From china to the world: the implications of fiscal decentralization, government debt, and public health dynamics.
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| Title: | From china to the world: the implications of fiscal decentralization, government debt, and public health dynamics. |
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| Authors: | Ruan, Xiuzhu1 (AUTHOR), Li, Kailun2 (AUTHOR) kailunli2023@163.com, Yang, Mengqi3 (AUTHOR), Dong, Zhiyong4 (AUTHOR), Wang, Gangzhen3 (AUTHOR) |
| Source: | Environment, Development & Sustainability. Jun2026, Vol. 28 Issue 6, p14299-14323. 25p. |
| Subject Terms: | *Decentralization in government, *Public debts, *Health outcome assessment, *Economic impact, *Public health, *Public health infrastructure, *World health, *Health policy |
| Geographic Terms: | China |
| Abstract: | This research stands as the first of its kind to unravel the intricate global interplay between fiscal decentralization, government debt, and public health outcomes, transcending the confines of singular dimension studies. By employing sophisticated single and simultaneous equation models, our investigation sheds new light on how fiscal decentralization impacts government debt and public health at a global scale. The findings reveal a groundbreaking insight: fiscal decentralization is instrumental in reducing government debt across diverse economic landscapes. Furthermore, our study identifies a consistent global pattern where increased local government debt is associated with poorer health outcomes, highlighting a universal challenge where debt limits the resources allocated for health services. Challenging prevailing perceptions, our research also discovers that the mere augmentation of medical resources, such as the density of medical institutions and staff, does not guarantee improved public health outcomes universally. This key finding underscores the urgent need to reassess current health policies and advocates for a more strategic and effective allocation of medical resources globally. By elaborating the important role of prudent fiscal management, especially from the perspective of fiscal decentralization, calling for more detailed and effective health policies, and recognizing the fiscal reality of local governments, this study not only has important academic contributions, but also provides practical insights for global policy makers and health strategists. It emphasizes the interconnectedness of fiscal policy and health systems and their collective influence on the global stage. [ABSTRACT FROM AUTHOR] |
| Database: | Energy & Power Source |
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| Header | DbId: enr DbLabel: Energy & Power Source An: 194093185 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: From china to the world: the implications of fiscal decentralization, government debt, and public health dynamics. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ruan%2C+Xiuzhu%22">Ruan, Xiuzhu</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Kailun%22">Li, Kailun</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> kailunli2023@163.com</i><br /><searchLink fieldCode="AR" term="%22Yang%2C+Mengqi%22">Yang, Mengqi</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dong%2C+Zhiyong%22">Dong, Zhiyong</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Gangzhen%22">Wang, Gangzhen</searchLink><relatesTo>3</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Environment%2C+Development+%26+Sustainability%22">Environment, Development & Sustainability</searchLink>. Jun2026, Vol. 28 Issue 6, p14299-14323. 25p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Decentralization+in+government%22">Decentralization in government</searchLink><br />*<searchLink fieldCode="DE" term="%22Public+debts%22">Public debts</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22Economic+impact%22">Economic impact</searchLink><br />*<searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br />*<searchLink fieldCode="DE" term="%22Public+health+infrastructure%22">Public health infrastructure</searchLink><br />*<searchLink fieldCode="DE" term="%22World+health%22">World health</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This research stands as the first of its kind to unravel the intricate global interplay between fiscal decentralization, government debt, and public health outcomes, transcending the confines of singular dimension studies. By employing sophisticated single and simultaneous equation models, our investigation sheds new light on how fiscal decentralization impacts government debt and public health at a global scale. The findings reveal a groundbreaking insight: fiscal decentralization is instrumental in reducing government debt across diverse economic landscapes. Furthermore, our study identifies a consistent global pattern where increased local government debt is associated with poorer health outcomes, highlighting a universal challenge where debt limits the resources allocated for health services. Challenging prevailing perceptions, our research also discovers that the mere augmentation of medical resources, such as the density of medical institutions and staff, does not guarantee improved public health outcomes universally. This key finding underscores the urgent need to reassess current health policies and advocates for a more strategic and effective allocation of medical resources globally. By elaborating the important role of prudent fiscal management, especially from the perspective of fiscal decentralization, calling for more detailed and effective health policies, and recognizing the fiscal reality of local governments, this study not only has important academic contributions, but also provides practical insights for global policy makers and health strategists. It emphasizes the interconnectedness of fiscal policy and health systems and their collective influence on the global stage. [ABSTRACT FROM AUTHOR] |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=enr&AN=194093185 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10668-024-05529-x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 25 StartPage: 14299 Subjects: – SubjectFull: Decentralization in government Type: general – SubjectFull: Public debts Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Economic impact Type: general – SubjectFull: Public health Type: general – SubjectFull: Public health infrastructure Type: general – SubjectFull: World health Type: general – SubjectFull: Health policy Type: general – SubjectFull: China Type: general Titles: – TitleFull: From china to the world: the implications of fiscal decentralization, government debt, and public health dynamics. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ruan, Xiuzhu – PersonEntity: Name: NameFull: Li, Kailun – PersonEntity: Name: NameFull: Yang, Mengqi – PersonEntity: Name: NameFull: Dong, Zhiyong – PersonEntity: Name: NameFull: Wang, Gangzhen IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 1387585X Numbering: – Type: volume Value: 28 – Type: issue Value: 6 Titles: – TitleFull: Environment, Development & Sustainability Type: main |
| ResultId | 1 |
