunan Agr Univ, Coll Publ Adm & Law, Changsha, Peoples R China
2.Hunan Acad Agr Sci, Inst Agr Econ & Agr Zoning, Changsha, Peoples R China
3.Zhejiang Agr & Forestry Univ, Coll Econ & Management, Hangzhou, Peoples R China
关键词： community health care integration; government expenditure; health care expenditure; synthetic controls; robustness tests
期刊名称：FRONTIERS IN PUBLIC HEALTH （ 影响因子：3.4； 五年影响因子：3.8 ）
ISSN：
年卷期： 2025 年 13 卷
页码：
收录情况： SCI
摘要： Background Does the implementation of community healthcare integration policies affect fiscal expenditures as a key measure in addressing older healthcare demands and promoting healthy aging?Methods This study utilizes the implementation of community healthcare integration in Yantai, a prefecture-level city in China, as a natural experiment to analyze its fiscal expenditure consequences by using the synthetic control approach.Results Our empirical findings indicate that the program implementation markedly decreased fiscal expenditures in pilot cities. The decrease in expenditure is solely due to policy execution, with no confounding variables detected. The program implementation negatively impacted fiscal expenditures mainly by decreasing government healthcare spending in pilot zones.Conclusion Consequently, in the ongoing effort to enhance community healthcare integration, local governments must devise context-tailored implementation strategies to attain sustainable growth, alleviate fiscal burdens, and improve older adult care services.
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